Löfstedt Håkan, Hagström Katja, Bryngelsson Ing-Liss, Holmström Mats, Rask-Andersen Anna
a Department of Occupational and Environmental Medicine, Faculty of Medicine and Health Örebro University , Örebro , Sweden.
b Division of Ear, Nose and Throat Diseases, Department of Clinical Science , Intervention and Technology, Karolinska Institutet , Stockholm , Sweden.
Ups J Med Sci. 2017 Jun;122(2):78-84. doi: 10.1080/03009734.2017.1285836. Epub 2017 Mar 1.
Wood pellets are used as a source of renewable energy for heating purposes. Common exposures are wood dust and monoterpenes, which are known to be hazardous for the airways. The purpose of this study was to study the effect of occupational exposure on respiratory health in wood pellet workers.
Thirty-nine men working with wood pellet production at six plants were investigated with a questionnaire, medical examination, allergy screening, spirometry, and nasal peak expiratory flow (nasal PEF). Exposure to wood dust and monoterpenes was measured.
The wood pellet workers reported a higher frequency of nasal symptoms, dry cough, and asthma medication compared to controls from the general population. There were no differences in nasal PEF between work and leisure time. A lower lung function than expected (vital capacity [VC], 95%; forced vital capacity in 1 second [FEV], 96% of predicted) was noted, but no changes were noted during shifts. There was no correlation between lung function and years working in pellet production. Personal measurements of wood dust at work showed high concentrations (0.16-19 mg/m), and exposure peaks when performing certain work tasks. Levels of monoterpenes were low (0.64-28 mg/m). There was no association between exposure and acute lung function effects.
In this study of wood pellet workers, high levels of wood dust were observed, and that may have influenced the airways negatively as the study group reported upper airway symptoms and dry cough more frequently than expected. The wood pellet workers had both a lower VC and FEV than expected. No cross-shift changes were found.
木颗粒被用作取暖的可再生能源。常见的暴露源是木屑和单萜类化合物,已知它们对呼吸道有害。本研究的目的是探讨职业暴露对木颗粒工人呼吸健康的影响。
对六家工厂从事木颗粒生产的39名男性进行了问卷调查、医学检查、过敏筛查、肺活量测定和鼻呼气峰值流量(鼻PEF)检测。测量了木屑和单萜类化合物的暴露情况。
与普通人群的对照组相比,木颗粒工人报告的鼻部症状、干咳和哮喘药物使用频率更高。工作时间和休闲时间的鼻PEF没有差异。观察到肺功能低于预期(肺活量[VC]为预测值的95%;一秒用力肺活量[FEV]为预测值的96%),但轮班期间没有变化。肺功能与木颗粒生产工作年限之间没有相关性。工作时木屑的个人测量结果显示浓度较高(0.16 - 19毫克/立方米),并且在执行某些工作任务时出现暴露峰值。单萜类化合物的水平较低(0.64 - 28毫克/立方米)。暴露与急性肺功能影响之间没有关联。
在这项对木颗粒工人的研究中,观察到木屑水平较高,这可能对气道产生了负面影响,因为研究组报告上呼吸道症状和干咳的频率高于预期。木颗粒工人的VC和FEV均低于预期。未发现轮班期间的变化。