|
|
Analysis of 305 cases of pneumoconiosis in Hengyang |
LIU Hua-qing1 HE Wei-hong2▲ FAN Kun2 DENG Cheng-jian2 |
1.Hengyang Center for Disease Control and Prevention,Hunan Province,Hengyang 421001,China;
2.Department of Radiology,the Second Hospital Affiliated to Nanhua University,Hunan Province,Hengyang 421001,China |
|
|
Abstract ObjectiveTo analyze the pathogenesis and clinical characteristics of pneumoconiosis patients in recent years in Hengyang and provide scientific basis for the prevention and treatment of pneumoconiosis.MethodsThe physical examination data of 305 patients with pneumoconiosis collected and diagnosed by Hengyang Center for Disease Control and Prevention from January 1st,2013 to 31stDecember 2016 were analyzed.ResultsOf 305 patients with pneumoconiosis, 114 cases at stageⅠ,135 cases at stageⅡ,and 56 cases at stageⅢ.The cases accompanied with cough,chest tightness, shortness of breath,cough up phlegm and chest pain respectively accounted for 96.14%,89.57%,87.57%,81.43%,and 56.71%.The cases complicated with chronic bronchitis,hypertension,tuberculosis,chest,emphysema,lung,the tumor accounted for 68.59%,65.2%,46.23%,33.77%,46.23%,17.37%and 4.2%,respectively.12.86%of patients remained normal lung function.The cases with mild,moderate and severe impaired lung functions respectively accounted for 17.86%,50.71% and 17.86%.Of patients with impaired lung function,the proportion of stageⅠ,ⅡandⅢpneumoconiosis patients was 56.25%,95.24%and 100.00%;patients with dust exposure time of<15,15-19,and>19-30 years respectively accounted for 48.15%,93.88%and 98.43%.ConclusionThe pneumoconiosis patients are usually accompanied with high incidence of complications and severely damaged lung function.The regular occupational health examination of dust exposure workers and screening of the pneumoconiosis dust would help to early identify and control the pneumoconiosis.
|
|
|
|
|
[1] |
李德鸿.职业性肺尘埃沉着病诊断医师教程[M].北京:人民日报出版社,2004.
|
[2] |
郭秀红,王海英.148例煤工尘肺并发肺癌死亡患者回顾性分析[J].中国实用医药,2014,9(22):112-113.
|
[3] |
江瑞康,王玉玲,刘培成.尘肺14例尸检临床病理分析[J].中华劳动卫生职业病杂志,2013,33(9):697-700.
|
[4] |
马庆晏,李德鸿.内毒素对有机粉尘的污染及其吸入致肺损伤的机制[J].环境卫生学杂志,1992,(2):69-72.
|
[5] |
刘敏,肖云龙,蒋然子.尘肺病病数据信患库的构建与应用研究[J].实用预防医学,2009,16(5):1661-1662.
|
[6] |
中华人民共和国卫生部.GBZ70-2009,尘肺病诊断标准[S].北京:2009.
|
[7] |
郑劲平.肺功能测定临床应用[J].继续医学教育,2006,20(2):67-71.
|
[8] |
中华放射学杂志编委.全国放射科QA、QC学术研讨会纪要[J].中华放射学杂志,1993,27(2):134-138.
|
[9] |
周旋,殷红,陈海莲.1367例粉尘作业人员尘肺病现况调查[J].中华劳动卫生职业病杂志,2014,32(10):752-753.
|
[10] |
齐慧生,沈福海.尘肺并发症临床分析[J].现代预防医学,2007,33(17):3-4.
|
[11] |
李聪,吴奇峰,谭玉莲.纳米碳酸钙与矽肺对作业工人肺功能影响的对比[J].中国工业医学杂志,2016,29(2):110-113.
|
[12] |
于丽萍,杨凤珠,牛利民.宁夏地区尘肺死亡病例分析[J].工业卫生与职业病,2005,31(4):252.
|
[13] |
王建国,张建芳,王卫.肺尘埃沉着病468例罹患慢性阻塞性肺疾病的现况[J].工业卫生与职业病,2007,33(1):46-47.
|
[14] |
段淑民,刘新华,李赞红.粉尘对作业工人健康的危害调查分析[J].职业与健康,2003,19(7):23-24.
|
[15] |
李跃华,张玫,赵丽.老年矽肺患者临床表现及相关因素分析[J].工业卫生与职业病,2006,32(4):241-243.
|
|
|
|