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广东省2025年手传振动职业接触现状分析OA

Current status of occupational exposure to hand-transmitted vibration in Guangdong Province in 2025

中文摘要英文摘要

[背景]传统上认为手臂振动病一般发生在北方寒冷地区,但近年来手臂振动病在南方亚热带的广东省多地陆续出现,在行业分布、企业规模上呈现一定的聚集性,且一段时间内在全国总报告例数中占比较高. [目的]了解广东省 2025年手传振动职业接触现状,分析不同行业不同规模企业不同岗位接触情况. [方法]收集在广东省辖区内从事职业技术服务的机构 2025年上传到"广东省职业卫生质量控制平台"中存在手传振动的定期检测及现状评价报告中的用人单位、测量结果和接触人数等信息,以<1、1~2.5、>2.5~5、>5 m·s-2 将手传振动接触水平划分为 Ι、Ⅱ、Ⅲ、Ⅳ四级进行分析. [结果]2025年上传的定期检测和现状评价报告中存在手传振动的用人单位共 12 468家,其中制造业共 11 710家,占 93.92%.按企业规模分类,大中小微型企业分别为 274家(2.20%)、934家(7.49%)、8 749家(70.17%)和 2 511家(20.14%),以小型企业占比最多.接触手传振动的岗位共 22 298个,岗位数量排名前五的为打磨、装配、抛光、油磨、焊接,4 h等能量频率计权振动加速度[以下简称"a(4)"]的[M(P25,P75)]为2.1(1.5,2.7)m·s-2,最大值、最小值分别为 16.2、0.1 m·s-2.接触水平 Ι、Ⅱ、Ⅲ、Ⅳ级的岗位数分别为 2 835个(12.71%)、12 761个(57.23%)、6 690个(30.00%)和 12个(0.05%),以Ⅱ级占比最多.制造业共 21 013个岗位,占94.24%,其中有12个岗位振动接触水平超标,9个为打磨岗位.接触手传振动的人数共115 955人,制造业共 110 879人,占 95.62%,大中小微型企业分别有 21 237、23 454、65 047和 6 217人接触.人数排名前五的岗位为打磨、装配、抛光、去毛刺、焊接.手传振动接触水平 Ι、Ⅱ、Ⅲ、Ⅳ级的人数分别为 11 921人(10.28%)、65 463人(56.46%)、38 447人(33.16%)和 124人(0.11%),以Ⅱ级人数占比最多. [结论]广东省金属制品业等制造业中存在较多手传振动接触岗位如打磨、装配、抛光等,接触的企业和作业人员均以小型企业占比最高,岗位接触水平及接触人数均以Ⅱ级占比最多,部分作业人员存在一定的手臂振动病发病风险,建议用人单位开展各种综合管理措施,预防手臂振动病的发生.

[Background]Although hand-arm vibration syndrome has traditionally been reported more fre-quently in colder northern regions,recent cases in Guangdong Province,a subtropical region in the south,exhibit a certain degree of clustering in terms of industry distribution and company size,and for a period of time,they account for a high proportion of the total number of cases re-ported nationwide. [Objective]To describe the occupational exposure profile of hand-transmitted vibration(HTV)in Guangdong Province in 2025 and to compare exposure levels across industries,enterprise sizes,and occupational categories. [Methods]Data were sourced from the Guangdong Provincial Occupational Health Quality Control Platform,to which occupational health technical service institutions across Guangdong Province submitted relevant reports in 2025.The dataset included employers with documented HTV hazards,measurement results,and the number of exposed workers.Exposure levels were categorized into four grades according to the 4-h energy-equivalent frequency-weighted vibration acceleration:Grade I(<1 m·s-2),Grade II(1-2.5 m·s-2),Grade III(>2.5-5 m·s-2),and Grade IV(>5 m·s-2). [Results]A total of 12 468 employers with identifiable HTV exposure were identified through the platform in 2025,of which 11 710(93.92%)were in the manufacturing sector.By enterprise scale,274(2.20%)were large,934(7.49%)were medium-sized,8 749(70.17%)were small,and 2 511(20.14%)were micro-sized enterprises,with small enterprises accounting for the largest proportion.Among 22 298 job posts with identified HTV exposure,grinding,assembly,polishing,burnishing,and welding were the most common tasks.The M(P25,P75)4-h energy-equivalent frequency-weighted acceleration[a(4)]was 2.1(1.5,2.7)m·s-2,with values ranging from 0.1 to 16.2 m·s-2.Ex-posure levels were distributed as follows:Grade I,2 835 posts(12.71%);Grade II,12 761 posts,(57.23%);Grade III,6 690 posts,(30.00%);and Grade IV,12 posts(0.05%),with Grade Ⅱ posts accounting for the largest proportion.Within the manufacturing sector,21 013 exposed job posts were identified,accounting for 94.24%of all exposed posts.Twelve job posts exceeded the occupational exposure limit,of which nine were polishing positions.A total of 115 955 workers were exposed to HTV,primarily in manufacturing(110 879;95.62%).Among the exposed workers,21 237,23 454,65 047,and 6 217 were employed in large,medium,small,and micro-sized enterprises,re-spectively.Grinding,assembly,polishing,deburring,and welding were the five most common occupational categories among the exposed workers.The distribution of worker by exposure grade was similar to that of exposed posts:Grade I,11 921 workers(10.28%);Grade II,65 463 workers(56.46%);Grade III,38 447 workers(33.16%);and Grade IV,124 workers(0.11%). [Conclusion]In Guangdong Province,HTV exposure is mainly concentrated in the manufacturing sector,particularly in metal product manufacturing,and commonly involves tasks such as grinding,assembly,and polishing.Both exposed enterprises and exposed workers are predominantly concentrated in small enterprises.Grade II exposure accounts for the largest proportion of both exposed job posts and exposed workers,and some workers are at a risk of developing hand-arm vibration syndrome.These findings suggest that targeted occupational management and comprehensive control measures should be strengthened to reduce HTV exposure and prevent hand-arm vibration syndrome.

徐国勇;肖斌;庞源;赖明珍;蒋雍建

广东省职业病防治院 物理因素监测所,广东 广州 510300广东省职业病防治院 物理因素监测所,广东 广州 510300南方医科大学公共卫生学院,广东 广州 510515广东省职业病防治院 质量控制科,广东 广州 510300广东省职业病防治院 物理因素监测所,广东 广州 510300

医药卫生

手传振动职业接触手臂振动病危害分级制造业打磨岗位

hand-transmitted vibrationoccupational exposurehand-arm vibration syndromehazard classificationmanufacturing in-dustrypolishing position

《环境与职业医学》 2026 (8)

988-993,6

2025-2026年职业健康标准前期研究项目(20250201)

10.11836/JEOM26054

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