大理某水泥企业职业人群健康状况分析

目的：了解大理某水泥企业职业人群的健康状况,及时发现职业禁忌证及职业病病人。方法：收集2012年大理某水泥企业在岗作业人员1 219人的职业健康体检资料进行统计分析。结果：受检人员1 219人中,检出疑似职业性病例19人,职业禁忌证25人。临床指标共检出587人951项次异常,异常检出率为48.15%。循环系统异常中,高血压224项次,检出率最高,达18.38%;高血脂次之,157项次,检出率为12.88%;以下依次为脂肪肝、肝功能、全血常规、心电图及肝血管瘤等,经统计学处理,差异具有统计学意义（χ2=519,P〈0.01）。异常检出中,男性467人,女性120人,异常人数检出率分别为51.43%及38.59%,经统计学处理,差异具有统计学意义（χ2=15.31,P〈0.01）。结论：该水泥厂在岗工人健康状况不容忽视,其检查结果提供给相关部门,应引起重视,并应采取相应对策和措施。安监部门必须加强职业卫生监督管理,督促各企业做好职业卫生防护。

The Analysis of the Health Status of the Occupational Population of a Cement Enterprise in Dali

Objective： To evaluate the health status of the workers of a cement company in Dali so as to find the occupational contraindication and diseases. Methods： Analysis of the occupational physical examination data about 1 219 workers（n=1 219）of a cement enterprise in Dali in 2012. Results： There were 19 workers with suspected occupational diseases and 25 with occupational contraindication. Clinic indexes showed 587 workers had 951 abnormal items, which accounted for 48.15%. Among all abnormal items about circulation system, 224 items were about hypertension with the highest percentage（18.38%）, 157 items about hyperlipidemia with the second highest percentage（12.88%）, followed by fatty liver, liver function, routine blood test, electrocardiogram and liver hemangioma. The difference was statistically significant（χ2=519,P〈0.01）Among 587 workers with abnormal items, were 467 male（51.43%）and 120 female（38.59%）. Statistical analysis showed the difference was statistically significant（χ2=15.31,P〈0.01）.Conclusion： The health status of workers in the cement company could not be neglected and the corresponding measures should be taken. The government department of work safety must strengthen the supervision of occupational health in enterprises and urge them to improve the occupational health status.