某钢厂450名放射工作人员职业健康检查结果分析

目的 了解某钢厂450名放射工作人员离岗时的职业健康状况，为企业职工的职业健康监护工作以及离岗后的妥善安置提供参考依据及建议。方法 根据相关的法律法规要求对拟离岗的450名钢厂员工进行职业健康检查，对职业健康检查结果进行统计学分析。结果 450名放射作业人员的异常检出率为82%。异常检出项包括：外周血淋巴细胞染色体畸变（4.89%）、眼晶体混浊（44.44%）、睑裂斑（25.33%）、高血压（28.22%）、甲状腺功能异常（9.59%）、肝脏B超（30.89%）、外周血淋巴细胞染色体畸变率和眼部疾病发病率显著高于一般人群。结论 应做好钢厂放射工作人员的职业健康管理，定期开展职业健康防护知识培训。工人在工作中应注意辐射防护，防止辐射损伤，并特别注意做好眼部防护工作，防止眼部疾病发生。

An analysis of occupational health examination results of 450 radiation workers in a steel mill

Objective To investigate the occupational health status of 450 radiation workers in a steel mill when they resigned, and to provide references and suggestions for the occupational health monitoring of the enterprise employees and for the workers’ proper arrangement after their resignations.Methods Occupational health examinations were performedon 450 steel workers who were about to resign in accordance with the applicable laws and regulations. And the examination results were statistically analyzed. Results Among the 450 radiation workers, 82% had abnormal examination results which included chromosome aberration in peripheral blood lymphocytes (4.89%), lens opacity (44.44%), pinguecula (25.33%), hypertension (28.22%), thyroid dysfunction (9.59%), and abnormal liver ultrasound findings (30.89%). Compared with the normal population, these steel workers had a significantly higher chromosome aberration rate in peripheral blood lymphocytes and a significantly higher incidence rate of ocular disorders. Conclusion It is important to effectively manage the occupational health of radiation employees in steel mills, and to regularly provide training on occupational health protection. To avoid radiation damage, workers should pay close attention to radiation protection at work, especially eye protection, to avoid eye disorders.