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[目的]了解上海市青浦区尘肺病发病特征,为做好尘肺防治提供科学依据。[方法]对该区2002—2013年所有尘肺观察对象和尘肺病例的报告卡进行统计分析。[结果]调查期间确诊尘肺102例,男55例,女47例,男女比1.17∶1,发病年龄(52.52±12.85)(28~79)岁,接尘工龄(11.44±6.38)年。新发诊断壹期、贰期和叁期尘肺例数分别为67、19和16;调查期间共发生晋期9例,晋期时间中位数为8.42年。铝尘肺、电焊工尘肺、铸工尘肺和矽肺位居前4位,例数分别为57(54.90%)、14(13.73%)、11(10.78%)和9(8.82%);57例铝尘肺病例中,56例集中于一家企业。地域集中在华新镇(65例)和香花桥街道(23例);行业集中在建材(65例)和机械行业(20例);经济类型以乡镇集体企业(60例)和私营企业(21例)为主;规模多集中在小企业(93例)。报告尘肺观察对象42例,最终确诊27例,确诊率为64.28%。[结论]青浦区电焊工尘肺、铸工尘肺和矽肺是今后尘肺病防控的重点,同时应加强铝尘肺病人健康监护。
[Objective] To understand the incidence of pneumoconiosis in Qingpu District of Shanghai and provide a scientific basis for the prevention and treatment of pneumoconiosis. [Methods] The report cards of pneumoconiosis and pneumoconiosis cases from 2002 to 2013 in this area were statistically analyzed. [Results] 102 cases of pneumoconiosis diagnosed during the investigation, 55 males and 47 females, male to female ratio 1.17: 1, the age of onset (52.52 ± 12.85) (28-79) years old, the dust-receiving length of service (11.44 ± 6.38) years. The number of newly diagnosed pneumoconiosis cases in stage I, stage II and stage III was 67, 19 and 16 respectively. During the survey, there were 9 cases of advanced stage and 8.842 stage of advanced stage. Aluminum pneumoconiosis, welder pneumoconiosis, castor pneumoconiosis and silicosis were the top 4 cases with 57 (54.90%), 14 (13.73%), 11 (10.78%) and 9 (8.82% In the study, 56 cases were concentrated in one company. The area is concentrated in Huaxin Town (65 cases) and Xianghuaqiao Street (23 cases); the industry is concentrated in building materials (65 cases) and machinery industry (20 cases); the economic types are township collective enterprises (60 cases) and private enterprises ); Scale and more concentrated in small businesses (93 cases). 42 cases of pneumoconiosis were observed, 27 cases were finally diagnosed, the diagnosis rate was 64.28%. [Conclusion] The electrician pneumoconiosis, castor pneumoconiosis and silicosis in Qingpu District are the focus of the prevention and control of pneumoconiosis in the future. At the same time, the health care of patients with aluminum pneumoconiosis should be strengthened.