[摘要] 目的：通过分析2019年楚雄州116家企业职工职业健康监护的

[摘要] 目的：通过分析2019年楚雄州116家企业职工职业健康监护的结果，评估该州当前职业健康监护效果，为防控职业病危害提供切实依据。方法：从地区、行业、企业规模、经济类型及职业危害因素等方面对116家企业职工在岗前、在岗期间、离岗时的职业健康监护结果进行分析，分析内容主要包括职业禁忌症、疑似职业病检出情况以及员工体检情况。结果：2019年楚雄州职业健康监护中，岗前实检7064人，发现职业禁忌症56人。在岗期间应检11162人，实检11016人，实检率98.69%，其中双柏县、元谋县最高（100%），牟定县最低（94.55%），查出疑似职业病45人，职业禁忌症59人。离岗时职业健康检查688人，疑似职业病未查出。调离有毒有害作业岗位人数46人。职业禁忌症和疑似职业病总检出率为0.85%。按地区分析，大姚县（2.97%）和南华县（2.91%）检出率最高；按行业分析，租赁和商务服务业总检出率最高（2.04%），采矿业次之（1.42%），批发和零售业第三（1.09%）；按经济类型分析，非公有经济企业总检出率高于公有经济；按企业规模分析，中、小型企业检出率较大型企业检出率高；按职业危害因素分析，粉尘和其他职业危害因素的职业禁忌症和疑似职业病总检出率最高。结论：2019年楚雄州职业健康检查主要以在岗期间职业人群为主，在岗期间体检率较高（98.69%），疑似职业病和职业禁忌证检出率较高，其中主要职业危害因素为粉尘和其他职业危害因素。提示，各企业应该严格按照职业病防治法的相关要求，对接触有毒有害作业人员进行岗前、在岗期间以及离岗时的职业健康体检，一经发现职业禁忌症和疑似职业病者，及时调离工作岗位，防止造成严重的职业损害。

[摘要] 目的：通过分析2019年楚雄州116家企业职工职业健康监护的结果，评估该州当前职业健康监护效果，为防控职业病危害提供切实依据。 方法：从地区、行业、企业规模、经济类型及职业危害因素等方面对116家企业职工在岗前、在岗期间、离岗时的职业健康监护结果进行分析，分析内容主要包括职业禁忌症、疑似职业病检出情况以及员工体检情况。 结果：2019年楚雄州职业健康监护中，岗前实检7064人，发现职业禁忌症56人。 在岗期间应检11162人，实检11016人，实检率98.69%，其中双柏县、元谋县最高（100%），牟定县最低（94.55%），查出疑似职业病45人，职业禁忌症59人。 离岗时职业健康检查688人，疑似职业病未查出。 调离有毒有害作业岗位人数46人。 职业禁忌症和疑似职业病总检出率为0.85%。 按地区分析，大姚县（2.97%）和南华县（2.91%）检出率最高；按行业分析，租赁和商务服务业总检出率最高（2.04%），采矿业次之（1.42%），批发和零售业第三（1.09%）；按经济类型分析，非公有经济企业总检出率高于公有经济；按企业规模分析，中、小型企业检出率较大型企业检出率高；按职业危害因素分析， 粉尘和其他职业危害因素的职业禁忌症和疑似职业病总检出率最高。 结论：2019年楚雄州职业健康检查主要以在岗期间职业人群为主，在岗期间体检率较高（98.69%），疑似职业病和职业禁忌证检出率较高，其中主要职业危害因素为粉尘和其他职业危害因素。 提示，各企业应该严格按照职业病防治法的相关要求，对接触有毒有害作业人员进行岗前、在岗期间以及离岗时的职业健康体检，一经发现职业禁忌症和疑似职业病者，及时调离工作岗位，防止造成严重的职业损害。

[Abstract] Objective: by analyzing the results of occupational health monitoring in 116 enterprises of Chuxiong Prefecture in 2019, to evaluate the current effect of occupational health monitoring in Chuxiong Prefecture, and to provide practical basis for the prevention and control of occupational disease hazards. Methods: the results of occupational health monitoring of 116 employees were analyzed from the aspects of area, industry, enterprise scale, economic type and occupational hazard factors. The analysis mainly included occupational contraindications, suspected occupational diseases and physical examination of employees. Results: in 2019, in the occupational health monitoring of Chuxiong Prefecture, 7064 people were actually examined before work and 56 people were found to have occupational contraindications. 11162 people should be inspected during the period of on duty, 11016 people should be inspected, the actual inspection rate is 98.69%, the highest in Shuangbai County and Yuanmou County (100%), the lowest in Mouding County (94.55%), 45 suspected occupational diseases and 59 occupational contraindications. 688 people had occupational health examination at the time of leaving the post, but no suspected occupational disease was found. 46 people were transferred from poisonous and harmful operation posts. The total detection rate of occupational contraindications and suspected occupational diseases was 0.85%. According to the regional analysis, Dayao County (2.97%) and Nanhua County (2.91%) have the highest detection rate; according to the industry analysis, the total detection rate of leasing and business service industry is the highest (2.04%), mining industry is the second (1.42%), wholesale and retail industry is the third (1.09%); according to the economic type analysis, the total detection rate of non-public economic enterprises is higher than that of public economy; according to the enterprise scale analysis, the detection rate of small and medium-sized enterprises is higher According to the analysis of occupational hazards, the total detection rate of occupational contraindications and suspected occupational diseases of dust and other occupational hazards is the highest. Conclusion: in 2019, occupational health examination in Chuxiong prefecture is mainly conducted by the working population, with a high physical examination rate (98.69%) and a high detection rate of suspected occupational diseases and occupational contraindications, among which dust and other occupational hazards are the main occupational hazards. It is suggested that all enterprises should strictly follow the relevant requirements of the law on prevention and control of occupational diseases, and carry out occupational health examination for the workers exposed to toxic and harmful substances before, during and after leaving the post. Once occupational contraindications and suspected occupational diseases are found, they should be transferred from the post in time to prevent serious occupational damage.<br>