Tunç Ozden Kurt, Aygün Remzi, Köktürk Nurdan, Ekim Numan, Tunç Irfan
Gazi University Faculty of Medicine, Healty Science Institute, Ankara, Turkey.
Tuberk Toraks. 2003;51(3):271-6.
Industrialization and developments in technology run together with health problems in workers. The aim of this study was to examine the effects of the exposure of welding fume on respiratory system. This study was carried out in 32 welders in the "Sugar Factory" in Ankara. As controls, 39 workers who were not exposed to weld fume were included in the study. A questionnaire about respiratory symptoms and exposure history, and pulmonary function tests were obtained and compared between the groups. The incidence of coughing, sputum and dyspnea was found to be statistically greater in the group of welders (65.6%, 84.4%, 68.8%) compared with the control group (33.3%, 41%, 30.8%) (p< 0.05, p< 0.001, p< 0.01). Coughing alone was present in 72.7% of smoking welders whilst sputum production was present in 90.9%. These rates were found to be lower in ex-smoker welders or the welders who had never smoked. Chronic bronchitis was observed in 21.9% of the welders whereas no cases with chronic bronchitis were found in control group. The difference was statistically significant (p< 0.01). The results of pulmonary function tests were not statistically different in welders and control group. These results indicate that the exposure of weld fumes itself may cause respiratory symptoms particularly related with chronic bronchitis therefore a great caution must be taken when dealing with welding.
工业化和技术发展与工人的健康问题相伴而生。本研究的目的是考察焊接烟尘暴露对呼吸系统的影响。本研究在安卡拉“糖厂”的32名焊工中开展。作为对照,39名未接触焊接烟尘的工人被纳入研究。获取了两组人员关于呼吸道症状和暴露史的问卷以及肺功能测试结果并进行比较。结果发现,与对照组(33.3%、41%、30.8%)相比,焊工组咳嗽、咳痰和呼吸困难的发生率在统计学上更高(65.6%、84.4%、68.8%)(p<0.05、p<0.001、p<0.01)。仅咳嗽一项,在吸烟焊工中占72.7%,咳痰的占90.9%。这些比例在已戒烟焊工或从不吸烟的焊工中较低。21.9%的焊工患有慢性支气管炎,而对照组未发现慢性支气管炎病例。差异具有统计学意义(p<0.01)。焊工组和对照组的肺功能测试结果在统计学上无差异。这些结果表明,焊接烟尘暴露本身可能会导致特别是与慢性支气管炎相关的呼吸道症状,因此在进行焊接作业时必须格外小心。