Mehrifar Younes, Zamanian Zahra, Pirami Hamideh
Research Committee, School of Health Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Occupational Health, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Occup Environ Med. 2019 Jan;10(1):40-49. doi: 10.15171/ijoem.2019.1540.
Welding is a common industrial process and is harmful to welders' health.
To determine the effect of toxic gases and metal fumes produced during 3 welding processes on welders' incidence of respiratory symptoms and pulmonary function.
This cross-sectional study was conducted in an Iranian shipbuilding industrial factory in 2018. Using the simple census method, 60 welders were selected as the exposed group. 45 staff members of the administrative unit were also recruited to be served as the control group. Welders' demographic data and respiratory complaints were collected employing a questionnaire. Fumes and gases produced were sampled from the welders' respiratory tract and analyzed by standard methods suggested by the National Institute of Occupational Safety and Health (NIOSH). Pulmonary function test was also performed for each participant.
The prevalence of respiratory symptoms in all welders was significantly (p<0.05) higher than the control group. The mean FVC, FEV and FEV/FVC measured in welders involved in all 3 processes were significantly lower than those recorded in the control group. The spirometry pattern in welders involved in flux cored arc welding and shielded metal arc welding was obstructive; that in those involved in gas metal arch welding was mixed (obstructive and restrictive pattern).
Exposure to welding fumes and gases was associated with pulmonary function deterioration. Welders involved in gas metal arch welding had a higher prevalence of pulmonary disorders compared with those involved in gas metal arch welding and flux cored arc welding.
焊接是一种常见的工业加工方式,对焊工健康有害。
确定三种焊接工艺过程中产生的有毒气体和金属烟尘对焊工呼吸道症状发生率及肺功能的影响。
本横断面研究于2018年在一家伊朗造船工厂开展。采用简单普查法,选取60名焊工作为暴露组。还招募了行政部门的45名工作人员作为对照组。通过问卷收集焊工的人口统计学数据及呼吸道症状。从焊工呼吸道采集产生的烟尘和气体样本,并按照美国国家职业安全与健康研究所(NIOSH)建议的标准方法进行分析。同时对每位参与者进行肺功能测试。
所有焊工呼吸道症状的患病率显著高于对照组(p<0.05)。参与所有三种焊接工艺的焊工的用力肺活量(FVC)、第一秒用力呼气容积(FEV)及FEV/FVC的平均值显著低于对照组记录值。药芯焊丝电弧焊和焊条电弧焊焊工的肺量计模式为阻塞性;气体保护金属电弧焊焊工的肺量计模式为混合型(阻塞性和限制性模式)。
接触焊接烟尘和气体与肺功能恶化有关。与药芯焊丝电弧焊和焊条电弧焊焊工相比,气体保护金属电弧焊焊工肺部疾病的患病率更高。