Jäppinen P, Vilkka V, Marttila O, Haahtela T
Enso-Gutzeit Oy, Occupational Health Centre, Imatra, Finland.
Br J Ind Med. 1990 Dec;47(12):824-8. doi: 10.1136/oem.47.12.824.
A study was carried out to assess possible effects of low concentrations of hydrogen sulphide on respiratory function. The cohort comprised 26 male pulp mill workers (mean age 40.3, range 22-60 years) with a daily exposure to hydrogen sulphide in the workplace, and 10 volunteers, who had asthma (three men, mean age 40.7, range 33 to 50 years, and seven women, mean age 44.1, range 31 to 61 years). The respiratory function of the pulp mill workers was monitored by measuring forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and bronchial responsiveness after at least one day off work and at the end of a workday. Bronchial responsiveness was tested by challenge with histamine. The 10 asthmatic subjects were exposed in laboratory conditions to 2 ppm of hydrogen sulphide for 30 minutes in an exposure chamber. Airway resistance (Raw) and specific airway conductance (SGaw) were assessed by a body plethysmograph, and the ventilatory capacities were measured with a flow volume spirometer. No significant changes in respiratory function or bronchial responsiveness related to exposure to hydrogen sulphide in the pulp mill workers were found. In the asthmatic subjects, Raw was increased by 26.3% and SGaw was decreased by 8.4% on average after exposure to hydrogen sulphide. These changes were not statistically significant. In two subjects, however, changes were greater than 30% in both Raw and SGaw, indicating bronchial obstruction. It is concluded that exposure for a relatively short time to hydrogen sulphide concentrations appreciably higher than those existing in ambient air do not cause noticeable effects on respiratory function.
开展了一项研究,以评估低浓度硫化氢对呼吸功能可能产生的影响。该队列包括26名男性纸浆厂工人(平均年龄40.3岁,范围22 - 60岁),他们在工作场所每日接触硫化氢,以及10名患有哮喘的志愿者(3名男性,平均年龄40.7岁,范围33至50岁,7名女性,平均年龄44.1岁,范围31至61岁)。在纸浆厂工人至少休息一天后以及工作日结束时,通过测量用力肺活量(FVC)、一秒用力呼气量(FEV1)和支气管反应性来监测其呼吸功能。通过组胺激发试验来测试支气管反应性。10名哮喘受试者在实验室条件下于暴露舱中暴露于2 ppm硫化氢30分钟。通过体容积描记法评估气道阻力(Raw)和比气道传导率(SGaw),并用流量容积肺活量计测量通气能力。未发现纸浆厂工人的呼吸功能或支气管反应性与硫化氢暴露有关的显著变化。在哮喘受试者中,暴露于硫化氢后,Raw平均增加26.3%,SGaw平均降低8.4%。这些变化无统计学意义。然而,在两名受试者中,Raw和SGaw的变化均大于30%,表明存在支气管阻塞。得出的结论是,相对短时间暴露于明显高于环境空气中硫化氢的浓度,不会对呼吸功能产生明显影响。