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目的了解尘肺病患者的健康状况及尘肺期别晋级规律。方法按照卫生部《职业健康监护管理办法》的规定对110名尘肺病患者进行职业健康检查。结果 110名尘肺患者中,B超表现、心电图表现、血压读数、血常规异常率较高,分别为72.73%、66.36%、65.45%、60.00%;晋期19例,晋期率为17.27%,均是从Ⅰ期晋级到Ⅱ期。晋期病例的平均年龄为(75.68±6.15)岁,比没有晋期病例平均年龄(71.80±7.69)岁偏高,差异有统计学意义(P<0.05),而平均开始接尘年龄、平均接尘工龄两组比较,差异均没有统计学意义。结论某矿企业尘肺病患者健康状况不容乐观,尘肺随着时间有明确的进展性,有必要对他们进行定期健康监护并及时复诊。
Objective To understand the health status of patients with pneumoconiosis and pneumoconiosis promotion rules. Methods According to the “Occupational Health Monitoring and Management Measures” of the Ministry of Health, 110 pneumoconiosis patients were given occupational health examination. Results Among 110 pneumoconiosis patients, the B ultrasound, ECG, blood pressure readings and blood abnormalities were higher, accounting for 72.73%, 66.36%, 65.45% and 60.00% respectively; in the 19 cases of Jin, 17.27% Are from the Ⅰ advanced to Ⅱ. The average age of patients in the advanced stage was (75.68 ± 6.15) years old, which was higher than that of the cases without the advanced stage (71.80 ± 7.69 years), the difference was statistically significant (P <0.05) There were no significant differences in the age of dust between the two groups. Conclusion The health condition of patients with pneumoconiosis in a mining enterprise is not optimistic. Pneumoconiosis has definite progress in time, so it is necessary to carry out regular health monitoring and prompt referral.