Objective: To study the prevalence of occupational pneumoconiosis in Qinhuangdao from 1961 to 2020 and offer a foundation for developing occupational pneumoconiosis prevention and control methods. Methods: In December 2020, the data of occupational pneumoconiosis cases diagnosed by medical institutions with occupational disease diagnosis qualifications in Qinhuangdao City from 1961 to 2020 were collected Anova or kruskal-Walls tests and chi-square tests were used for inter-group comparisons of continuous and categorical variables, and LSD tests or Tamhane T2 tests were used for multiple comparisons. Results: Between 1961 and 2020, 384 cases of pneumoconiosis were documented in Qinhuangdao, of which 382 (99.5%) patients were men and 2 (0.5%) were women. The average dust service duration is 15 (9, 25) years, with a minimum duration of 0.5 years and a maximum duration of 49 years; Cases were primarily distributed in Qinglong Manchu Autonomous County (187 cases, 48.7%) and the Haigang district (160 cases, 41.7%) ; Type of pneumoconiosis was silicosis (340 cases, 88.5%), mainly 273 cases (71.1%) of stage I, 88 cases (22.9%) of stage II, and 23 cases (6.0% of stage III) ; Cases of Phase II and III and with short lengths of service are mainly concentrated in medium-sized, small, private limited liability companies and collective enterprises. Rrock work (166 cases, 43.2%), and loading kiln workers (42 cases, 10.9%) were the main types. Conclusion: Because the distribution of pneumoconiosis cases in Qinhuangdao city is concentrated and the length of service is decreasing, it is important to enhance the oversight of important area, businesses, industries, and job categories in line with the growth of the region's mineral resources.
目的: 分析1961至2020年秦皇岛市职业性尘肺病的发病情况,为制定职业性尘肺病防治措施提供依据。 方法: 于2020年12月,收集1961至2020年由具备职业病诊断资质医疗机构诊断的秦皇岛市职业性尘肺病病例资料,连续性变量和分类变量的组间比较分别用方差分析或Kruskal-wallis tests和χ(2)检验,多重比较用LSD检验或Tambane T2检验。 结果: 1961至2020年秦皇岛市共报告384例尘肺病患者,其中男性382例(99.5%),女性2例(0.5%);患者中位接尘工龄为15(9,25)年,最低接尘工龄为0.5年,最高接尘工龄为49年;尘肺病类型以矽肺(340例,88.5%)为主,尘肺病壹期273例(71.1%)、尘肺病贰期88例(22.9%)、尘肺病叁期23例(6.0%);患者主要分布在青龙满族自治县(187例,48.7%)和海港区(160例,41.7%);工种以凿岩工(166例,43.2%)和装出窑工(42例,10.9%)为主;贰期、叁期、以及接尘工龄较短的病例主要集中在中型、小型、私营有限责任公司和集体企业。 结论: 秦皇岛市尘肺病病例分布集中,接尘工龄缩短,应根据当地矿产资源开发情况加强对重点地区、企业、行业、和工种的监管。.
Keywords: Epidemiology; Incidence pattern; Occupational disease; Pneumoconiosis; Temporal trends.