This standard specifies the diagnostic criteria and treatment principles for acute, subacute and chronic bursitis in coal mine workers. This standard applies to bursitis caused by occupational activities of coal mine workers. Traumatic bursitis in workers in metal and chemical mining, tunneling, etc. can also be diagnosed and treated with reference to this standard. GBZ 82-2002 Diagnostic criteria for bursitis in coal mine workers GBZ82-2002 Standard download decompression password: www.bzxz.net

ICS 13.100
National Occupational Health Standard of the People's Republic of China GBZ82-2002
Diagnostic Criteria of Underground Coal Miner's Bursitis
Diagnostic Criteria of Underground Coal Miner's BursitisPublished on April 8, 2002
Implemented on June 1, 2002
Published by the Ministry of Health of the People's Republic of China
Article 5.1 of this standard is recommended, and the rest are mandatory. This standard is formulated in accordance with the "Law of the People's Republic of China on the Prevention and Control of Occupational Diseases". From the date of implementation of this standard, if the original standard GB4869-1985 is inconsistent with this standard, this standard shall prevail. In the occupational activities of coal mine workers, aseptic bursitis may be caused. In order to protect the health of coal mine workers, facilitate the prevention and control of bursitis, and promote the development of the coal industry, this standard is formulated in accordance with the requirement that the diagnostic criteria for occupational diseases should reflect clinical practice and its latest progress. This standard specifies the diagnostic criteria and treatment principles for bursitis in underground coal mine workers. This standard was first formulated based on the occupational epidemiology and clinical data obtained from domestic and foreign literature over the past decade. Appendix A of this standard is an informative appendix.
This standard is proposed and managed by the Ministry of Health of the People's Republic of China. This standard was drafted by the Sichuan Provincial Institute of Labor Hygiene and Occupational Disease Prevention and Control. The participating units include the General Hospital of Tianfu Mining Bureau, the Occupational Disease Prevention and Control Institute of Haibowan Mining Bureau and the Hospital of Southwest Agricultural University. This standard is interpreted by the Ministry of Health of the People's Republic of China. Diagnostic criteria for bursitis in underground coal mine workers
GBZ82—2002
Bursitis in underground coal mine workers refers to aseptic inflammatory changes caused by acute trauma to the bursa or mechanical factors such as long-term friction and pressure caused by underground coal mine workers under special working conditions. 1 Scope
This standard specifies the diagnostic criteria and treatment principles for acute, subacute and chronic bursitis in underground coal mine workers. This standard applies to bursitis caused by occupational activities of workers in coal mines. Traumatic bursitis of workers in metal and chemical mining, tunneling, etc. can also be diagnosed and treated with reference to this standard. 2 Normative references
The clauses in the following documents become clauses of this standard through reference in this standard. All subsequent amendments (excluding errata) or revisions of dated references are not applicable to this standard. However, the parties who reach an agreement based on this standard are encouraged to study whether the latest versions of these documents can be used. For all undated references, the latest versions apply to this standard.
GB/T16180
3 Diagnostic principles
Evaluation of the degree of disability caused by work-related injuries and occupational diseases of workers The diagnosis can be made based on the occupational history of acute trauma and long-term friction or compression of the bursae of coal mine workers, typical clinical manifestations, combined with on-site labor hygiene investigation, comprehensive analysis, and exclusion of other diseases with similar manifestations. 4 Diagnosis and staging criteria
4.1 Acute bursitis
There is a history of acute trauma, or in the early stage of local friction and compression of the joint, there are cystic tumors with fixed position, smooth surface, fluctuation, clear boundaries, and pain when pressed around the joint, and the puncture fluid is bloody exudate. 4.2 Subacute bursitis
The joint has a history of repeated friction and compression, or a history of acute bursitis, local discomfort, mild pain when pressed, and a cyst with clear boundaries. It often recurs, and the puncture fluid is light yellow transparent mucus. 4.3 Chronic bursitis
The joint has a history of long-term repeated friction and compression, or subacute bursitis has itchy, wrinkled, rough and sleep-like changes in the local skin after multiple punctures and drug injections, and the puncture fluid is a small amount of light yellow mucus. Treatment principles
5.1 Treatment principles
a) Acute bursitis: rest is the main treatment. Prevent secondary infection. b) Subacute bursitis: puncture and drain fluid, inject adrenal glucocorticoid into the bursa and apply pressure bandage. Bursectomy is performed when non-surgical treatment is ineffective.
c) Chronic bursitis: mainly physical therapy. Bursectomy is not suitable for patients with hydrazine-like skin changes. 5.2 Other treatments Www.bzxZ.net
Patients with acute and subacute bursitis can return to their original work after recovery. Patients with subacute bursitis who have not been cured for a long time or have repeated attacks and patients with chronic bursitis should be transferred from their original jobs. The instructions for the correct use of this standard
are shown in Appendix A (Informative Appendix).
A.1 Scope of application of this standard
Appendix A
(Informative Appendix)
Instructions for the correct use of this standard
This standard is mainly applicable to the diagnosis and treatment of a traumatic, aseptic inflammatory lesion of the bursa caused by workers in coal mines when kneeling, crawling, lying on the side, carrying on the shoulder, etc. It is also applicable to bursitis caused by workers in metal and chemical mining, tunnel excavation, etc. The working conditions and postures of workers in coal mines are relatively special, and this disease is more common. When kneeling and crawling, the knee joint is more likely to be affected, and anterior hip bursitis is more common; when lying on the side and crawling, the knee and elbow joints are more likely to be affected, and lateral knee bursitis and olecranon bursitis are more common; when carrying on the shoulder, the shoulder joint is more likely to be affected, and subacromial bursitis is more common. A.2 About the staging of bursitis
Bursitis in underground coal mine workers is divided into three stages: acute, subacute and chronic. The determination of the stage is directly related to the treatment and prognosis of patients with bursitis. The diagnosis and staging are mainly based on the patient's occupational history of joint trauma and friction or pressure, typical clinical symptoms and signs, and the nature of the bursal puncture fluid. The course of disease is also very important for determining the stage of bursitis. The course of acute bursitis is generally 10 to 14 days, subacute is 1 to 3 months, and chronic is more than 3 months. Among underground coal mine workers, subacute and chronic bursitis are the most common.
A.3 About the differential diagnosis of bursitis
In the diagnosis of bursitis in underground coal mine workers, this standard should pay attention to the differentiation from osteoarthritis, ganglion cyst, synovium, synovial cyst, Baker cyst, fibroma, fat pad, suppurative bursitis, rheumatoid bursitis and tuberculous bursitis. When there are difficulties, X-ray film and/or bursography can be performed. To clarify the diagnosis and staging of bursitis, pathological histological biopsy can be performed as an auxiliary.
A.4 About the treatment of bursitis
In the treatment of bursitis in coal mine workers, patients with acute bursitis have acute inflammatory changes in the bursa after injury, which can generally heal on their own after 1 to 2 weeks, so rest is the main treatment, but the affected area should be prevented from further injury or friction and compression, especially to prevent secondary infection: patients with subacute bursitis can undergo bursectomy when conservative treatment is ineffective, and X-ray film examination and/or bursography can be used to formulate a surgical plan; patients with chronic bursitis have gradually atrophied bursae, and when the skin shows hydrazine-like changes, surgical treatment should not be performed to avoid wound healing or postoperative scar formation that affects joint function.
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