2006—2015年杭州市余杭区新发尘肺病例的流行病学特征

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[目的]掌握2006—2015年杭州市余杭区报告新发尘肺病发病基本情况,为该区尘肺病防控提供依据。[方法]对中国疾病预防控制中心信息网络报告系统中2006—2015年杭州市余杭区新发尘肺病例数据进行整理和流行病学分析。[结果]2006—2015年,杭州市余杭区累计新发尘肺病277例。其中,男性273例(98.6%),尘肺病I期196例(70.8%),矽肺263例(94.9%)。病例主要分布在仁和街道(209例,75.5%),本地居民居多(247例,89.2%)。矽肺病例主要分布在采石企业和非金属矿物制品业。Kruskal-Wallis H秩和检验结果显示,各期尘肺病例在首诊年龄、接尘工龄和开始接尘年龄上差异均有统计学意义(均P<0.05)。相同检验方法做两两比较显示:Ⅲ期病例的首诊年龄中位数比Ⅰ期、Ⅱ期病例分别大6.3岁和6.2岁(Z=-47.9、Z=-46.3,均P<0.05);各期别接尘工龄差异无统计学意义;Ⅲ期病例的开始接尘年龄中位数比Ⅰ期病例大6.7岁(Z=-40.1,P<0.05)。[结论]2006—2015年杭州市余杭区的新发尘肺病例以本地男性矽肺病例为主,主要发生采石企业的工人中。 [Objective] To master the basic situation of the new onset of pneumoconiosis reported in Yuhang District of Hangzhou City from 2006 to 2015, and provide evidence for the prevention and control of pneumoconiosis in this area. [Methods] The data of pneumoconiosis cases in Yuhang District of Hangzhou City from 2006 to 2015 were collected and epidemiologically analyzed in the Information Network Reporting System of China Center for Disease Control and Prevention. [Results] From 2006 to 2015, 277 newly diagnosed pneumoconiosis patients were found in Yuhang District of Hangzhou City. Among them, 273 (98.6%) were male, 196 (70.8%) were stage I pneumoconiosis and 263 (94.9%) were silicosis. The cases are mainly located in Renhe Street (209 cases, 75.5%) with the majority of residents (247 cases, 89.2%). Silicosis cases are mainly found in quarrying and non-metallic mineral products. Kruskal-Wallis H rank sum test showed that there was a significant difference in the age at first diagnosis, dusting and dusting at all stages of pneumoconiosis (all P <0.05). The comparison of the same test methods showed that the median age at first diagnosis of stage Ⅲ was 6.3 years and 6.2 years older than those in stage Ⅰ and Ⅱ, respectively (Z = -47.9, Z = -46.3, all P <0.05). There was no significant difference in the length of labor between the two groups. The median age at the beginning of stage Ⅲ was 6.7 years longer than that of stage Ⅰ (Z = -40.1, P <0.05). [Conclusion] Among the newly diagnosed cases of pneumoconiosis in Yuhang District of Hangchow City from 2006 to 2015, the majority of local cases of silicosis were found among the workers in quarrying enterprises.
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