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一项针对从事轧棉加工的工人的呼吸功能研究。

A study of respiratory function among the workers engaged in ginning processes.

作者信息

Saha Asim, Doctor Pankaj B, Bhagia Lakho J, Majumdar Prabhat K, Patel Bhupendra D

机构信息

Department of Occupational Medicine, Regional Occupational Health Centre (Eastern), Kolkata, West Bengal, India.

Department of Microbiology, National Institute of Occupational Health, Ahmedabad, Gujarat, India.

出版信息

Indian J Occup Environ Med. 2014 Sep-Dec;18(3):118-21. doi: 10.4103/0019-5278.146908.

Abstract

BACKGROUND

Known respiratory health effects of exposure to cotton dust are mainly altered pulmonary function findings and symptom of chest tightness. A number of studies have been carried out all over the world to enumerate and evaluate the health effects of cotton dust exposed workers in different processes. However, such studies carried out in ginning industry especially in Indian context are scanty.

OBJECTIVES

This study was initiated to explore occupational and morbidity details and respiratory functional status of the exposed workers as well as to investigate across the working shift pulmonary function changes.

MATERIALS AND METHODS

A cross-sectional study was conducted including workers from ginning units where principal exposure is from cotton dust. All the workers of the selected ginning units were subjected to an interview with a predesigned questionnaire to collect occupational and medical history, clinical examination and pulmonary function test.

RESULTS

In this present study, no cross-shift significant change in relation to PEFR and FEV1 values is observed. However, chronic effect on lung function is observed in a few subjects and declining trend of values was observed with increasing job duration as well as age of workers and among smokers. Other health problems among these subjects were backache and joint pain.

CONCLUSIONS

Studies on cotton textile workers have shown both cross-shift and chronic decline of values. In this study on ginning workers, chronic effect only is observed. This difference of observation may be explained by different nature of exposure in case of ginning. This study recommends regular periodic clinical examination, lung function test and monitoring of dust, gram-negative bacteria and endotoxins in such workplaces.

摘要

背景

已知接触棉尘对呼吸健康的影响主要是肺功能改变和胸闷症状。世界各地已经开展了多项研究,以列举和评估不同工序中接触棉尘工人的健康影响。然而,在轧棉行业开展的此类研究,尤其是在印度背景下的研究却很少。

目的

本研究旨在探究接触棉尘工人的职业和发病情况细节以及呼吸功能状态,并调查整个工作班次期间肺功能的变化。

材料与方法

开展了一项横断面研究,纳入了来自轧棉厂的工人,这些工人主要接触棉尘。对所选轧棉厂的所有工人进行了访谈,使用预先设计的问卷收集职业和病史、临床检查及肺功能测试结果。

结果

在本研究中,未观察到呼气峰流速(PEFR)和第1秒用力呼气容积(FEV1)值在班次间有显著变化。然而,在少数受试者中观察到了对肺功能的慢性影响,并且随着工作年限增加、工人年龄增长以及吸烟者中,这些值呈现下降趋势。这些受试者中的其他健康问题包括背痛和关节痛。

结论

对棉纺织工人的研究显示,相关数值在班次间和长期都有下降。在这项针对轧棉工人的研究中,仅观察到了慢性影响。这种观察结果的差异可能是由于轧棉过程中接触的性质不同所致。本研究建议在此类工作场所定期进行临床检查、肺功能测试,并监测粉尘、革兰氏阴性菌和内毒素。

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