赵乾魁, 周志俊. 职业性正己烷中毒病例研究在中国:1 262例临床分析[J]. 职业卫生与应急救援, 2016, 34(1): 1-5,15. DOI: 10.16369/j.oher.issn.1007-1326.2016.01.001
引用本文: 赵乾魁, 周志俊. 职业性正己烷中毒病例研究在中国:1 262例临床分析[J]. 职业卫生与应急救援, 2016, 34(1): 1-5,15. DOI: 10.16369/j.oher.issn.1007-1326.2016.01.001
ZHAO Qiankui, ZHOU Zhijun. Characteristics of occupational n-hexane poisoning cases in China: summary of reported data of 1 262 cases[J]. Occupational Health and Emergency Rescue, 2016, 34(1): 1-5,15. DOI: 10.16369/j.oher.issn.1007-1326.2016.01.001
Citation: ZHAO Qiankui, ZHOU Zhijun. Characteristics of occupational n-hexane poisoning cases in China: summary of reported data of 1 262 cases[J]. Occupational Health and Emergency Rescue, 2016, 34(1): 1-5,15. DOI: 10.16369/j.oher.issn.1007-1326.2016.01.001

职业性正己烷中毒病例研究在中国:1 262例临床分析

Characteristics of occupational n-hexane poisoning cases in China: summary of reported data of 1 262 cases

  • 摘要: 目的 对报告的职业性正己烷中毒临床病例资料进行汇总分析,总结职业性正己烷中毒发病的一般规律、职业卫生管理及防治方法,为职业性正己烷中毒的预防和控制提供参考。 方法 通过检索电子文献数据库,收集1994-2013年间报道的1 262例职业性正己烷中毒病例资料,筛选并提取关键数据,采用SPSS 19.0软件进行统计学分析。 结果 96.7%中毒病例接触的正己烷浓度超过国家职业接触限值,56.8%中毒病例来自皮革制鞋、玩具制造行业的刷胶工,80.5%劳动者未佩戴任何个人防护用品,84.8%工作场所未配置任何防护设施。64.3%正己烷中毒患者接触时间在3~15个月。神经肌电图在目前中毒的诊断和评估中有重要意义。目前治疗无特效解毒剂,以对症治疗为主,神经营养因子药物治疗效果明显。患者平均病程234.5 d,轻度患者平均治疗时间短于中度和重度患者(U=8 240.5、3 578.0,P<0.05),中度和重度患者治疗时间差异无统计学意义(U=4 588.5,P>0.05)。经治疗后75.6%患者痊愈。 结论 患者中毒表现为神经系统损害的多发性周围神经病,恢复时间较长,但预后较好。预防和控制职业性正己烷中毒,需要不断完善职业病防治体系,加强预防控制和监督管理。

     

    Abstract: Objective To summarize the general rules and health management characteristics of occupational n-hexane poisoning diseases, and to provide a valuable reference for the prevention and control,through the analysis of 1 262 occupational n-hexane poisoning patients. Methods Cases reported during 1994 to 2013 were collected from electronic academic Chinese journal databases, then the key information was extracted and analyzed using SPSS 19.0 software. Results Totally eligible data of 1 262 cases were collected, in which there were no duplicate reports. The exposure levels of 96.7% of poisoning cases were higher than national OEL in China. 56.8% of the cases engaged in brush coating in the industries of leather,shoemaking and toy manufacture. The workplaces of 84.8% cases were not equipped with any protective facilities and 80.5% of cases didn't use any PPEs. The exposure time (from beginning to the onset of symptoms) of most cases (64.3%)was 3 to 15 months and 75.6% cases could recover after treatment. Electromyography played an important role in diagnosis of occupational n-hexane poisoning. The mean course of disease was 234.5 days, while the course of mild cases was significantly shorter than the moderate and the severe cases(U=8 240.5,3 578.0,P<0.05) and no difference between the moderate and the severe cases(U=4 588.5,P>0.05). Conclusion The major clinical feature of chronic n-hexane poisoning is multiple peripheral neuropathy. Patients recover slowly but have positive prognosis. In order to prevent occupational n-hexane poisoning, effective measures, including engineering,PPEs and management, should be taken and maintained.

     

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