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| An analysis of occupational health examination results of 450 radiation workers in a steel mill |
| HOU Jianwu1, ZHANG Youzhong1, MAO Xuesong2, HOU Dianjun2, MA Ya2 |
1. Dezhou Health Comprehensive Law enforcement Detachment, Dezhou 253000 China;
2. College of Preventive Medical Sciences (Institute of Radiation Medicine), Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan 250062 China |
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Abstract Objective To investigate the occupational health status of 450 radiation workers in a steel mill when they resigned, and to provide references and suggestions for the occupational health monitoring of the enterprise employees and for the workers’ proper arrangement after their resignations.Methods Occupational health examinations were performedon 450 steel workers who were about to resign in accordance with the applicable laws and regulations. And the examination results were statistically analyzed. Results Among the 450 radiation workers, 82% had abnormal examination results which included chromosome aberration in peripheral blood lymphocytes (4.89%), lens opacity (44.44%), pinguecula (25.33%), hypertension (28.22%), thyroid dysfunction (9.59%), and abnormal liver ultrasound findings (30.89%). Compared with the normal population, these steel workers had a significantly higher chromosome aberration rate in peripheral blood lymphocytes and a significantly higher incidence rate of ocular disorders. Conclusion It is important to effectively manage the occupational health of radiation employees in steel mills, and to regularly provide training on occupational health protection. To avoid radiation damage, workers should pay close attention to radiation protection at work, especially eye protection, to avoid eye disorders.
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Received: 18 June 2022
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[1] 中华人民共和国卫生部. 放射工作人员职业健康管理办法(卫生部令第55号)[Z]. 北京: 中华人民共和国卫生部, 2007.
Ministry of Health of the People's Republic of China. Occupational health management measures for radiation works (Decree 55)[Z].Beijing: Ministry of Health of the People’s Republic of China, 2007.
[2] 中华人民共和国国家卫生健康委员会. GBZ 98—2020 放射工作人员健康要求及监护规范[S]. 北京: 中国标准出版社, 2020.
National Health Commission of the People’s Republic of China. GBZ 98 —2020 Health requirements and surveillance specifications for radiation worker[S]. Beijing: Standards Press of China, 2020.
[3] 中华人民共和国国家卫生和计划生育委员会. GBZ/T 248—2014 放射工作人员职业健康检查外周血淋巴细胞染色体畸变检测与评价[S]. 北京: 中国标准出版社, 2014.
State Health and Family Planning Commission of the People’s Republic of China. GBZ/T 248 —2014 Test and assessment of chromosomal abrreations on occupational health examinations for radiation wrokers[S]. Beijing: Standards Press of China, 2014.
[4] 韩珍, 林日文, 朱惠慧. 惠州市职业病防治院5096名健康体检者血常规检查结果分析[J]. 齐齐哈尔医学院学报,2019,40(3):344-345. DOI: 10.3969/j.issn.1002-1256.2019.03.034
Han Z, Lin RW, Zhu HH. Analysis of blood routine examination results of 5096 patients in Huizhou Occupational Disease Prevention Hospital[J]. J Qiqihar Univ Med, 2019, 40(3): 344-345. DOI: 10.3969/j.issn.1002-1256.2019.03.034
[5] Ainsbury EA, Bakhanova E, Barquinero JF, et al. Review of retrospective dosimetry techniques for external ionising radiation exposures[J]. Radiat Prot Dosim, 2011, 147(4): 573-592. DOI: 10.1093/rpd/ncq499
[6] 白玉书, 陈德清. 人类辐射细胞遗传学[M]. 北京: 人民卫生出版社, 2006.
Bai YS, Chen DQ. Human radiation cytogenetics[M]. Beijing: People’s Medical Publishing House, 2006.
