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从事不同专业潜水领域工作的潜水员的潜水暴露情况及健康影响。

Diving exposure and health effects in divers working in different areas of professional diving.

作者信息

Irgens Ågot, Troland Kari, Djurhuus Rune, Grønning Marit

机构信息

Norwegian Centre for Diving Medicine, Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.

出版信息

Int Marit Health. 2016;67(4):235-242. doi: 10.5603/IMH.2016.0042.

Abstract

BACKGROUND

The aim of the present study was to compare diving exposure and health effects in different areas of professional diving.

MATERIALS AND METHODS

The Norwegian Labour Inspection Authority's Diving Register contains data on all professional inshore divers who have held a diving certificate at any time since 1980. Of these divers, the "Norwegian diver 2011" questionnaire was completed by 2848 (48.7%). A total of 1167 male divers reported that they often worked in one area of diving only (rescue diving, diving instruction, fish farming, quay/construction work and offshore/oil related). In the analysis of these divers, rescue divers were used as referents as they reported the lowest number of dives.

RESULTS

Age distribution, the proportion of retired divers and the mean number of dives completed varied between the different areas of professional diving. Compared to rescue divers, divers in fish farming, quay/ /construction work and offshore/oil related work more often experienced physically demanding diving. Divers in fish farming more often had no day off after 3 days of physically demanding work compared to rescue divers. All groups except offshore divers reported making further dives after one physically demanding dive on the same day. All groups reported more frequent decompression sickness than did the referents and divers in quay/construction and offshore/oil related diving reported more frequent episodes of unconsciousness during diving than did the referents. Divers in fish farming, in quay/construction work and oil/ /offshore related diving obtained a higher symptom score than the referents and the two latter groups also reported more frequent adverse health effects due to diving than the referents. Health related physical and mental component summary scores were lower in all other groups than in referents.

CONCLUSIONS

Compared to the rescue divers, divers in quay/construction work and offshore/oil related divers reported more adverse health effects and obtained a higher symptom score.

摘要

背景

本研究的目的是比较职业潜水不同领域的潜水暴露情况和健康影响。

材料与方法

挪威劳动监察局的潜水登记册包含自1980年以来任何时候持有潜水证书的所有职业近海潜水员的数据。在这些潜水员中,2848名(48.7%)完成了“2011年挪威潜水员”问卷调查。共有1167名男性潜水员报告称他们仅在一个潜水领域工作(救援潜水、潜水教学、水产养殖、码头/建筑工作以及近海/石油相关工作)。在对这些潜水员的分析中,救援潜水员被用作对照,因为他们报告的潜水次数最少。

结果

职业潜水不同领域的年龄分布、退休潜水员比例以及完成的潜水平均次数各不相同。与救援潜水员相比,水产养殖、码头/建筑工作以及近海/石油相关工作的潜水员更常经历体力要求高的潜水。与救援潜水员相比,水产养殖的潜水员在经历三天体力要求高的工作后更常没有休息日。除近海潜水员外,所有组都报告在同一天进行一次体力要求高的潜水后还会进行更多潜水。所有组报告的减压病发生率均高于对照组,码头/建筑和近海/石油相关潜水的潜水员报告潜水期间失去意识的发作比对照组更频繁。水产养殖、码头/建筑工作以及石油/近海相关潜水的潜水员获得的症状评分高于对照组,后两组报告因潜水导致的不良健康影响也比对照组更频繁。所有其他组与健康相关的身体和心理成分综合评分均低于对照组。

结论

与救援潜水员相比,码头/建筑工作的潜水员和近海/石油相关潜水员报告的不良健康影响更多,且获得的症状评分更高。

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