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铸造工人职业性哮喘和呼吸道症状的患病率

Prevalence of occupational asthma and respiratory symptoms in foundry workers.

作者信息

Kayhan Servet, Tutar Umit, Cinarka Halit, Gumus Aziz, Koksal Nurhan

机构信息

Department of Chest Disease, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, Turkey.

出版信息

Pulm Med. 2013;2013:370138. doi: 10.1155/2013/370138. Epub 2013 Sep 22.

Abstract

This cross-sectional study was conducted in a foundry factory to assess the prevalence of respiratory symptoms and occupational asthma in foundry workers. Physical examination, spirometric evaluation, chest radiograph, and a questionnaire related to respiratory symptoms were performed. Monitoring of peak expiratory flow rates, spirometric reversibility test, and high-resolution computed tomographies were performed for the participants having respiratory symptoms and/or impaired respiratory function test. A total of 347 participants including 286 workers from production department and 61 subjects who worked in nonproduction departments were enrolled in this study. It is found that phlegm (n: 71, 20.46%) and cough (n: 52, 14.98%) were the most frequent symptoms. The other symptoms were breathlessness (n: 28, 8.06%), chest tightness (n: 14, 4.03%), and wheezing (n: 7, 2.01%) . The prevalence of occupational asthma was found to be more frequent among the subjects who worked in the production department (n: 48, 16.78% ) than the other persons who worked in the nonproduction department (n: 3, 4.91%) by chi-square test (P: 0.001). To prevent hazardous respiratory effects of the foundry production, an early diagnosis of occupational asthma is very important. Cessation of cigarette smoking and using of protective masks during the working time should be encouraged.

摘要

本横断面研究在一家铸造厂开展,以评估铸造工人呼吸道症状和职业性哮喘的患病率。进行了体格检查、肺功能评估、胸部X光检查以及与呼吸道症状相关的问卷调查。对有呼吸道症状和/或呼吸功能测试受损的参与者进行了呼气峰值流速监测、肺功能可逆性测试和高分辨率计算机断层扫描。本研究共纳入347名参与者,包括生产部门的286名工人和非生产部门的61名人员。结果发现,咳痰(n = 71,20.46%)和咳嗽(n = 52,14.98%)是最常见的症状。其他症状包括气短(n = 28,8.06%)、胸闷(n = 14,4.03%)和喘息(n = 7,2.01%)。通过卡方检验发现,职业性哮喘的患病率在生产部门工作的人员中(n = 48,16.78%)比在非生产部门工作的其他人员中(n = 3,4.91%)更高(P = 0.001)。为预防铸造生产对呼吸道的有害影响,职业性哮喘的早期诊断非常重要。应鼓励戒烟并在工作期间佩戴防护口罩。

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