2011年某制药企业职业健康检查结果

目的为了解某制药企业接触职业病危害因素在岗职工的职业健康情况,旨在检出疑似职业病、职业病禁忌证及其他主要疾病,并提出相应的预防措施。方法对2011年在该企业接触职业病危害因素的员工按照《职业健康监护技术规范》(GBZ 188-2007)进行体检,并对结果进行分析。结果该制药企业接触职业病危害因素主要为噪声、高温、粉尘(滑石尘、煤尘)、甲醛、氨、氢氧化钠、酸(盐酸、硫酸)、硫化氢、锰等。在检查的833人当中,229人有1项或多项结果异常,异常检出率为27.49%。检出听力下降29人,占噪声作业人员的15.20%;其中噪声观察对象6人,占噪声作业人员的3.10%。高温作业禁忌证4人,占高温作业人员的2.23%。粉尘作业禁忌证2人,占粉尘作业人员的1.81%。甲醛作业禁忌证1人,占甲醛作业人员的1.00%。未检出疑似职业病检出其他主要疾病是:脂肪肝114人,占体检人数的13.68%;高血压66人,占体检人数的7.95%;胆囊炎及胆结石31人,占体检人数的3.72%;心血管疾病18人,占体检人数的2.16%。结论该企业应针对接触职业病危害因素职工的健康状况,以及检出有职业病禁忌证及其他主要疾病的职工,采取相应的防治措施和职业病危害的预防措施。     

某燃煤发电厂职业健康体检结果分析

目的：了解莱燃煤发电厂职工健康状况,为用人单位建立职业健康监护档案,并为职业病防治提供依据。方法：2013年对某燃煤发电厂417名职工按照《职业健康监护技术规范》进行了在岗期间职业健康体检,并对其检查结果进行分析。结果：体检各项指标全部正常的职工有151人,占体检人数的36．21％;异常捡出率居前7住的为血压、心电图、B超、血常规、血脂、肝功能、听力。结论：该厂职5-职业健康状况应加强重视,职工自我防范意识有待提高,应加强职业病防治措施。     

2012年章丘市煤矿工人职业健康体检结果分析

目的通过职业健康体检,了解煤矿工人身体健康状况,发现职业健康目标疾病,为职业健康监护提供依据。方法按照《中华人民共和国职业病防治法》和《职业健康监护技术规范》中规定体检项目进行检查。结果共体检2 202人,检出各类疾病1 154人,异常率52.41%。其中胸片异常250人,检出率11.35%(其中可疑矽肺60人,检出率2.72%);肺功能异常10人,检出率0.45%;血压升高536人,检出率24.34%;心电图异常122人,检出率5.54%;血常规异常114人,检出率5.18%,尿常规异常122人,检出率5.54%。结论章丘市在岗煤矿工人健康状况存在一定问题,应引起重视,建立有效预防机制,保障职工身体健康。     

某变压器厂职业病危害因素调查

目的了解某变压器厂生产过程中存在的职业病危害因素及防护措施效果,分析职业病危害因素(苯、甲苯、二甲苯、噪声、粉尘)对作业人员的健康影响。方法采用职业卫生现场调查、卫生检测及职业健康检查等方法对职业危害因素进行调查,并对结果进行分析评价。结果职工职业健康体检272人,结果异常213人,异常率为78.31%;其中,个体噪声合格率为33.33%,脂肪肝患病率为34.19%;接触噪声岗位听力下降率为14.69%,粉尘+噪声岗位体检异常率高于其他岗位;复查后发现职业禁忌证7人。结论该企业职业健康体检异常率较高,存在职业病危害。建议企业加强各项防护及干预措施。     

某化工企业职业危害检测及职工体检报告

目的了解某化工企业职业危害状况,为职业病防治提供依据。方法按相关技术规范要求,对该企业作业场所内职业危害因素水平进行检测,并对218名工人进行了职业健康体检,对结果进行分析。结果粉尘和噪声检测超标严重,样品合格率仅为54%和55%;体检异常人员有136人,占体检人数的62.4%;接触噪声的汽轮工和接触氟化物的造粒工异常检出率最高,分别占受检人员的82.4%、71.4%。结论该企业职业危害因素未得到有效控制,体检异常检出率较高,应加强职业病危害防治工作,保护工人健康。     

