Zuskin E, Valić F, Butković D, Bouhuys A
Br J Ind Med. 1975 Nov;32(4):283-88. doi: 10.1136/oem.32.4.283.
Acute changes in ventilatory function during a workshift with exposure to hemp, flax, and cotton dust were measured on Mondays in a group of 61 textile workers, all working on carding machines. In addition, single-breath diffusing capacity (DLCOSB) was measured before dust exposure on Monday in 30 of the 61 workers. Large acute reductions during dust exposure were recorded in maximum expiratory flow rate at 50% VC (MEF50%), ranging from 38 to 22%. Acute reductions of FEV1-0 were considerably smaller, ranging from 17 to 9%. There was a statistically significant increase in residual volume (RV) with very small and insignificant changes in total lung capacity (TLC). Although preshift FEV1-0 and FVC were decreased, DLCOSB was within normal limits. Plethysmographic measurements in six healthy volunteers exposed to hemp-dust extract confirmed the results obtained in textile workers, that is, that TLC does not change significantly during dust-induced airway constriction and that maximum expiratory flow rate at 50% VC (MEF50%) is a more sensitive test than FEV1-0 in detecting acute ventilatory changes caused by the dust extract.
在周一,对一组61名均操作梳棉机的纺织工人,测量了他们在接触大麻、亚麻和棉花粉尘的一个工作日期间通气功能的急性变化。此外,在周一的61名工人中,对30人在粉尘暴露前测量了单次呼吸弥散量(DLCOSB)。在粉尘暴露期间,50%肺活量时的最大呼气流量(MEF50%)出现了大幅急性下降,下降幅度为38%至22%。FEV1-0的急性下降幅度要小得多,为17%至9%。残气量(RV)有统计学意义的增加,而肺总量(TLC)变化非常小且无统计学意义。尽管班前FEV1-0和FVC降低,但DLCOSB在正常范围内。对6名接触大麻粉尘提取物的健康志愿者进行的体积描记法测量证实了在纺织工人中获得的结果,即在粉尘诱导的气道收缩期间TLC没有显著变化,并且在检测由粉尘提取物引起的急性通气变化时,50%肺活量时的最大呼气流量(MEF50%)比FEV1-0更敏感。