Convery R, Ward A, Ward R, Bromly C L, Dennis J H, Stenton S C, Bourke S J, Hendrick D J
Department of Respiratory Medicine, Royal Victoria Infirmary, University of Newcastle upon Tyne and Regional Unit for Occupational Lung Disease, Newcastle upon Tyne, UK.
Occup Med (Lond). 2001 Mar;51(2):100-6. doi: 10.1093/occmed/51.2.100.
Inhalation provocation tests were used to assess whether the volatile products of an activated resin had caused occupational asthma in a non-random sample of six asthmatic coal miners. The resin system uses the polymerization of polyester and styrene under the influence of the cross-linking agent dibenzoyl peroxide to secure roof, wall and floor bolts in mine tunnels. The tests were conducted sequentially in a double-blind fashion over a 'dose' range which extended just beyond the maximum likely to have been experienced occupationally during a single day's work. The tests were monitored by symptoms, changes in the forced expiratory volume in 1 s (FEV1) and changes in airway responsiveness. All subjects completed the series of tests without any significant decrements in FEV1 or significant increases in airway responsiveness. We conclude that the use of this resin system is not likely to have been the cause of the asthma in the test subjects, nor in the larger group of miners of which they were a sample, but neither possibility is fully excluded and the participants may not have been adequately representative of other asthmatic coal miners.
采用吸入激发试验,对6名患哮喘的煤矿工人的非随机样本进行评估,以确定活性树脂的挥发性产物是否引发了职业性哮喘。该树脂系统利用聚酯和苯乙烯在交联剂过氧化二苯甲酰的作用下发生聚合反应,用于固定矿井巷道中的顶板、墙壁和地板锚杆。试验以双盲方式在一个“剂量”范围内依次进行,该范围略超过单日工作中可能接触到的最大剂量。通过症状、一秒用力呼气量(FEV1)的变化以及气道反应性的变化对试验进行监测。所有受试者均完成了一系列试验,FEV1没有任何显著下降,气道反应性也没有显著增加。我们得出结论,使用这种树脂系统不太可能是受试对象哮喘的病因,也不太可能是他们所代表的更大群体煤矿工人哮喘的病因,但这两种可能性都不能完全排除,而且这些参与者可能无法充分代表其他患哮喘的煤矿工人。