职业人群健康体检结果分析及预防干预

目的分析职业人群的健康体检结果,提出预防干预对策。方法选取暨南大学附属顺德医院体检中心2017-2018年接收的892例家电行业体检职工为研究对象,将其职业健康检查结果进行整理与统计,评估其职业毒害因素及其相关检查异常率等情况,并分析预防干预对策。结果 2017-2018年职业人群体检发现,噪声、苯、甲苯、二甲苯、粉尘与酸雾均为受检者的职业病毒害因素,并以噪声最为常见。2017-2018年接触噪声职工听力异常检出率分别为18.4%和19.0%,接触苯、甲苯、二甲苯职工白细胞或中性粒细胞异常检出率为5.6%和4.8%,接触粉尘职工X线胸片异常检出率为11.1%和14.3%,以听力异常检出率最高。结论家电行业职工的职业健康容易受到噪声、粉尘以及苯、甲苯、二甲苯等职业病危害因素影响,其职业病毒害因素相关检查异常率较高,在日常工作中需增强职工防护措施与行为指导,定期对其开展职业健康检查,以全面保障职工的职业健康。     

某企业职工健康监护结果分析

目的掌握某企业接触有毒有害因素的人群健康状况,为该人群的职业病防治提供依据和建议。方法按照《职业健康监护技术规范》GBZ 188-2007对该企业374名接触电焊烟尘、噪声的在岗工人进行健康检查。结果健康检查374人,其中74人职业健康检查结果无明显异常,占体检人数的19.79%;接触电焊烟尘作业人员检查112人,异常胸片7人,占6.25%;接触"噪声"作业人员检查314人,异常电测听113人,占35.99%。结论该企业存在的职业病危害因素,损害了劳动者的健康,企业必须采取有效的职业病防治措施,预防控制职业病的发生。     

寿阳县2008年职业健康检查结果分析

目的为保护劳动者健康及其相关权益,保障劳动者身体健康。依据《GBZ188-2007职业健康监护规范》规定和要求方法对劳动者进行健康体检、分析。结果在5064名健康检查的职工中查出各类疾病及单项指标异常人数为986人,检出率为19.47%;并从劳动者年龄和接尘工龄上进行了统计分析。建议用人单位采取有效的除尘降尘措施。确保职工身体健康,降低职业病的患病率。     

连云港市某大型燃煤发电企业职业性体检情况

目的了解连云港市某大型燃煤发电企业中粉尘及噪声作业对职工健康的影响。方法依据有关法规、标准制定职业健康检查表，对某大型燃煤发电企业的1109名职工进行职业性健康检查。结果粉尘一线作业人员胸片检查肺纹理改变者共计12人，占检出人数的1．08％；粉尘一线作业人员肺功能检查异常者共计20人，占检出人数的1．80％；噪声一线作业人员电测听检查听力损失者共计69人，占检出人数的6．22％；常见病及单项指标异常人数为967人，检出率为87．20％，以肝脏及肝脏相关常见病多见。结论该大型燃煤发电企业的职业性危害情况按照《中华人民共和国职业病防治法》的相关标准要求尚有一定的差距，需进一步加强宣传和贯彻落实职业病防治工作，对相关危害因素设专题进行调查。     

英德市某皮革企业职业健康监护分析

目的:通过某皮革企业苯作业工人的健康状况分析,为企业的职业健康监护管理提供依据。方法:对359名苯作业工人进行职业健康监护,将另一企业的239名普检工人结果作为对照,对健康监护资料进行统计分析。结果:该企业苯作业工人359人,查出各种异常者260人,异常率为72.42%,苯作业工人的血红蛋白含量下降人数、尿常规异常人数、血压异常人数与对照组有统计学意义。结论:苯作业工人体检异常检出率高,应尽量减低空气中的苯浓度,并加强对苯作业工人的职业健康监护。     

某石油炼制企业汽油作业工人健康状况分析

目的 通过分析某石油炼制企业汽油作业人员的职业健康状况,揭示石油炼制企业职工的健康损害与其接触的职业病危害因素的相关性。 方法 对某石油炼制企业902名汽油作业工人和1 057名非汽油作业工人的职业健康检查结果进行统计学分析。 结果 女性工人中,汽油作业工人白细胞计数减少的异常检出率与非汽油作业工人相比,差异有统计学意义(χ2=4.48,P < 0.05)。经多因素Logistic回归分析,提示汽油接触是女性工人白细胞计数减少的危险因素(OR=2.56,95% CI:1.04~6.29);女性工人中,汽油作业工人的血红蛋白平均含量低于非汽油作业工人,差异有统计学意义(t=-3.18,P < 0.01)。 结论 该企业在目前的生产条件下,汽油接触可能使女性作业工人的白细胞受到损伤,企业应改善作业场所环境,并定期组织接触汽油的人员进行职业健康检查,以保护作业人员的身体健康。     

