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空气传播颗粒物(PM10)与气管黏液:一项在美国纯种赛马场进行的病例对照研究。

Airborne particulates (PM10) and tracheal mucus: A case-control study at an American Thoroughbred racetrack.

作者信息

Millerick-May M L, Karmaus W, Derksen F J, Berthold B, Robinson N E

机构信息

Department of Medicine, College of Human Medicine, Michigan State University, East Lansing, USA.

School of Public Health, University of Memphis, Tennessee, USA.

出版信息

Equine Vet J. 2015 Jul;47(4):410-4. doi: 10.1111/evj.12303. Epub 2014 Aug 15.

Abstract

REASONS FOR PERFORMING STUDY

Particle mapping within stalls has demonstrated a relationship between particulate concentrations and visible accumulations of tracheal mucus. However, measurement of breathing zone particulate concentrations, which is the most accurate way to measure exposure, has not been performed to determine the relationship between exposures and accumulations of tracheal mucus sufficient to affect performance.

OBJECTIVES

To compare breathing zone particulate exposures between horses with tracheal mucus scores (MS) previously demonstrated to affect performance (MS≥2) and those without (MS = 0) visible tracheal mucus.

STUDY DESIGN

Case-control study.

METHODS

We endoscopically examined 649 Thoroughbred racehorses over 7 months and selected 113 age-matched cases and controls based on the presence (MS≥2) or absence (MS = 0) of tracheal mucus, respectively. Inflammatory cell numbers in tracheal lavage were also determined. Breathing zone monitors recorded particulate exposure during 3 time periods (mid-day, evening and overnight). Total recording time averaged 17.5 h/horse.

RESULTS

The overall prevalence of MS≥2 in the observed stables was 23%. Breathing zone particular matter (PM10) concentrations were very similar to previously reported ambient concentrations. During the evening and overnight, cases had significantly higher breathing zone PM10 concentrations and neutrophil counts than controls. Inflammatory cell counts were associated with average PM10 concentrations throughout the day.

CONCLUSIONS

Breathing zone particulate concentrations are associated with MS≥2 and inflammatory cell numbers. If breathing zone particulate exposures are predominantly influenced by ambient PM concentrations, racing stable management practices to reduce particle exposures should greatly reduce the prevalence of tracheal mucus.

摘要

开展本研究的原因

畜栏内的颗粒映射已表明颗粒浓度与气管黏液可见积聚之间存在关联。然而,尚未通过测量呼吸区颗粒浓度(这是测量暴露的最准确方法)来确定暴露与足以影响性能的气管黏液积聚之间的关系。

目的

比较先前已证明会影响性能(黏液评分[MS]≥2)的马匹与无可见气管黏液(MS = 0)的马匹之间呼吸区颗粒暴露情况。

研究设计

病例对照研究。

方法

我们在7个月内对649匹纯种赛马进行了内镜检查,并根据气管黏液的存在情况(MS≥2)或不存在情况(MS = 0)分别选择了113匹年龄匹配的病例和对照。还测定了气管灌洗中的炎性细胞数量。呼吸区监测仪记录了3个时间段(中午、傍晚和夜间)的颗粒暴露情况。每匹马的总记录时间平均为17.5小时。

结果

观察到的畜栏中MS≥2的总体患病率为23%。呼吸区颗粒物(PM10)浓度与先前报告的环境浓度非常相似。在傍晚和夜间,病例的呼吸区PM10浓度和中性粒细胞计数显著高于对照。炎性细胞计数与全天平均PM10浓度相关。

结论

呼吸区颗粒浓度与MS≥2和炎性细胞数量相关。如果呼吸区颗粒暴露主要受环境PM浓度影响,那么减少颗粒暴露的赛马厩管理措施应能大大降低气管黏液的患病率。

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