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目的为了解某制药企业接触职业病危害因素在岗职工的职业健康情况,旨在检出疑似职业病、职业病禁忌证及其他主要疾病,并提出相应的预防措施。方法对2011年在该企业接触职业病危害因素的员工按照《职业健康监护技术规范》(GBZ 188-2007)进行体检,并对结果进行分析。结果该制药企业接触职业病危害因素主要为噪声、高温、粉尘(滑石尘、煤尘)、甲醛、氨、氢氧化钠、酸(盐酸、硫酸)、硫化氢、锰等。在检查的833人当中,229人有1项或多项结果异常,异常检出率为27.49%。检出听力下降29人,占噪声作业人员的15.20%;其中噪声观察对象6人,占噪声作业人员的3.10%。高温作业禁忌证4人,占高温作业人员的2.23%。粉尘作业禁忌证2人,占粉尘作业人员的1.81%。甲醛作业禁忌证1人,占甲醛作业人员的1.00%。未检出疑似职业病检出其他主要疾病是:脂肪肝114人,占体检人数的13.68%;高血压66人,占体检人数的7.95%;胆囊炎及胆结石31人,占体检人数的3.72%;心血管疾病18人,占体检人数的2.16%。结论该企业应针对接触职业病危害因素职工的健康状况,以及检出有职业病禁忌证及其他主要疾病的职工,采取相应的防治措施和职业病危害的预防措施。
Objective To understand the occupational health status of workers exposed to occupational hazards in a pharmaceutical enterprise, aiming to detect suspected occupational diseases, contraindications to occupational diseases and other major diseases, and to put forward corresponding preventive measures. Methods The employees exposed to occupational hazards in this enterprise in 2011 were examined according to Technical Specifications for Occupational Health Monitoring (GBZ 188-2007), and the results were analyzed. Results The major risk factors of exposure to occupational diseases in this pharmaceutical enterprise were noise, high temperature, dust (talcum dust, coal dust), formaldehyde, ammonia, sodium hydroxide, acid (hydrochloric acid and sulfuric acid), hydrogen sulfide and manganese. Of the 833 people examined, 229 had one or more abnormal results, and the rate of anomaly detection was 27.49%. 29 people were detected hearing loss, accounting for 15.20% of noise workers; of which 6 were noise observation objects, accounting for 3.10% of noise workers. High temperature work contraindications 4 people, accounting for 2.23% of high temperature workers. 2 contraindications for dust operations, accounting for 1.81% of dust workers. Formaldehyde employment contraindications 1, accounting for 1.00% of formaldehyde workers. No other suspected occupational diseases were detected: 114 with fatty liver, accounting for 13.68% of the total; 66 with hypertension, accounting for 7.95% of the total; 31 with cholecystitis and gallstones accounting for 3.72% ; 18 cardiovascular diseases, accounting for 2.16% of the number of medical examinations. Conclusion The enterprise should take appropriate prevention and control measures and preventive measures against occupational hazards in view of the health status of workers exposed to occupational hazards and contraindications to occupational diseases and other major diseases.