Calvert G M, Moore M, Hessl S M
Division of Occupational Medicine, Cook County Hospital, Chicago, Illinois.
Br J Ind Med. 1991 Jan;48(1):38-40. doi: 10.1136/oem.48.1.38.
The ventilatory function of 406 male former coal miners who had presented at the Cook County Hospital occupational medicine clinic between January 1976 and April 1987 was studied to determine whether subsequent exposure to respiratory hazards after leaving the coal mines adversely affected lung function. The miners were divided into five exposure groups based on their exposure to respirable hazards. These were coal dust only, coal dust plus asbestos dust, coal dust plus silica dust, coal dust plus another respirable hazard and coal dust plus two other respirable dust exposures. Duration of employment in coal mines, race, smoking history, and mean age were not significantly different between the various exposure groups. No significant difference was found in the per cent of predicted forced expiratory volume in one second (FEV1), per cent of predicted forced vital capacity (FVC), and FEV1/FVC when the coal dust only group was compared with each of the other four exposure groups using ANOVA. Among former coal miners who present for a respiratory disability determination, therefore, exposure to respirable hazards subsequent to employment in coal mines is not associated with a statistically significant deterioration in ventilatory function.
对1976年1月至1987年4月期间在库克县医院职业医学诊所就诊的406名男性 former coal miners 的通气功能进行了研究,以确定离开煤矿后再次接触呼吸性危害因素是否会对肺功能产生不利影响。根据接触可吸入性危害因素的情况,将这些矿工分为五个接触组。分别是仅接触煤尘、接触煤尘加石棉尘、接触煤尘加矽尘、接触煤尘加另一种可吸入性危害因素以及接触煤尘加另外两种可吸入性粉尘。各接触组之间在煤矿工作的时长、种族、吸烟史和平均年龄方面无显著差异。当使用方差分析将仅接触煤尘组与其他四个接触组逐一比较时,一秒用力呼气量(FEV1)占预计值的百分比、用力肺活量(FVC)占预计值的百分比以及FEV1/FVC均未发现显著差异(ANOVA)。因此,在前来进行呼吸功能残疾鉴定的 former coal miners 中,离开煤矿后接触可吸入性危害因素与通气功能的统计学显著恶化无关。