Sakar Ayşin, Kaya Ece, Celik Pinar, Gencer Nurhan, Temel Orhan, Yaman Nesrin, Sepit Levent, Yildirim Cetin Aydin, Dağyildizi Lale, Coşkun Evşen, Dinç Gönül, Yorgancioğlu Arzu, Cimrin Arif Hikmet
Department of Chest Diseases, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.
Tuberk Toraks. 2005;53(2):148-55.
This study is aimed to evaluate the incidence of silicosis and the relation of it with personal and work-related factors among workers exposed to silica in ceramic factory. Workers were evaluated by respiratory symptoms, physical examination, pulmonary function and radiological findings. Occupational and Enviromental Pulmonary Disease Evaluation Questionnaire of the Turkish Thoracic Society Enviromental and Occupational Pulmonary Diseases Working Group was used. 365 of 626 workers had exposure to silica and the rest 261 were concerned as control group. There was no difference between mean age, duration of work and smoking pack year among the groups (p> 0.05). Cough and sputum rates were higher in silicosis group FEV1 and FVC values were lower in silica group but this was not statistically significant. When the two subgroups of silica group (the workers in high dust concentration and the ones in low concentration) were compared, the high concentrated group had significantly more sputum but the other symptoms and pulmonary functional parameters were not different significantly. 24 workers had parenchymal densities adjusted with pneumoconiosis. The workers with the pneumoconistic finding, had a higher mean age and longer duration of work. As a conclusion, ceramic industry has risk for silicosis. And the risk increase by time and age.
本研究旨在评估陶瓷厂接触二氧化硅的工人中矽肺病的发病率及其与个人和工作相关因素的关系。通过呼吸道症状、体格检查、肺功能和影像学检查对工人进行评估。使用了土耳其胸科学会环境与职业性肺病工作组的职业和环境性肺病评估问卷。626名工人中有365名接触二氧化硅,其余261名作为对照组。各组之间的平均年龄、工作年限和吸烟包年数无差异(p>0.05)。矽肺病组咳嗽和咳痰率较高,二氧化硅组FEV1和FVC值较低,但无统计学意义。比较二氧化硅组的两个亚组(高粉尘浓度工人和低粉尘浓度工人),高浓度组咳痰明显更多,但其他症状和肺功能参数无显著差异。24名工人有符合尘肺病的实质密度。有尘肺病表现的工人平均年龄较高,工作年限较长。结论是,陶瓷行业存在矽肺病风险。且风险随时间和年龄增加。