鲍首琛,常学章,高扬,史雅芳,叶永清.核工业职工死因危险及相关职业危害的分析[J].中华放射医学与防护杂志,1998,18(3):183-186
核工业职工死因危险及相关职业危害的分析
An analysis of nuclear industry workers' death risk and related occupational harms
投稿时间:1997-04-02  修订日期:1997-07-22
DOI:
中文关键词:  职工  核工业  死亡危险  职业危害
英文关键词:Workers  Nuclear industry  Death risk  Occupational harms
基金项目:
作者单位
鲍首琛 030006 太原, 中国辐射防护研究院 
常学章 030006 太原, 中国辐射防护研究院 
高扬 湖南C矿 
史雅芳 江西L矿 
叶永清 广东N矿 
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中文摘要:
      目的 在核工业职工全死因调查的基础上, 着重进行死因危险及相关职业危害的分析, 探讨职业与健康的关系。方法 调查对象为11个单位自组建至1990年底在册职工, 分组观察。调查历年职工人数及死亡资料, 按ICD-9原则进行死因统计。结果 粗死亡率193.66×10-5, 标化死亡率237.65×10-5, 而放射组、非放射组分别为346.11×10-5、202.03×10-5(P<0.01), 但均低于全国值。放射组与非放射组比较, RR1.70(P<0.01), 但去除矽肺和工伤死亡, RR1.30(P>0.05).肿瘤居死因之首, 第二为损伤与中毒。全死因SMR0.46, 肿瘤0.76, 而损伤与中毒1.20(P<0.01);肺癌1.40(P<0.01);脑瘤1.51(P<0.05);铀矿系统肺癌、脑瘤、胃癌、肝癌、白血病增加明显。结论 与死亡相关的职业危害为粉尘、工业外伤和氡子体, 放射组死因危险因此增高, 但情况在不断变化。男性比女性有更多死因危险, 铀矿工肺癌与氡子体暴露有关。
英文摘要:
      Objective The causes of death and related occupational harms in nuclear industry workers were investigated and analyzed emphatically to determine the relationship between occupations and health.Methods Workers of 11 units from the time of their foundation to the end of 1990 were observed by groups.The number of workers and death data in every year were investigated.The causes of death were classified according to ICD 9.Results The crude mortality was 193.66×10-5, standard mortality 237.65×10-5, those for exposed group and control group were 346.11×10-5 and 202.03×10-5, respectively (P<0.01) , which were lower than those for whole China.When the exposed group was compared with the control, RRwas 1.70(P<0.01), but when sillicosis and accidental deaths were excluded, the RRwas 1.30 (P<0.05)Tumor was first cause of death and injury and poisoning came next.SMRof total death cause was 0.46, that of tumor 0.76, injury and poisoning 1.20 (P<0.01), lung cancer 1.40(P<0.01), and brain tumor 1.51(P<0.05).In uranium mines, lung cancer, brain tumor, stomach cancer, liver cancer and leukemia increased obviously.Conclusion The occupational harms related to death were dust, industrial injury and radon daughters.Because of them the death risk in the exposed group was increased, but conditions were changing constantly.Males had more death risk than females and the increase of uranium miner's lung cancer was considered to be associated with exposure to radon daughters.
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