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[哥伦比亚派帕煤矿工人人群中的肺功能测定]

[Spirometry in a population of coal miners in Paipa, Colombia].

作者信息

González Nubia, Díaz Sara Lucía, Wilches Myriam Rocío, Franky Mabel Patricia, Méndez A Cesar, Herrera Andrea Del Rosario

机构信息

Grupo de Investigación HYGEA, Facultad Ciencias de la Salud, Universidad de Boyacá, Tunja, Colombia.

出版信息

Biomedica. 2017 Dec 1;37(4):498-506. doi: 10.7705/biomedica.v37i4.3364.

Abstract

INTRODUCTION

Respiratory diseases resulting from exposure to particulate matter such as in coal mining remains a research challenge in this country and a public health issue. Spirometry is a basic test of fundamental respiratory function for the diagnosis and monitoring of these types of chronic lung diseases.

OBJECTIVE

To determine spirometric values in the coal mining municipality of Paipa and their association with age and occupational exposure times.

MATERIALS AND METHODS

We conducted a descriptive cross-sectional study. The occupational respiratory disease questionnaire of the American Thoracic Society (ATS) was completed while spirometric measurements were performed and interpreted in accordance with international recommendations for conducting the test.

RESULTS

The sample consisted of 226 coal mining workers of the municipality of Paipa. Twenty-eight subjects (12.3%) of the sample showed patterns of obstructive and restrictive respiratory disease with mild degrees of severity. Eighty subjects (35%) showed a decrease in the forced vital capacity ratio/expiratory volume in one second (FVC/FEV1). A statistically significant association between age range (p=0.002) and years of mining work (p=0.34) with the development of restrictive and obstructive disorders was found. Also, there was a statistically significant association between age range (p<0.01) and years of mining work (p<0.01) with various degrees of severity of the spirometric pattern.

CONCLUSIONS

Spirometry is a useful test for detecting the presence of respiratory disorders in the population of coal miners. The time of exposure was significantly associated with the respiratory disease exhibited by these miners.

摘要

引言

在我国,因接触颗粒物(如在煤矿开采中)导致的呼吸系统疾病仍是一个研究挑战和公共卫生问题。肺功能测定是诊断和监测这类慢性肺部疾病基本呼吸功能的一项基础检查。

目的

确定派帕煤矿城镇的肺功能测定值及其与年龄和职业暴露时间的关联。

材料与方法

我们开展了一项描述性横断面研究。完成了美国胸科学会(ATS)的职业性呼吸系统疾病问卷,同时按照进行该检查的国际建议进行肺功能测定并解读结果。

结果

样本包括派帕镇的226名煤矿工人。样本中有28名受试者(12.3%)呈现出轻度阻塞性和限制性呼吸系统疾病模式。80名受试者(35%)一秒用力呼气容积/用力肺活量(FVC/FEV1)比值降低。发现年龄范围(p = 0.002)和采矿工作年限(p = 0.34)与限制性和阻塞性疾病的发生之间存在统计学显著关联。此外,年龄范围(p < 0.01)和采矿工作年限(p < 0.01)与肺功能测定模式的不同严重程度之间存在统计学显著关联。

结论

肺功能测定对于检测煤矿工人人群中呼吸系统疾病的存在是一项有用的检查。暴露时间与这些矿工所患的呼吸系统疾病显著相关。

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