尘肺病患者和尘肺观察对象并发胸膜病变的相关因素分析.pdf

广西ほ学2014年月第36卷第】期
论床研屬
尘肺病患者和尘肺观察对象并发胸膜病变的相关因素分析
冉秀芬杨金平2朱林平2
(1广西都安县人民医院超声科,都安县530700,E-mai:932725591@qq,com;
2广西职业病防治研究院超声科,南宁市530021)
摘要】目的分析尘肺病患者和观察对象并发胸膜病变的相关因素,为防治尘肺病提供科学依据。
方法分析200例尘肺病患者和观察对象(观察组)及120例健康不接尘工人(对照组)的胸膜影像学及临床流行
病学资料。结果观察组胸腹病变检出率为65.00%(130例),明显高于对照组的15.00%(18例)(P<0.01)。
观察组患者胸膜病変检出率在接尘不同类别、尘肺不同期別、不同接尘工龄、不同年蛉、不同工种间差异有统计学
意义(P<0.01),在不同性别间差异无统计学意义(P>0.01)。有色金属冶炼工胸膜病变检出率高于其他类别;从
事风钻エ种胸膜病变检出率高于其他工种;胸膜病变检出率随工龄、年蛉及尘肺期別的增加而増高(P<0.05)。
结论粉尘作业工人易于并发胸膜病变。开展胸膜病变临床研究,制定有效防治措施,对于减缓尘肺病程的进展
速度、减轻病人痛苦、提高生活质量具有重要的意义。
【关键词】尘肺;尘肺观察对象;胸膜病变;影响因素
【中图分类号】R598.2【文献标识码】A【文章编号】0253-4304(2014)01-0025-03
DOL:10.11675/j.issn.0253-4304.2014.01.09
analysis of Related Factors of Pleural Lesion in Pneumoconiosis
Patients and Observation Obiects with Pneumoconiosis
RAN Xiu-fen, YANG Jin-ping, ZHU lin-ping
(1 Departme of tsou he People s Hospita of D an Y Auonmous ow, ung, an 530700, China 2dpatment
ofsound, I stte tnd Dises P o d m, ngang Atonomous Region, Nanning 530021, China)
Abstractobjective To analyze the risk factors of pleural lesion in pneumoconiosis patients and observation
objects with pneumoconiosis, and to provide a scientific basis for the prevention and treatment of pneumoconiosis
Methods The data of pleural imaging and clinical epidemiology of 200 cases of pneumoconiosis(observation group)
and 120 healthy workers who were not exposed to dust(control group )were analyzed. Results The detection rate of
Pleural lesions of observation group was 65.00%(130 cases ), which was higher than that of control group(15.00
18 cases)(P<0.01). In the observation group, the detection rate of pleural lesions showed a significant difference
among workers exposed to dust of different types, dif erent pneumoconiosis stages different service years, different ages
r different types of work(P <0. 01), but showed no significant difference between male workers and female workers
(P>0.01). The detection rate of pleural lesions of workers served in nonferrous metallurgy or in drifter work was higher
than those served in other types of work, the detection rate of pleural lesion increased with the increase of service year, age
and pneumoconiosis stage(P <0.05). Conclusion Workers exposed to dust might be complicated with pleural lesion
easily. It is important to conduct a clinical research on pleural lesion and formulate the effective measures for the
prevention and treatment for delaying the progress of pneumoconiosis, alleviating the patients pain and improving their
quality of life
Key words Pneumoconiosis; Observation object with pneumoconiosis; Pleural lesion; Influence factor
我国《职业病目录》中有13种尘肺,劳动者生产病变检出率达65.00%,其主要表现为胸膜增厚、胸
中接触不同的粉尘,若防护不当就有可能产生相应的膜结节、胸膜粘连、胸膜凹陷、胸膜钙化、胸腔积液、气
尘肺。尘肺病中的石棉肺常常累及胸膜,引发胸膜病胸7种形式。本研究对200例尘肺病患者及观察
变,以往文献对此已有广泛报告。我们在临床实对象的胸膜影像学资料及临床流行病学资料进行回
践中发现除石棉肺外还有12种国家职业病法规定的顾性分析,探讨形成胸膜病变的影响因素。
尘肺病患者和观察对象(有肺部病变的接尘者)胸膜
▲基金项目:广西自然科学基金资助项目(083220
作者简介:冉秀芬(1967~),女,大专,主治医师,研究方向:临床超声诊断。
通信作者:朱林平(1963~),男,在职研究生,主任技师,研究方向:职业病的超声诊断,E-mailzhulinping890126.com