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目的掌握张家港市部分企业职业健康检查人群健康状况,分析存在的问题并提出相应建议,为地方政府的相关决策提供参考。方法收集整理2012—2015年张家港市疾病预防控制(疾控)中心职业健康监护资料,分析职业健康检查人群主要职业病危害因素接触情况及职业健康检查情况。结果 2012—2015年张家港市疾控中心职业健康检查共计146 464人,接触粉尘类、化学因素、物理因素、放射因素分别占比29.6%、29.4%、22.3%和4.1%;岗前、在岗及离岗职业健康检查构成比分别为26.2%、71.2%和2.6%。4年共检出职业禁忌证人员3 866人,物理因素、放射因素、化学因素、粉尘类作业人员检出率分别为64.9‰、12.1‰、10.7‰和2.8‰;检出需观察复查人员6 012人,接触物理因素、放射因素、化学因素、粉尘类作业人员检出率分别为159.5‰、119.2‰、38.1‰和14.9‰;检出疑似职业病18人,包括粉尘类7人、化学因素8人、物理因素3人。结论张家港市职业健康检查人群主要接触粉尘类、化学因素、物理因素、放射因素等职业病危害因素;需加强离岗职业健康检查;部分人员已引起健康损害,应加强相关危害因素接触人员的职业健康监护。
Objective To understand the health status of occupational health check-ups in some enterprises in Zhangjiagang, analyze the existing problems and put forward corresponding suggestions to provide references for the relevant decisions of local governments. Methods The data of occupational health care in Zhangjiagang City Center for Disease Control and Prevention (CDC) from 2012 to 2015 were collected and analyzed, and the occupational health check-ups of major occupational hazards in occupational health check-up were analyzed. Results A total of 146 464 occupational health examinations were conducted in Zhangjiagang CDC in 2012-2015. Occupational exposure to dust, chemical, physical and radiological factors accounted for 29.6%, 29.4%, 22.3% and 4.1% respectively. Pre-job and post- Occupational health check-ups constituted 26.2%, 71.2% and 2.6% respectively. 3 866 workers were found contraindicated during the past 4 years. The detection rates of physical, radioactive, chemical and dust workers were 64.9 ‰, 12.1 ‰, 10.7 ‰ and 2.8 ‰, respectively. 012 people, physical factors, radioactive factors, chemical factors, dust detection rate of workers were 159.5 ‰, 119.2 ‰, 38.1 ‰ and 14.9 ‰; detected 18 cases of occupational diseases, including dust class 7, chemical 8 People, physical factors 3 people. Conclusion Occupational health risk factors such as dust, chemical, physical and radiological factors are mainly exposed to occupational health check-ups in occupational health check-ups in Zhangjiagang City; Occupational health check-ups are required to be strengthened; some of them have caused health damage; and occupational health of those exposed to relevant hazards should be strengthened guardianship.