[1]申珩意,钱 蕾.苯接触作业人员职业体检结果分析[J].医学信息,2022,35(03):149-151.[doi:10.3969/j.issn.1006-1959.2022.03.039]
　SHEN Heng-yi,QIAN Lei.Analysis of Occupational Physical Examination Results of Workers Exposed to Benzene[J].Medical Information,2022,35(03):149-151.[doi:10.3969/j.issn.1006-1959.2022.03.039]
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苯接触作业人员职业体检结果分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年03期
页码:
149-151
栏目:
调查分析
出版日期:
2022-02-01

文章信息/Info

Title:
Analysis of Occupational Physical Examination Results of Workers Exposed to Benzene
文章编号:
1006-1959（2022）03-0149-03
作者:
申珩意1; 钱 蕾2
1.同济大学附属同济医院临床营养科，上海 200065；2.上海市奉贤区古华医院体检中心，上海 201499
Author(s):
SHEN Heng-yi1; QIAN Lei2
1.Department of Clinical Nutrition,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China;2.Department of Medical Center,Shanghai Fengxian Guhua Hospital,Shanghai 201499,China
关键词:
苯接触; 职业健康体检; 职业病; 营养
Keywords:
Benzene exposure; Occupational health examination; Occupational diseases; Nutrition
分类号:
R131
DOI:
10.3969/j.issn.1006-1959.2022.03.039
文献标志码:
A
摘要:
目的 探讨苯接触作业人员在岗期间职业健康体检结果，为有效防控有毒有害物质、保证接触有毒有害作业人员的身心健康提供参考依据。方法 回顾性分析2018年12月-2019年6月在上海市奉贤区古华医院体检中心，共计2547名苯接触人员在岗期间职业健康体检报告，统计作业人员白细胞计数（WBC）、红细胞计数（RBC）、血红蛋白（HB）、血小板计数（PLT）、尿蛋白（PRO）、尿隐血（BLD）、尿糖（GLU）、肝功能谷丙转氨酶（ALT）、中性粒细胞绝对值（NE）、心电图及B超异常检出率。结果 检出一项或多项异常项目2113例，异常检出率为82.96%，未检出异常项目434例，占17.04%；异常检出率由高到低依次是B超（31.92%）、听阈测试（20.75%）、血压（19.00%）、WBC（6.67%）、BLD（5.77%）、ALT（4.16%）、胸片（3.89%）、心电图（3.77%）、PRO（3.02%）、GLU（2.23%）、HB（2.00%）、肺功能（1.36%）、RBC（1.02%）、NE（0.63%）、PLT（0.28%）；不同工龄的检测项目结果比较显示，工龄≤5年的血压、HB水平、B超异常率均低于工龄＞5年人员，ALT水平高于工龄＞5年，差异有统计学意义（P＜0.05）；不同工龄从业者WBC、NE、RBC、PLT、听阈测试、肺功能、心电图、胸片、尿常规异常率比较，差异无统计学意义（P＞0.05）。结论 涉及苯接触的企业在日常工作中，应该对接触有毒有害工种的员工的健康状况给予高度重视，且针对不同工龄人员开展相应的健康教育，提高其对职业病的认识，并注意防范。
Abstract:
Objective To explore the occupational health examination results of workers exposed to benzene in order to provide reference for effective prevention and control of toxic and harmful substances and guarantee the physical and mental health of workers exposed to toxic and harmful substances.Methods A retrospective analysis was performed on the occupational health examination reports of 2547 benzene exposed workers in the Department of Medical Center,Shanghai Fengxian Guhua Hospital from December 2018 to June 2019. The white blood cell count (WBC), red blood cell count (RBC), hemoglobin (HB), platelet count (PLT), urinary protein (PRO), urine occult blood (BLD), urine glucose (GLU), liver function alanine aminotransferase (ALT), neutrophil absolute value (NE), electrocardiogram and abnormal detection rate of B ultrasound were counted.Results A total of 2113 cases of one or more abnormal items were detected, the abnormal detection rate was 82.96%, and 434 cases were not detected, accounting for 17.04%. The abnormal detection rates from high to low were B-ultrasound (31.92%), hearing threshold test (20.75%), blood pressure (19.00%), WBC (6.67%), BLD (5.77%), ALT (4.16%), chest X-ray (3.89%), ECG (3.77%), PRO (3.02%), GLU (2.23%), HB (2.00%), pulmonary function (1.36%), RBC (1.02%), NE (0.63%), PLT (0.28%). The results of different working years showed that the blood pressure, HB level and abnormal rate of B ultrasound in the workers with working age ≤5 years were lower than those in the workers with working age >5 years, and the ALT level was higher than that in the workers with working age > 5 years, the difference was statistically significant (P<0.05). There was no significant difference in WBC, NE, RBC, PLT, hearing threshold test, pulmonary function, electrocardiogram, chest X-ray and urine routine abnormality rate among workers of different working ages (P>0.05).Conclusion In daily work, enterprises involving benzene exposure should attach great importance to the health status of employees exposed to toxic and harmful types of work, and carry out corresponding health education for employees of different working ages to improve their understanding of occupational diseases and pay attention to prevention.

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更新日期/Last Update: 1900-01-01