Saha Ratnadeep, Dey Netai Chandra, Samanta Amalendu, Biswas Rajib
Department of Physiology, Universal College of Medical Sciences, Nepal.
J Occup Health. 2008;50(6):512-20. doi: 10.1539/joh.o7005. Epub 2008 Oct 30.
Cardiac strain was evaluated in terms of working heart rate (WHR), relative cardiac cost (RCC), net cardiac cost (NCC) and other recovery indices among six younger (mean age 34.2 +/- 2.7 yr) and sixteen older (mean age 48.9 +/- 5.4 yr) drillers working in a manual underground coal mine over two spells of work. The mean WHR was within the range of 117-132 beats / min with corresponding mean relative cardiac cost between 44-48% of heart rate reserve for the younger group and 53-55% for their older counterparts. The mean NCC was above 50 beats/min for both age groups. It was seen that the workers surpassed the recommended limits of cardiac strain indices. The intensity of workload indicates the job to be "heavy" to "extremely heavy" in accordance with the heaviness scales based on WHR, NCC and recovery heart rates. Heat stress prevailing in the workplace in terms of effective temperature (ET) and wet bulb globe temperature (WBGT), was above the recommended limits as per the guidelines proposed by WHO and ACGIH. High physiological demands of the job which requires predominate static muscular exertions coupled with high heat stress were found to hinder the recovery process and may prove deleterious particularly for the older workers. Therefore, in the present context, the need of ergonomic interventions for job organization and quick reparation of environmental condition are strongly indicted.
在两个工作时段内,对六名年轻(平均年龄34.2±2.7岁)和十六名年长(平均年龄48.9±5.4岁)的井下煤矿手工钻探工人的心脏应变进行了评估,评估指标包括工作心率(WHR)、相对心脏成本(RCC)、净心脏成本(NCC)和其他恢复指标。年轻组的平均工作心率在117 - 132次/分钟范围内,相应的平均相对心脏成本为心率储备的44 - 48%,年长组为53 - 55%。两个年龄组的平均净心脏成本均高于50次/分钟。结果发现,这些工人超过了心脏应变指标的推荐限值。根据基于工作心率、净心脏成本和恢复心率的繁重程度量表,工作量强度表明该工作为“繁重”至“极其繁重”。根据世界卫生组织(WHO)和美国政府工业卫生学家会议(ACGIH)提出的指南,工作场所中以有效温度(ET)和湿球黑球温度(WBGT)衡量的热应激高于推荐限值。发现该工作对生理要求较高,需要大量静态肌肉用力,同时热应激较高,这阻碍了恢复过程,可能对年长工人尤其有害。因此,在当前情况下,强烈建议对工作组织进行人体工程学干预,并迅速改善环境条件。