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目的探讨噪声作业职业健康监护工作中存在的诊断空白区域、年龄修正及职业禁忌证等问题,为现行GBZ49—2007《职业性噪声聋诊断标准》及GBZ 188—2007《职业健康监护技术规范》的使用及修订提供意见和建议。方法结合噪声作业人员职业病诊断及职业健康监护实际工作中遇到的问题,在充分调查论证的基础上进行综合分析及探讨,提出相应的解决办法和建议。结果噪声作业职业健康监护依据的技术文件需不断更新完善,以客观公正地判断每个劳动者的健康状况及其所患职业病损伤的程度,维护劳动者健康及其相关权益。结论只有职业健康检查机构、用人单位和劳动者共同努力,才能做好职业健康监护工作。
OBJECTIVE To investigate the diagnostic blank areas, age correction and occupational contraindications in the occupational health monitoring work of noise operation, and to discuss the current GBZ49-2007 “Diagnostic criteria of occupational noise and deafness” and GBZ 188-2007 “Technical code of occupational health monitoring” Use and revision of comments and suggestions. Methods Combined with the problems encountered in the diagnosis and occupational health monitoring of occupational diseases, this paper analyzes and discusses the problems on the basis of full investigation and argumentation, and puts forward corresponding solutions and suggestions. Results Technical documents for occupational health monitoring based on noise operation needs to be constantly updated and improved to objectively and justly judge the health status of each worker and the extent of the occupational disease injury and to protect the health of workers and their related rights and interests. Conclusion Only occupational health inspection agencies, employers and laborers work together to be able to do a good job in occupational health monitoring.