[7] 高宇, 王平, 韩林, 等. 放射工作人员染色体畸变研究现状[J]. 中华放射医学与防护杂志,2018,38(8):635-640. DOI: 10.3760/cma.j.issn.0254-5098.2018.08.015
Gao Y, Wang P, Han L, et al. The current research status on chromosomal aberrations of radiation workers[J]. Chin J Radiol Med Prot, 2018, 38(8): 635-640. DOI: 10.3760/cma.j.issn.0254-5098.2018.08.015
[8] 那向杰, 付丽丽, 单铁梅, 等. 介入放射工作人员染色体畸变和微核观察[J]. 中国辐射卫生,2020,29(1):13-16. DOI: 10.13491/j.issn.1004-714X.2020.01.003
Na XJ, Fu LL, Shan TM, et al. Observation of chromosome aberration and micronucleus in interventional radiology workers[J]. Chin J Radiol Health, 2020, 29(1): 13-16. DOI: 10.13491/j.issn.1004-714X.2020.01.003
[9] 单铁梅, 王丽东, 田欣鑫. 放射工作者淋巴细胞微核、染色体及血象分析[J]. 医学信息,2022,35(1):126-129. DOI: 10.3969/j.issn.1006-1959.2022.01.030
Shan TM, Wang LD, Tian XX. Analysis of micronucleus, chromosome and hemogram of lymphocytes in radiation workers[J]. J Med Inf, 2022, 35(1): 126-129. DOI: 10.3969/j.issn.1006-1959.2022.01.030
[10] 陈燕玲, 吴苹, 范璟, 等. 成都市1862名放射工作人员体检结果分析[J]. 工业卫生与职业病,2022,48(1):62-64. DOI: 10.13692/j.cnki.gywsyzyb.2022.01.016
Chen YL, Wu P, Fan J, et al. Analysis of occupational health examination results of 1862 radiation workers in Chengdu[J]. Ind Health Occup Dis, 2022, 48(1): 62-64. DOI: 10.13692/j.cnki.gywsyzyb.2022.01.016
[11] Ainsbury EA, Bouffler SD, Dörr W, et al. Radiation cataractogenesis: a review of recent studies[J]. Radiat Res, 2009, 172(1): 1-9. DOI: 10.1667/RR1688.1
[12] 姜晶, 孔婷, 黄波, 等. 低剂量电离辐射对放射工作人员眼晶状体影响的Meta分析题录[J]. 中华放射医学与防护杂志,2013,33(6):640-644. DOI: 10.3760/cma.j.issn.0254-5098.2013.06.019
Jiang J, Kong T, Huang B, et al. Effect of low-dose radiation on ocular lens of radiation workers: Meta-analysis[J]. Chin J Radiol Med Prot, 2013, 33(6): 640-644. DOI: 10.3760/cma.j.issn.0254-5098.2013.06.019
[13] 邓志强, 张谈贵, 谢伟民, 等. 高传能线密度辐射对人眼晶状体的危害[J]. 中国辐射卫生,2021,30(1):103-109. DOI: 10.13491/j.issn.1004-714X.2021.01.023
Deng ZQ, Zhang TG, Xie WM, et al. Harm of high LET radiation to the lens of the human eye[J]. Chin J Radiol Health, 2021, 30(1): 103-109. DOI: 10.13491/j.issn.1004-714X.2021.01.023
[14] Worgul BV, Kundiyev YI, Sergiyenko NM, et al. Cataracts among Chernobyl clean-up workers: implications regarding permissible eye exposures[J]. Radiat Res, 2007, 167(2): 233-243. DOI: 10.1667/rr0298.1
[15] 栾兰, 姚勇, 傅东红, 等. 无锡市50岁及以上人群白内障患病率和手术情况调查[J]. 中华实验眼科杂志,2014,32(6):551-555. DOI: 10.3760/cma.j.issn.2095-0160.2014.06.015
Luan L, Yao Y, Fu DH, et al. Survey of the cataract prevalence and surgical coverage rate among 50 or above in Wuxi City[J]. Chin J Exp Ophthalmol, 2014, 32(6): 551-555. DOI: 10.3760/cma.j.issn.2095-0160.2014.06.015
[16] Joseph CE, Eberechukwu OA, Sebastian NN, et al. Prevalence and pattern of ocular disorders seen among artisans in Owerri, Imo State[J]. Int J Ophthalmol, 2017, 17(11): 2010-2014. DOI: 10.3980/j.issn.1672-5123.2017.11.05
[17] 陈威, 毛文文. 粉尘作业工人眼病发病情况调查[J]. 海峡预防医学杂志,2018,24(6):65-67
Chen W, Mao WW. Investigation on the incidence of eye disease among dust-working workers[J]. Strait J Prev Med, 2018, 24(6): 65-67
[18] 国家卫生计生委疾病预防控制局. 中国居民营养与慢性病状况报告(2015年)[M]. 北京: 人民卫生出版社, 2015.
The Disease Control and Prevention Bureau of the National Health and Family Planning Commission. Report on nutrition and chronic diseases of Chinese residents (2015)[M]. Beijing: People’s Medical Publishing House, 2015.
[19] 徐紫菡, 戴冬梅, 高娇娇, 等. 职业噪声和高温对心血管系统的影响[J]. 中华疾病控制杂志,2020,24(7):773-778. DOI: 10.16462/j.cnki.zhjbkz.2020.07.006
Xu ZH, Dai DM, Gao JJ, et al. The interactive effects of occupational noise exposure and high temperature on cardiovascular system[J]. Chin J Dis Control Prev, 2020, 24(7): 773-778. DOI: 10.16462/j.cnki.zhjbkz.2020.07.006
[20] 刘瑞祥, 赵慧, 云翔, 等. 职业紧张与男性钢铁工人代谢综合征及各组分的关系研究[J]. 工业卫生与职业病,2021,47(3):200-205. DOI: 10.13692/j.cnki.gywsyzyb.2021.03.007
Liu RX, Zhao H, Yun X, et al. Relationship between occupational stress and metabolic syndrome and its components of male steel workers[J]. Ind Health Occup Dis, 2021, 47(3): 200-205. DOI: 10.13692/j.cnki.gywsyzyb.2021.03.007
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