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四川省290例尘肺病住院患者健康寿命损失年的估算
引用本文:郑晋南1,何琳2,陈荔1,兰亚佳1. 四川省290例尘肺病住院患者健康寿命损失年的估算[J]. 现代预防医学, 2020, 0(15): 2720-2723
作者姓名:郑晋南1  何琳2  陈荔1  兰亚佳1
作者单位:1.四川大学华西公共卫生学院/四川大学华西第四医院,四川 成都 610041;2.广元市中心医院院办公室,四川 广元 628000
摘    要:目的 了解尘肺病的疾病负担情况及其分布特征,为尘肺病防控工作提供科学依据。 方法 以2016-2017年至四川大学华西第四医院就诊的290例尘肺病住院患者为研究对象,通过问卷调查收集患者信息,计算健康寿命损失年,并通过Kruskal-wallis H检验及Wilcoxon检验描述健康寿命损失年在个体、疾病、工作特征中的差异。 结果 住院患者健康寿命损失年总和为2629.04年,中位数为8.38年,均值为9.07±4.54年,最大值为24.76年,最小值为1.63年。矽肺患者人数最多,健康寿命损失年总和最大,为2340.22年,各年龄组健康寿命损失年中位数呈逐渐减小的趋势(P<0.05),尘肺期别越高,伤残等级数值越小,健康寿命损失年中位数越小(P<0.05)。 结论 应进一步关注和研究四川省尘肺病疾病负担,重点关注40~50岁年龄组人群的健康水平,采取有效措施,降低生产性粉尘的浓度,改善工作人员的工作环境,加强对企业的环境监测工作,尤其是小型企业及私有企业,从而减少尘肺病的发病或推迟发病年龄,最终达到降低尘肺病疾病负担的目的。

关 键 词:四川省  尘肺  健康寿命损失年

Estimation of years lived with disability in 290 hospitalized patients with pneumoconiosis,Sichuan
ZHENG Jin-nan,HE Lin,CHEN Li,LAN Ya-jia. Estimation of years lived with disability in 290 hospitalized patients with pneumoconiosis,Sichuan[J]. Modern Preventive Medicine, 2020, 0(15): 2720-2723
Authors:ZHENG Jin-nan  HE Lin  CHEN Li  LAN Ya-jia
Affiliation:*West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, China
Abstract:To understand the disease burden and distribution characteristics of pneumoconiosis so as to provide scientific basis for prevention and control of pneumoconiosis. Methods A total of 290 patients with pneumoconiosis admitted to the West China Fourth Hospital from 2016 to 2017 were taken as the research objects. The patient information was collected through questionnaires,and the Years Lived with Disability was calculated. The differences in pneumoconiosis disease burden among individuals,diseases and work characteristics were described by Kruskal - wallis H test and Wilcoxon test. Results The total Years Lived with Disability was 2629. 04 years,the median was 8. 38 years,the average was 9. 07 ± 4. 54 years,the maximum was 24. 76 years and the minimum was 1. 63 years. The number of silicosis patients was the largest,and the total Years Lived with Disability was 2340. 22 years. The median Years Lived with Disability in all age groups showed a decreasing trend ( P < 0. 05) . The higher the pneumoconiosis stage was and the smaller the disability level was,the smaller the median Years Lived with Disability ( P < 0. 05 ) . Conclusion Further attention should be paid to the disease burden of pneumoconiosis in Sichuan province focusing on the health conditions of the population of 40 to 50 years old. It is necessary to take effective measures to reduce the concentration of productive dust,improve the staff’s working environment,strengthen the environmental monitoring work of enterprises,especially small enterprises and private enterprises,and reduce the pathogenesis of pneumoconiosis or delay the onset age,finally achieve the purpose of reducing the burden of pneumoconiosis disease.
Keywords:Sichuan province  Pneumoconiosis  Years Lived with Disability
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