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农业对肺部健康的影响。

Pulmonary health effects of agriculture.

作者信息

Nordgren Tara M, Bailey Kristina L

机构信息

aVA Nebraska Western Iowa Healthcare System bDivision of Pulmonary, Critical Care, Sleep and Allergy, University of Nebraska Medical Center, Omaha, Nebraska, USA.

出版信息

Curr Opin Pulm Med. 2016 Mar;22(2):144-9. doi: 10.1097/MCP.0000000000000247.

Abstract

PURPOSE OF REVIEW

Occupational exposures in the agricultural industry are associated with numerous lung diseases, including chronic obstructive pulmonary disease, asthma, hypersensitivity pneumonitis, lung cancer, and interstitial lung diseases. Efforts are ongoing to ascertain contributing factors to these negative respiratory outcomes and improve monitoring of environmental factors leading to disease. In this review, recently published studies investigating the deleterious effects of occupational exposures in the agricultural industry are discussed.

RECENT FINDINGS

Occupational exposures to numerous agricultural environment aerosols, including pesticides, fungi, and bacteria are associated with impaired respiratory function and disease. Increases in certain farming practices, including mushroom and greenhouse farming, present new occupational exposure concerns. Improved detection methods may provide opportunities to better monitor safe exposure levels to known lung irritants.

SUMMARY

In the agricultural industry, occupational exposures to organic and inorganic aerosols lead to increased risk for lung disease among workers. Increased awareness of respiratory risks and improved monitoring of agricultural environments are necessary to limit pulmonary health risks to exposed populations.

摘要

综述目的

农业行业中的职业暴露与多种肺部疾病相关,包括慢性阻塞性肺疾病、哮喘、过敏性肺炎、肺癌和间质性肺疾病。目前正在努力确定导致这些负面呼吸结果的因素,并加强对导致疾病的环境因素的监测。在本综述中,将讨论最近发表的关于农业行业职业暴露有害影响的研究。

最新发现

职业暴露于多种农业环境气溶胶,包括农药、真菌和细菌,与呼吸功能受损和疾病有关。某些农业实践的增加,包括蘑菇种植和温室种植,带来了新的职业暴露问题。改进的检测方法可能为更好地监测已知肺部刺激物的安全暴露水平提供机会。

总结

在农业行业中,职业暴露于有机和无机气溶胶会增加工人患肺病的风险。提高对呼吸风险的认识并加强对农业环境的监测对于将暴露人群的肺部健康风险降至最低至关重要。

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