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棉尘暴露:肺功能与呼吸道症状分析

Cotton dust exposure: Analysis of pulmonary function and respiratory symptoms.

作者信息

Dangi Bharat M, Bhise Anjali R

机构信息

Department of Physiotherapy, Government Spine Institute and Physiotherapy College, Civil Hospital Campus, Ahmedabad, Gujarat, India.

出版信息

Lung India. 2017 Mar-Apr;34(2):144-149. doi: 10.4103/0970-2113.201319.

Abstract

BACKGROUND

Cotton industry workers are exposed to various hazards in the different departments of textile factories. The major health problems associated with cotton dust are respiratory problems, byssinosis, bronchitis and asthma.

OBJECTIVE

To study the effect of cotton dust exposure on pulmonary function and respiratory symptoms.

SETTINGS AND DESIGN

This cross-sectional observational study was conducted at cotton mill in the Ahmedabad city.

MATERIALS AND METHODS

One hundred cotton mill workers of the weaving and spinning area participated in this study while 100 age- and gender-matched male subjects living in the residential area served as the control group. A questionnaire was used to inquire about respiratory symptoms and spirometry was done in both the groups.

STATISTICAL ANALYSIS USED

Student's -test was used to find the difference between spirometric parameters, and Chi-square test was used to find the difference between respiratory symptoms.

RESULTS

Respiratory symptoms were statistically significantly more common in the cotton mill workers compared to control group. Cotton mill workers group also showed significant ( < 0.0001) decrease in forced expiratory volume in 1 s (FEV1), ratio of FEV1 and forced vital capacity (FVC) and peak expiratory flow rate, and no significant difference of FVC between groups. There was an association of duration of exposure and symptoms with spirometric abnormality.

CONCLUSION

Cotton mill workers showed a significant decrease in spirometric parameters and increase in respiratory symptoms. As the duration of exposure and symptoms increased, spirometric abnormality increased.

摘要

背景

棉纺织行业工人在纺织厂的不同部门会接触到各种危害因素。与棉尘相关的主要健康问题是呼吸道问题、棉尘肺、支气管炎和哮喘。

目的

研究接触棉尘对肺功能和呼吸道症状的影响。

设置与设计

这项横断面观察性研究在艾哈迈达巴德市的棉纺织厂进行。

材料与方法

织布和纺纱车间的100名棉纺织厂工人参与了本研究,同时选取100名居住在居民区、年龄和性别匹配的男性作为对照组。使用问卷询问呼吸道症状,并对两组进行肺功能测定。

所用统计分析方法

采用学生t检验来找出肺功能参数之间的差异,采用卡方检验来找出呼吸道症状之间的差异。

结果

与对照组相比,棉纺织厂工人的呼吸道症状在统计学上更为常见。棉纺织厂工人组的第1秒用力呼气量(FEV1)、FEV1与用力肺活量(FVC)的比值以及呼气峰值流速也显著降低(<0.0001),两组间FVC无显著差异。暴露时间和症状与肺功能异常之间存在关联。

结论

棉纺织厂工人的肺功能参数显著降低,呼吸道症状增加。随着暴露时间和症状的增加,肺功能异常也增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a38/5351356/bc16d57d21f3/LI-34-144-g005.jpg

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