郭美琼, 郭翔, 林辉, 何坚. 深圳市2006—2015年职业性慢性正己烷中毒患者特征分析[J]. 职业卫生与应急救援, 2016, 34(2): 107-110. DOI: 10.16369/j.oher.issn.1007-1326.2016.02.006
引用本文: 郭美琼, 郭翔, 林辉, 何坚. 深圳市2006—2015年职业性慢性正己烷中毒患者特征分析[J]. 职业卫生与应急救援, 2016, 34(2): 107-110. DOI: 10.16369/j.oher.issn.1007-1326.2016.02.006
GUO Meiqiong, GUO Xiang, LIN Hui, HE Jian. Characteristics of chronic occupational n-hexane poisoning cases in Shenzhen from 2006 to 2015[J]. Occupational Health and Emergency Rescue, 2016, 34(2): 107-110. DOI: 10.16369/j.oher.issn.1007-1326.2016.02.006
Citation: GUO Meiqiong, GUO Xiang, LIN Hui, HE Jian. Characteristics of chronic occupational n-hexane poisoning cases in Shenzhen from 2006 to 2015[J]. Occupational Health and Emergency Rescue, 2016, 34(2): 107-110. DOI: 10.16369/j.oher.issn.1007-1326.2016.02.006

深圳市2006—2015年职业性慢性正己烷中毒患者特征分析

Characteristics of chronic occupational n-hexane poisoning cases in Shenzhen from 2006 to 2015

  • 摘要: 目的 分析深圳市职业性慢性正己烷中毒患者特征,为做好正己烷危害防治工作提供依据。 方法 收集深圳市2006-2015年确诊的职业性慢性正己烷中毒病例资料(包括发病时间、临床特征和职业史等)进行回顾性分析。 结果 10年间共发生职业性慢性正己烷中毒107例,其中男性77例(占72.0%),患病年龄中位数22(17~52)岁,女性发病年龄小于男性,差异有统计学意义(P<0.01)。以群发病例为主(占86.9%),相比散发病例,群发患者发病年龄更小、工龄更短,差异均有统计学意义(P<0.05)。群发事件多发生在冬春季节,散发病例无季节集中现象。大部分病例发生在宝安区,电子、印刷行业的患病比例最高(占89.7%),且以小型私营企业为主,空调密闭无尘车间更易发生。 结论 电子、印刷行业中的小型私营企业应成为正己烷危害的重点监控对象,特别是在冬春季高发季节,应针对存在空调密闭无尘车间的企业加强宣传、监管。职业健康检查是早期发现中毒病例的有效途径。

     

    Abstract: Objective To analyze the characteristics of chronic occupational poisoning cases with n-hexane diagnosed in Shenzhen from 2006 to 2015, and provide evidence to further improve the control measures against n-hexane hazard. Methods The related data of the suffering cases, including onset time, the clinical features and employed experience, were collected and summarized. Results During 2006 to 2015, 107 cases were diagnosed as chronic occupational n-hexane poisoning. Among these 77(72.0%) were male workers. The median of onset age was 22 (range from 17 to 52), while female's onset age was significantly younger than male workers (P<0.01). Most cases were from the electronics and printing industries (accounting for 89.7%), which were located in Bao'an District. Most enterprises were private or small-scale industries. Most cases worked in closed, dust-free and air-conditioned workshops. It showed a clustered trend that 2 or more cases from one workshop were diagnosed at same time in the winter season. The clustered cases were significantly younger and their working years were shorter than the sporadic cases (P<0.05). Conclusion The small-scaled and private enterprises of electronics or printing industry should pay more attention to n-hexane hazard. Specific management regulations of n-hexane exposure should be implemented in closed, dust-free and air-conditioned workshops. The occupational health examination is an effective way to earlier identification of chronic n-hexane poisoning cases.

     

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