Szczyrek Michał, Krawczyk Paweł, Milanowski Janusz, Jastrzębska Iwona, Zwolak Agnieszka, Daniluk Jadwiga
Chair of Internal Medicine and Department of Internal Medicine in Nursing, Medical University of Lublin, Poland.
Ann Agric Environ Med. 2011;18(2):310-3.
Chronic obstructive pulmonary disease (COPD) is a common inflammatory disease of the airways characterized by airflow obstruction that is not fully reversible. It is most often caused by smoking, but other factors including exposure to biological agents can play a significant role in its development. It is one of the leading causes of morbidity and mortality among the adult population worldwide. In Poland, symptoms of chronic impairment of airflow are present in 8.5% of males and 4.9% of females. Livestock farmers have an increased risk of chronic bronchitis, COPD, and reduced forced expiratory volume (FEV1). COPD in farmers working inside confinement buildings is related to organic dust exposure and may become severe. The management of COPD is aimed at improving the patient's quality of life and functional status. Currently, apart from lung transplantation, there is no treatment that would significantly improve lung function and decrease mortality. This led us to the conclusion that we should study the problem further, and cautiously monitor patients to help efforts aimed at the prevention of respiratory diseases among farmers and agricultural workers.
慢性阻塞性肺疾病（COPD）是一种常见的气道炎症性疾病，其特征为气流受限且不完全可逆。它最常由吸烟引起，但包括接触生物制剂在内的其他因素在其发展过程中也可能起重要作用。它是全球成年人口发病和死亡的主要原因之一。在波兰，气流长期受损的症状在8.5%的男性和4.9%的女性中存在。畜牧养殖户患慢性支气管炎、慢性阻塞性肺疾病以及用力呼气量（FEV1）降低的风险增加。在封闭式畜舍内工作的农民患慢性阻塞性肺疾病与接触有机粉尘有关，且病情可能会加重。慢性阻塞性肺疾病的管理旨在提高患者的生活质量和功能状态。目前，除了肺移植外，没有哪种治疗方法能显著改善肺功能并降低死亡率。这使我们得出结论，我们应该进一步研究这个问题，并谨慎监测患者，以助力预防农民和农业工人呼吸系统疾病的工作。
