摘要目的 分析重庆市某县2006至2017年农民工尘肺病危害现状以及救助保障情况,为农民工尘肺病防治政策及救助保障措施的制定提供科学依据.方法 于2018年5月,收集2006至2017年重庆市某县农民工新发尘肺病病例数据和救助保障数据,用SPSS 18.0统计软件进行统计描述和分析,平均年龄用表示,平均工龄用中位数表示,不同期别尘肺病患者诊断年龄的比较采用方差分析.结果 2006至2017年,重庆市某县报告农民工新发尘肺病病例2 188例,其中壹、贰、叁期尘肺病病例分别为917例(占41.91%)、1 003例(占45.84%)、268例(占12.25%).新发尘肺病病种主要为矽肺,发病工龄中位数为6年,平均诊断年龄为44.25岁,不同期别尘肺病患者诊断年龄比较有差异,差异有统计学意义(F=3.161,P<0.05). 98.77%的农民工无确切用工单位,参加工伤保险者、享受民政救助者、享受扶贫救助者分别占新发尘肺病患者总数的5.07%、14.58%、31.12%,参加医疗保险者占93.46%.结论 重庆市某县农民工尘肺病危害较为严重,发病年龄较低、发病工龄短、病情重,应采取有效措施推动和促进农民工尘肺病问题的解决,避免因病致贫、返贫.

abstractsObjective To analyze the prevalence of pneumoconiosis and assistance guarantee of the migrant workers of the district in Chongqing from 2006 to 2017, so as to provide scientific basis for prevention and control of pneumoconiosis of the migrant workers. Methods The database of new pneumoconiosis cases of the migrant workers and assistance guarantee of the district in Chongqing from 2006 to 2017 were subjected to systematic arrangement. SPSS 18.0 was adopted for statistical description and analysis. Results From 2006 to 2017 a total of 2188 new cases of pneumoconiosis were diagnosed,including I (917, 41.91% ), II (1003, 45.84%), III (268, 12.25%). Most of new cases of pneumoconiosis were silicosis. The median length of se-niority was 6 years. The mean diagnostic age was 44.25. Significant difference was found in diagnosis age be-tween different stages(F=3.161, P=0.043). 98.77% of migrant workers had no units. There were 5.07% of mi-grant workers who took out industrial injury insurance, 14.58% receiving civil aid, 31.12% receiving aid from poverty alleviation, and 93.46% participating medical insurance. Conclusion The prevalence of pneumoco-niosis of the migrant workers of the district in Chongqing was serious. The prevention and control of pneumo-coniosis should be enhanced to reduce the harm of pneumoconiosis of the migrant workers in Chongqing.