重庆市635例煤尘作业工人上岗前职业健康检查结果

目的为了解重庆市长寿区小型煤矿工人上岗前的健康状况，及时发现职业健康损害，检出职业禁忌证或疑似职业病，为尘肺病的防治和管理工作提供科学依据。方法依据《中华人民共和国职业病防治法》《职业健康监护技术规范》和《尘肺诊断标准》，对该区小型煤矿企业的635名煤尘作业人员上岗前进行职业健康检查，检查时间为2009--2012年。结果煤尘作业工人岗前检查635人，各检查项目异常的235例，总检出率为37．00％。检出疑似煤工尘肺19例（最后均确诊为煤工尘肺），检出率为2．99％。635名上岗前职业健康检查的工人中97．22％的职工有1年以上煤矿工作职业史，疑似尘肺检出率随着接尘工人年龄及接尘工龄的增加而增高。结论企业应做好岗前、在岗、离岗的职业健康检查工作，而卫生机构在继续加强尘肺病防治工作的同时也应加强煤矿工人慢性病，尤其是心血管系统疾病、胃十二指肠疾病的防治工作。

Results of occupational health examination before mount guard among 635 coal dust workers in Chongqing

Objective ] To understand the health status before mount guard among coal mine workers in Changshou district of Chongqing city, find occupational health damage in time, check out the occupational contraindication or suspected occupational disease, provide scientific basis for pneumoconiosis prevention, control, and management. Methods ] According to ＂Law of Occupational Disease Prevention and Control of PRC＂, GBZ 188-2007 ＂Occupational Health Monitoring Technical Specification＂ and GBZ 70-2009 ＂Pneumoconiosis Diagnosis Standard＂, 635 coal mine workers were given health examination, and the health exami- nation time was from 2009-2012. Results] Among 635 cases, 235 cases＇ detection items were abnormal, the total detection rate was 37.00%. 19 cases （2.99% ） of suspected pneumoconiosis were checked out, who were all diagnosed pneumoconiosis finally. 97.22% of workers had more than 1 year history of working in coal mine. With the increasing of workers＇ age and length of exposure to dust, the detection rate of suspected pneumoconiosis increased. Conclusion] The enterprises should do the work of occupational health examination pre-job, on the job and leave the job. The health agency should continue to strengthen the prevention and control of pneumoconiosis, meanwhile strengthen the prevention and control of chronic disease, especially the disease of cardiovascular system and gastroduodenal disease.