两种理论联合评估某电子企业员工职业紧张状况

目的 联合使用两种职业紧张理论评估某电子企业员工的职业紧张状况, 并分析其影响因素。
方法 采用整群随机抽样方法, 使用基于工作要求-自主模式(job demand-control model, JDC模式)和付出-回报失衡模式(effort-reward imbalance model, ERI模式)两种理论的中文版问卷对892名员工的职业紧张状况进行调查, 并分析其影响因素。
结果 892名员工的JDC和ERI模式职业紧张检出率分别为48.5%和10.5%。多因素logistic回归分析结果显示:婚姻状况、健康状况、月收入和教育程度是JDC模式职业紧张的主要影响因素; 以已婚者为对照, 未婚组的OR为1.66(P < 0.01);以健康状况好组为对照, 健康状况一般和较差组的OR值为2.25、3.09(P < 0.01或0.05);以月收入≥ 4 000元为对照, < 3 000元组的OR值为2.20(P < 0.01);以初中及以下学历为对照, 大学本科及以上学历组的OR值为2.20(P < 0.05)。ERI模式职业紧张的主要影响因素是婚姻状况和健康状况; 以已婚组为对照, 未婚组的OR值为1.97(P < 0.05);以健康状况好组为对照, 健康状况较差组的OR值为6.16(P < 0.01)。
结论 该电子企业员工职业紧张状况不佳, 应关注重点员工的健康状况, 定期举办心理健康知识宣传教育, 促进员工的身心健康。
     

佛山市某照明公司员工职业健康检查结果

目的了解佛山市某照明公司员工的职业健康情况,及早发现职业禁忌证和职业病,协助企业完善各种防护措施。方法对该公司员工进行健康检查,包括血压、五官、神经系统检查,心电图、腹部B超检查,高千伏X线胸片,血、尿常规,尿汞及纯音听阈测试检查。结果体检结果异常检出率较高的依次是电测听32.1%,B超25.1%,心电图21.6%,血常规7.3%。结论该照明公司的员工存在一定的健康问题。进行定期健康检查、做到早发现、早诊断和早治疗,预防职业病的发生,保障员工的身体健康,促进企业安全生产非常重要。     

深圳宝安区某加油站从业人员油品挥发性成分危害分析与防治

目的 调查广东加油站从业人员身体状况,分析职业危害的因素.方法 根据综合信息系统记录,以行政区域划分,采取随机抽样法共检测深圳市宝安区西乡、航城街道加油站22家,相关从业人员335名.分析挥发化学成分有害因素以及加油站工作人员职业健康检查结果.结果 对22个加油站各油品挥发性有机组分中职业危害成分进行分析,结果表明均符...     

An interview survey on health care service in small-sized manufacturers in a city of Osaka Prefecture

An interview survey on the health care service for workers employed in small-sized enterprises was conducted in a city of Osaka Prefecture. Items surveyed were: 1) number of full-time and part-time employees by age (less than 39, 40-60, and more than 60 yr) and sex, 2) materials and production process, 3) periodic examinations for general health status and occupational diseases, and others. Of the 526 enterprises interviewed, 459 manufacturers with less than 50 employees were analyzed. The results can be summarized as follows: 1. Of the 459 manufacturers, 72.4% were those with less than 10 workers (the mean number of employees: 8.4). The major type of manufacture was electric parts processing industry. 2. The period health examination has been carried out in 372 enterprises (81.0%). The smaller the size of the company, the lower was the rate of the periodic health examination. 3. In 77.4% of the 372 enterprises, only chest X-ray was an item for the periodic health examination, which was usually carried out at the public health center of the community. 4. The number of enterprises conducting the periodic health examination designated by the Industrial Safety and Health Law (1972) was only 49 (10.7%). 5. Fourteen enterprises (3.1%) have carried out periodic examination for occupational diseases. 6. The periodic examination for degenerative diseases such as hypertension, diabetes mellitus, and other cardiovascular diseases was carried out in 57 enterprises (12.4%). The larger the size of the company, the higher was the rate in which such examination was conducted.(ABSTRACT TRUNCATED AT 250 WORDS)     

