Arbak Peri, Başer Ilknur, Kumbasar Özlem Ozdemir, Ülger Füsun, Kılıçaslan Zeki, Evyapan Fatma
Department of Chest Diseases, Duzce University Medical Faculty, Düzce, Turkey.
Emergency Department, Ankara Numune State Hospital, Ankara, Turkey.
ScientificWorldJournal. 2014;2014:963638. doi: 10.1155/2014/963638. Epub 2014 Jul 22.
This study aimed to assess the long-term respiratory effects of tear gases among the subjects with history of frequent exposure.
A questionnaire by NIOSH and pulmonary function tests was performed in 93 males exposed to the tear gases frequently and 55 nonexposed subjects.
The mean numbers of total exposure and last 2 years exposure were 8.4 ± 6.4 times, 5.6 ± 5.8 times, respectively. Tear gas exposed subjects were presented with a higher rate for cough and phlegm more than 3 months (24.7% versus 11.3%, P > 0.05). Mean FEV1/FVC and % predicted MMFR in smoker exposed subjects are significantly lower than those in smoker controls (81.7% versus 84.1%, P = 0.046 and 89.9% versus 109.6%, P = 0.0004, resp.). % predicted MMFR in nonsmoker exposed subjects is significantly lower than that in nonsmoker controls (99.4% versus 113.1%, P = 0.05). Odds ratios for chest tightness, exercise dyspnea, dyspnea on level ground, winter morning cough, phlegm, and daily phlegm were increased almost 2 to 2.5 folds among tear gas exposed subjects.
The rates for respiratory complaints were high in the case of the exposure to the tear gases previously. Tears gas exposed subjects were found to be under the risk for chronic bronchitis.
本研究旨在评估有频繁接触史的受试者中催泪瓦斯的长期呼吸影响。
对93名频繁接触催泪瓦斯的男性和55名未接触者进行了美国国家职业安全与健康研究所的问卷调查及肺功能测试。
总接触次数的平均值和过去两年接触次数的平均值分别为8.4±6.4次、5.6±5.8次。接触催泪瓦斯的受试者咳嗽和咳痰超过3个月的发生率更高(24.7%对11.3%,P>0.05)。接触催泪瓦斯的吸烟者的平均第一秒用力呼气容积/用力肺活量(FEV1/FVC)和预计最大呼气中期流速百分比(%predicted MMFR)显著低于吸烟对照组(分别为81.7%对84.1%,P=0.046;89.9%对109.6%,P=0.0004)。未接触催泪瓦斯的非吸烟者的预计最大呼气中期流速百分比显著低于未接触者对照组(99.4%对113.1%,P=0.05)。接触催泪瓦斯的受试者出现胸闷、运动性呼吸困难、平地呼吸困难、冬季晨间咳嗽、咳痰及每日咳痰的比值比增加了近2至2.5倍。
既往接触催泪瓦斯者呼吸系统症状发生率较高。发现接触催泪瓦斯的受试者存在患慢性支气管炎的风险。