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土耳其牙科实验室工作人员的尘肺病及与工作相关的健康问题。

Pneumoconiosis and work-related health complaints in Turkish dental laboratory workers.

作者信息

Cimrin Arif, Kömüs Nuray, Karaman Canan, Tertemiz Kemal Can

机构信息

Department of Chest Diseases, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.

出版信息

Tuberk Toraks. 2009;57(3):282-8.

Abstract

Dental technicians make the missing tooth and complementary prosthesis and bridges according to the dentist's measurements. They use various materials including silica. Exposure to these materials increases the multi-systemic health problems in addition to respiratory health problems related with work. We planned to evaluate the work history, working conditions and frequency of health problems including pneumoconiosis. Two hundred and fourteen cases in total from 9 workplaces were evaluated. A face to face questionnaire was used to determine the demographic features of workers and standard chest X-rays were evaluated by an expert reader according to ILO 1980 standards. Mean age of the workers was 28.1 + or - 8.3. Seventy four cases were non-smoker. Mean daily working time was 11.0 + or - 1.6 hours. Mean total working period in this sector was 12.1 + or - 9.0 years. One hundred cases had at least 1 respiratory complaint. Radiological findings were correlated with pneumoconiosis in 33 (23.6%) workers. Pneumoconiosis frequency was 50.0% in cases with sandblasting history. There was not any significant correlation between pneumoconiosis and cough, sputum, dyspnea, wheezing, physical examination findings and tenure. Dental technicians have serious respiratory risks including dermal and muscle-skeleton system arising from occupational setting in Turkey. Working conditions in dental laboratories must be improved by informing the workers and workplaces must be regularly controlled for worker health and hygiene.

摘要

牙科技术人员根据牙医的测量制作缺失牙齿、补体修复体和牙桥。他们使用包括二氧化硅在内的各种材料。接触这些材料除了会引发与工作相关的呼吸健康问题外,还会增加多系统健康问题。我们计划评估工作经历、工作条件以及包括尘肺病在内的健康问题发生频率。对来自9个工作场所的总共214个案例进行了评估。通过面对面问卷调查确定工人的人口统计学特征,并由一名专家读者根据国际劳工组织1980年标准对标准胸部X光片进行评估。工人的平均年龄为28.1±8.3岁。74例为非吸烟者。平均每日工作时间为11.0±1.6小时。该行业的平均总工作年限为12.1±9.0年。100例至少有1项呼吸道症状。33名(23.6%)工人的放射学检查结果与尘肺病相关。有喷砂史的病例中尘肺病发生率为50.0%。尘肺病与咳嗽、咳痰、呼吸困难、喘息、体格检查结果和工作年限之间均无显著相关性。在土耳其,牙科技术人员面临严重的呼吸风险,包括因职业环境导致的皮肤和肌肉骨骼系统风险。必须通过告知工人来改善牙科实验室的工作条件,并且必须定期对工作场所进行检查,以确保工人的健康和卫生。

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