Evaluation of the implementation of Diagnostic Criteria of Occupational Acute Neurotoxic Diseases Caused by Chemicals (GBZ 76-2002).
10.3760/cma.j.cn121094-20210809-00387
- VernacularTitle:GBZ 76-2002《职业性急性化学物中毒性神经系统疾病诊断标准》实施情况的跟踪评价
- Author:
Ji WANG
1
;
Li SONG
1
;
Dong Mei SHI
1
;
Hai Liang ZOU
1
;
Dan Dan LI
1
;
Qiu Hong ZHU
2
Author Information
1. Department of Occupational Toxicology, Heilongjiang Institute of Labor Health and Occupational Diseases, Harbin 150000, China.
2. Chinese Center for Disease Control and Prevention, Occupational Health and Poison Control Institute, Beijing 100000, China.
- Publication Type:Journal Article
- Keywords:
Diagnostic criteria;
Implementation evaluation;
Nervous system diseases;
Occupational Diseases;
Poisoning
- MeSH:
Humans;
Occupational Exposure/adverse effects*;
Occupational Diseases/diagnosis*;
Hazardous Substances;
Neurotoxicity Syndromes/diagnosis*;
Peripheral Nervous System Diseases
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2022;40(10):742-746
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the implementation of Diagnostic Criteria of Occupational Acute Neurotoxic Diseases Caused by Chemicals (GBZ 76-2002) for accumulating basis of standard revision. Methods: In February 2020, 85 experts in occupational diseases and neurology from 39 medical and health institutions were selected as the respondents. The modified Delphi method was used to establish the standard evaluation index system and special group was organized for discussing the pre-survey and completing the questionnaire survey. Questionnaire survey was performed to investigate the grasp of the standards, application and modification suggestions of respondents. Results: The respondents' mastery of standard-related knowledge mainly came from work experience (84.7%, 72/85) , standard learning (81.2%, 69/85) and training (75.3%, 64/85) . Among the institutions in which the respondents worked, 98.8% (84/85) could carry out CT examinations, 96.5% (82/85) could carry out nerve conduction velocity and electromyography examinations, 89.4% (76/85) could carry out EEG examinations, 80% (68/85) could carry out evoked potential examinations and 72.9% (62/85) could carry out MRI examinations. Among the toxicants diagnosed as occupational acute toxic myelopathy, 10.6% (9/85) were organic phosphorus and 9.4% (8/85) were asphyxiating gas; Among the toxicants diagnosed as delayed peripheral neuropathy, pesticides accounted for 25.9% (22/85) and asphyxiating gases accounted for 12.9% (11/85) . 85.9% (73/85) of the respondents believed that the basis for the classification of acute toxic encephalopathy needed to supplement objective evidence; 80.0% (68/85) of the respondents thought that the diagnosis and classification of peripheral neuropathy should be refined according to the abnormal indexes of neuroelectromyography. Conclusion: The applicability of the criteria needs to be improved because the current criteria has a long application cycle without enough objective investigation bases in classification criteria index.
