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家具装饰专业学生的呼吸道症状及呼气峰值流速

Respiratory symptoms and peak expiratory flow rates among furniture-decoration students.

作者信息

Arbak Peri, Bilgin Cahit, Balbay Oner, Yeşildal Nuray, Annakkaya Ali Nihat, Ulger Füsun

机构信息

Abant Izzet Baysal University, Duzce Faculty of Medicine, Department of Pulmonary Diseases, Duzce, Turkey.

出版信息

Ann Agric Environ Med. 2004;11(1):13-7.

Abstract

This study was designed to evaluate the effects of furniture production, mainly including fir tree (aberia mulleriana), on respiratory health of young workers and to compare the results with those obtained from previous studies. Sixty-four furniture-decoration students (57 males and 7 females) and 62 controls (54 male, 8 female) from different departments in the same school were included into the study. All participants were assessed with a questionnaire (concerning history of occupational exposure, work-related respiratory and other symptoms, smoking history, previous asthma history), full physical examination, spirometric evaluation and chest radiograph. Participants then performed serial monitoring of peak expiratory flow rates (PEFR) at work and away from work within a month. Mean age of students was 20.9 +/- 3.7 years, 20.5 +/- 2.6 years in controls. There was no difference between study and control groups with regard to age, gender, smoking status and previous asthma history. Reported cough (23.4 % vs. 8.1 %) and shortness of breath (18.8 % vs. 6.5 %) were significantly higher in furniture-decoration students than in controls (p = 0.016 and p = 0.034, respectively). Furniture-decoration students had higher conjunctivitis (34.4 % vs. 9.7 %, p = 0.001) and rhinitis (34.4 % vs. 19.4 %, p = 0.044) history when compared with controls. Both students and controls were normal in terms of respiratory examination. PEF recordings were performed for approximately one month. Diurnal variability greater than 20 % was seen in 12/64 (18.7 %) of students at work, whereas it was detected in 4/62 (6.4 %) of controls (p = 0.034). When comparing for the presence of diurnal variability greater than 20 % in weekends, no difference was found between groups (p = 0.457). In conclusion, early detection of work-related respiratory changes by serial monitoring of peak expiratory flows should save the workers from hazardous respiratory effects of the furniture production, especially in young population.

摘要

本研究旨在评估家具生产(主要包括冷杉树)对年轻工人呼吸健康的影响,并将结果与先前研究所得结果进行比较。来自同一所学校不同系的64名家具装饰专业学生(57名男性和7名女性)和62名对照组人员(54名男性,8名女性)被纳入研究。所有参与者均通过问卷(涉及职业接触史、与工作相关的呼吸及其他症状、吸烟史、既往哮喘病史)、全面体格检查、肺功能评估和胸部X光检查进行评估。参与者随后在一个月内对工作时和非工作时的呼气峰值流速(PEFR)进行连续监测。学生的平均年龄为20.9±3.7岁,对照组为20.5±2.6岁。研究组和对照组在年龄、性别、吸烟状况和既往哮喘病史方面无差异。家具装饰专业学生报告的咳嗽(23.4%对8.1%)和呼吸急促(18.8%对6.5%)明显高于对照组(p分别为0.016和0.034)。与对照组相比,家具装饰专业学生有更高的结膜炎病史(34.4%对9.7%,p = 0.001)和鼻炎病史(34.4%对19.4%,p = 0.044)。学生和对照组在呼吸检查方面均正常。PEF记录进行了约一个月。工作时,12/64(18.7%)的学生出现大于20%的日变化率,而对照组为4/62(6.4%)(p = 0.034)。比较周末大于20%的日变化率的存在情况时,两组之间未发现差异(p = 0.457)。总之,通过连续监测呼气峰值流速早期发现与工作相关的呼吸变化,应能使工人免受家具生产对呼吸的有害影响,尤其是在年轻人群中。

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