北京地区职业人群情绪状态及生存质量对比研究

目的对北京地区不同职业人群的情绪状态以及生存质量进行对比分析,以期找到其共性及差异,为保障职业人群的精神卫生及生活质量提供建议。方法采用抑郁自评量表（CES-D）、世界卫生组织生存质量简表（WHOQOL—BREF）以及个人情况记录表,对国企工人、公司职员以及农民工3个群体进行抽样问卷调查。结果国企工人、公司职员及农民工的CES．D均分分别为15．5±9．4,11．8±8．3,8．3±7．4,差异有统计学意义（F=65．91,P〈0．01）;以CES-D得分≥16分为抑郁划分标准,3个群体中抑郁组生存质量皆显著低于非抑郁组（t=2．62～10．70,P〈0．01）;农民工在生存质量总评、健康状况总评以及生存质量各领域得分方面得分均高于国企工人及公司职员,国企工人得分最低,差异均有统计学意义（F=33．33～2365．64,P〈0．01）。结论北京地区农民工及公司职员情绪状态及生存质量较好,国企工人抑郁症状罹患率较高,生存质量评价偏低。抑郁症状对生存质量有负性影响作用,相关部门应针对不同人群特征采取相应措施。     

上海市闵行区九星建材市场职业卫生现状调查

目的调查上海市闵行区九星建材市场职业卫生现状。方法对闵行区九星建材市场90家存在职业病危害因素的商铺经营者和130名接触职业病危害因素的务工人员进行抽样调查,并对调查内容进行整理分析。结果闵行区九星建材市场职业卫生现状主要包括:①单位规模小,用于职业病防护的机械防护设施和个人防护用品配备不到位。②务工人员接触职业病危害因素时间长,职业病危害因素种类多且危害程度大。③接触职业病危害因素的务工人员职业健康检查率低,仅为3.1%。④劳动关系不确定,劳动合同签订率仅36.9%,告知劳动者职业病危害的仅有4.6%。结论闵行区九星建材市场职业卫生现状较差,急须研究适合综合型建材市场外来流动人员的职业卫生管理模式,从而改善九星建材市场职业卫生管理现状。     

Epidemiological requirements for medical-environmental data management

In establishing a system to provide data for epidemiological research in occupational health, it should be recognized that such studies require more information than what usually becomes available routinely in occupational health programs. Additional types of data that may have to be put into the system include supplementary diagnostic information, level and duration of exposure to potentially hazardous substances, demographic information related to socioeconomic status and fertility, population census statistics for the entire company and various company installations, and follow-up-data on retired employees. The quality of the data is especially important for epidemiologic research. Therefore, data validation procedures need to be established whereby the information that goes into the system is reviewed for precision, completeness, and reliability.     

The state and results of countermeasures for mental health at a certain apparel company]

We speculated that there would be more occupational stress in an apparel company than in other areas of business, because employees work long hours and under poor conditions. We investigated 66 employees of an apparel company who visited an occupational physician to consult about their mental health. There were 561 male and 387 female employees in that company. The employees who had visited an occupational physician had worked long every day under poor conditions, and they had been required to be more artistic than other employees in that company. Female employees visited occupational physicians more than males. Apparel companies, use a system of "specialty store retailer of Private-label Apparel (SPA)", and several sections make special trademark "brands". These sections compete with each other. Employees must plan, design, make patterns, and sew new dresses in a 7-day cycle. They are extremely busy and this therefore creates stress. We came to the conclusion that many apparel companies were stressful workplaces. It is important that a psychiatrist examines employees who occupational physicians have diagnosed as unhealthy. Frequent consultation with occupational physicians is as important as a psychiatrists examination. Managers must manage absence, efficiency, and written correspondence of all employees. These are useful signs of mental disorder. When employees return to work after sick leave, rehabilitation in the workplace after absence is useful. The employee should work for only two hours a day at first. Working hours are then extended gradually. The employee can then return to work easily if this rehabilitation program is followed.     

Smoking patterns and mortality attributable to smoking in a cohort of 3528 construction workers

This study describes the smoking patterns of 3528 construction workers as reported at occupational health examinations, in four occupational health centres located in the South of Germany, conducted between August 1986 and December 1988. Subjects were aged 20 to 59 years and were working as plumbers, carpenters, painters or varnishers, plasterers, bricklayers, unskilled workers or white collar employees. Overall smoking prevalence was 53.5%. It was considerably higher than in a representative population sample of the same age groups. Active follow up was carried out to ascertain vital status between October 1992 and July 1994. The effect of smoking on all cause mortality was assessed using the cox proportional hazard model. The relative risk of current smoking was 2.5 (95% CI 1.4–4.4) after adjustment for age, profession, self reported alcohol consumption, body mass index, nationality, and company size. 60% of the deaths among smokers and 34% of deaths in the whole cohort were attributable to smoking. These findings underline the need for comprehensive efforts to reduce smoking and its negative consequences in this occupational group.