煤矿工人肺结核患病情况的调查分析.pdfVIP

环境与职业医学2007年12月第24卷第6期 J Environ Occup Med．Dec．2007 Vo1．24 No．6 ·619 · 文章编号：1006．3617(2007)06—0619—02 中图分类号：R135．2 文献标识码：A 【调查与分析】 煤矿工人肺结核患病情况的调查分析 刘尚军 ，王鹤龄 ，张慧 ，谢协亮 ，刘玉霞 ，苏兰涛 ，赵泉 摘要： [目的]了解某矿区接尘工人肺结核患病情况。 [方法]采用横断面调查方法，利用某矿职业性健康检 查普查资料，选择该矿井下接尘工龄≥1年的在职、离退休人员2396人作为观察对象，年龄18～73岁，平均38．23岁； 并以该矿无接尘接毒的地面工作人员948人作为对照人群。依据胸片征象，结合临床表现及既往病史，诊断结核病(包 括稳定性和活动性肺结核)，分析比较两组人群(不同工种工人、不同工龄工人)结核累计感染率等。 [结果]井下接 尘工人累计感染率比对照人群高(年龄标化后肺结核累计感染率分别为12．11％。、7．87％。)，但两者差异未见统计学意义 ( =1．01，P0．05)；采煤工人标化结核累计感染率高于其他工种工人，但差异未见统计学意义( =0．43，P0．05)；不 同工龄结核累计感染率虽稍有差异，但未见规律性的变化趋势( =1．32，P0．05 o [结论]井下接尘工人肺结核患病 情况未高于地面对照人群。 关键词：感染率；肺结核；煤矿工人 A Study on Prevalence of Pulmonary Tuberculosis in Coal Miners LIU Shang-jun1， ，ANG He—ling1， Z NG ，XIE施P—liang ， UYu-xia ，SULan—tao ，Z 0 Quan (1．OccupationalDisease肌 vention and Treatment Institute of Zaozhuang Mining Group，Zaozhuang 277000，China；2．Central Hospital of ZaozhuangMiningGroup，Zaozhuang27701l，China；3．ZaozhuangHospital ofZaozhuangMiningGroup， Zaozhuang 27701 1．C ina) Abstract： [Objective]To study the prevalence of pulmonary tuberculosis in miners of a coal mine．『Methods]2 396 miners exposed to dust with average age of 38．23 years old and workage more than one year were selected under investigation in a cross—sectional study，while another 948 workers not exposed to dust were selected as contro1．Tuberculosis and pneumoconiosis were diagnosed based on X—ray photograph and clinical symptoms．Prevalence of pulmonary tuberculosis was calculated in the two groups and their relationship with different work place and workage were analyzed．[Results]The total prevalence of pulmonary tuberculosis of miners exposed to dust was higher than workers not exposed to dust，but not statistically significant(standardized rate 12．1 1％。and 7．87‰ resp