在所有矿工中，煤矿工人表现出不成比例的高阻塞性肺通气功能障碍和慢性支气管炎患病率。

Among All Miners, Coal Miners Demonstrate a Disproportionately High Prevalence of Obstructive Spirometric Abnormality and Chronic Bronchitis.

机构信息

University of New Mexico School of Medicine, Albuquerque (Dr Sood, Mrs Shore, Dr Myers, Dr Assad, Dr Cook); and Miners' Colfax Medical Center, Raton (Dr Sood, Mr Pollard), New Mexico.

出版信息

J Occup Environ Med. 2019 Apr;61(4):328-334. doi: 10.1097/JOM.0000000000001547.

DOI:10.1097/JOM.0000000000001547

PMID:30688766

Abstract

OBJECTIVE

To compare the prevalence of chronic obstructive pulmonary disease (COPD) between miners extracting coal versus other minerals.

METHODS

The study population was based on New Mexico miners, mostly Hispanic and American Indian, attending a rural community-based mobile screening clinic program between 1989 and 2014. We compared self-reported symptoms, lung diseases, and spirometric patterns between 1353 coal miners and 4140 non-coal miners.

RESULTS

Obstruction was the most common abnormal spirometric pattern among all miners (16.9%). Coal miners were more likely to demonstrate an obstructive pattern and report chronic bronchitis symptoms than non-coal miners (adjusted odds ratio [OR] = 1.24, 95% confidence interval [CI]: 1.03, 1.48; and OR = 1.47, 95% CI: 1.24, 1.75, respectively). These associations remained significant among never smoking miners.

CONCLUSIONS

The prevention and management of COPD among coal miners deserves greater emphasis by rural health care delivery systems.

摘要

目的

比较采煤和采其他矿物的矿工中慢性阻塞性肺疾病（COPD）的患病率。

方法

该研究人群基于新墨西哥州矿工，主要是西班牙裔和美国印第安人，他们于 1989 年至 2014 年间参加了一个农村社区为基础的流动筛查诊所计划。我们比较了 1353 名煤矿工人和 4140 名非煤矿工人之间的自我报告症状、肺部疾病和肺活量测定模式。

结果

所有矿工中最常见的异常肺活量测定模式是阻塞性模式（16.9%）。与非煤矿工人相比，煤矿工人更有可能表现出阻塞性模式并报告慢性支气管炎症状（调整后的优势比[OR] = 1.24，95%置信区间[CI]：1.03，1.48；和 OR = 1.47，95% CI：1.24，1.75）。这些关联在从不吸烟的矿工中仍然显著。