The Situation And Situation Of Pneumoconiosis Of Coal Workers In Tai’an City

ObjectiveIn order to analyze the situation, trend of modification and the risk factors of attack ofthe pneumoconiosis in TAIAN CITY who has pneumoconiosis. To realize issues ofprevention and cure of pneumoconiosis; providing the scientific basis to prevent thepneumoconiosis for people who has pneumoconiosis. According to TaiAn pneumoconiosisdisease sick present situation, to propose the technical ways and measures.MethodTo collect the cases of the Pneumoconiosis patient who had the diagnosis certificate inoccupational disease hospital in TAIAN in2002-2006. In addition, giving a statistics ofcondition of the Pneumoconiosis attack in different ways shown as below:installment,profession, disease kinds, age, touch atom years complication, the level ofdamage of lung function, business character, season and month and using the excel2003tobuild a database. The diagnosis for Pneumoconiosis is collectively committed inaccordance with the Diagnosis Standard for Pneumoconiosis (GBZ70—2002) by at leastthree medical practitioners who have obtained diagnosis qualification about occupationaldisease. The whole process of diagnosis is put on record and the conclusion is drawnaccording to the agreement of more than half doctors attended with their final signatures.To analyze the foctors by using the SPSS15.0(statistics software). Single factor usesChi-square method to test. Many factors of the method are more orderly logistic regressionanalysis classification.Result1.General situation: There were645patients who had the certificate of diagnosis ofPneumoconiosis in TAIAN in2002-2006, an average of129cases a year, all of them weremale. The composition of Pneumoconiosis reached the peak in winter,48.8%of all. Thenin spring (24.7%),autumn (15%),summer (11.5%).2.Age groups: the age over20(6.0%), the age over41(55.2%), the age over61(38.8%). The morbidity of middle age group achieve more than a half over all.3.Type of works: shaft miner had the highest level of composition ofPneumoconiosis (44.8%), coal miner (24.3%), assitance workers (13.0%),mining workers(7.3%), shipping workers (2.8%), foundryman (2.5%), welder (2.2%), repairman(1.9%),cementer(1.1%), mechatronics worker(0.2%)．Clearly, shaft miner and coal miner have thehighest risks over all.4.Contact dust times,units property,kinds of disease and attack： The composition of pneumoconiosis is highest for those having connected dust for a period varying from21years to30years, accounting for50.1percent, while those affected for a period between11years and20years accounting for11.5percent,those influenced for less than10years9percent;the composition of pneumoconiosis is highest for stste-owned enterprise,accounting for87.4percent,private-owned enterprise, accounting for12.6percent;thecomposition of pneumoconiosis is highest for coal worker’s pneumoconiosis(93.0%), silicosis(2.3%),founder’s pneumoconiosis(2.2%), cement pneumoconiosis(1.4%), welder’spneumoconiosis (1.1%).5. The lung damage and complacations: Those with no lung function injuringaccounts for64.2percent of all the cases, slight damage7.4percent, and moderate damage28.4percent. Phases’Ⅰpneumoconiosis accounts for89percent of all cases,phases’ Ⅱ pneumoconiosis9.8percent and phases’ Ⅱ1.2percent. Pneumoconiosiscomplicated with respiratory tract infections accounts for the highest composition of94.6percent, associated phthisis accounts for3percent, associated pulmonary heart diseaseaccounts for1.6percent and associated pneumothorax accounts for0.8percent.The lung function injury classification is relevant with age, χ2=83.185, P<0.01; it is also relevant with the number of years of being affected by dust, χ2=39.062, P<0.01, with thedisease, χ2=24.014, P<0.01, and with the pneumoconiosis pathologic progress, χ2=41.104,P<0.01. The multi-factorial analysis confirmed that years of dust influence, unit nature, age, etc, have affects on lung function injury classification.Conclusion1. The attack of pneumoconiosis has the highest percentage in prime if life in winter.Tip us winter prevent respiratory tract infection for pneumoconiosis disease prevention andcontrol of an important link.2. Heading work and coal digger is the highest risk of pneumoconiosis disease of thetwo type of work, demonstrated that the two kinds of work environment conditions did notreach the requirements of prevention and control of pneumoconiosis disease, that is, the two type of work is pneumoconiosis disease prevention and control of the weak link.3. Pneumoconiosis disease easily with respiratory infections, tuberculosis, lung,pneumothorax complication. Give priority to with respiratory infections. Thesecomplications aggravating the progress of the disease. Active in time treatmentcomplications is to extend the service life of the patients with an important content.4. The state-owned enterprise pneumoconiosis disease incidence is serious, and theimplementation of the dust system does not reach the designated position, coal mineworkers ego to protect consciousness is not high on. Tip we must strengthen supervisionand supervision and inspection, and implement the prevention of thought, can effectivelyprevent the happening of the pneumoconiosis disease.5. Lung function classification and age, contact injury dust fixed number ofyear,pneumoconiosis period have correlation.6.Advice should be pneumoconiosis patient injection Baeillus Calmette Guerinvaccine, in the winter season vaccination, in order to increase the body’s immunity, preventthe occurrence of complications.7.The relevant departments should strengthen the management and organizationalleadership dustproof, establish and perfect the relevant rules and regulations, completes thehealth supervision, regular monitoring dust concentration, and carries out the dustprevention measures. At the same time to strengthen occupational disease preventionknowledge propaganda education, improve the coal mine workers ego to protectconsciousness.