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目的了解襄阳铁路地区职业病危害作业工人的健康状况及职业病危害因素对工人的健康影响特点,为制订健康监护策略提供医学依据。方法对襄阳铁路地区职业病危害作业工人的的职业体检资料进行分析。结果 3 797名受检作业工人中有1 363人检查指标有异常,异常检出率为35.90%。不同接触工龄组职业病危害作业工人的高血压、心电图异常、B超异常、胸透异常的检出率比较,差异有统计学意义(P<0.01),且检出率有随着接触工龄增高的趋势。结论襄阳铁路地区面临的职业健康问题不容乐观,应加强职业健康监护和做好职业病三级预防工作。
Objective To understand the health status of occupational hazards workers in Xiangyang railway area and the health effects of occupational hazards on workers in Xiangyang railway area and provide a medical basis for formulating health guardianship strategies. Methods Occupational physical examination data of occupational hazards workers in Xiangyang railway area were analyzed. Results There were 1 363 out of 3 797 surveyed workers who had abnormal examination indexes and the abnormality detection rate was 35.90%. There were significant differences in the detection rate of hypertension, electrocardiogram abnormalities, B-ultrasound abnormalities and abnormal thoracic anomalies among occupational hazards workers exposed to different occupational age groups (P <0.01), and the detection rate increased with the increase of working age trend. Conclusion The occupational health problems faced by Xiangyang railway area are not optimistic. Occupational health monitoring should be strengthened and tertiary prevention work of occupational diseases should be done.