Karataş Mevlüt, Gündüzöz Meşide, Özakıncı Osman Gökhan, Karkurt Özlem, Başer Nergis
Clinic of Chest Diseases, Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey.
Clinic of Family Medicine, Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey.
Tuberk Toraks. 2019 Mar;67(1):39-46. doi: 10.5578/tt.67990.
Silicosis is still one of the the most common occupational disease in the world. The ceramic industry is one of the main sectors where silicosis patients are increasingly reported. The aim of this study was to evaluate the differences in demographic characteristics, radiological findings and pulmonary function test results of the ceramic workers with silicosis and those did not develop the disease.
A total of 626 workers, 459 with silicosis and 167 without silicosis, working in the ceramics industry those admitted to Ankara Occupational and Environmental Diseases Hospital between 2009 and 2018 were included in the study. The cases were evaluated retrospectively.
The median age and duration of work of the workers with silicosis were significantly higher (p< 0.001) compared to workers without silicosis. The risk of silicosis was found to be 22.5 times higher in 50 years or older age. Working 11-20 years and more than 20 years increased the risk of silicosis by 3.1 fold and 3.9 fold respectively. Smoking more than 10 package-years was found to increase the risk of silicosis 2 fold. The workers who had worked in clay processing, sanding, glazing or smelting were found to have 5.2-fold, 3.8-fold 2.5 and 2.4 fold higher silicosis risk, respectively.
In this study, it has been shown that older age, longer duration of work, smoking, working in clay processing, sanding, glazing or smelting sections increase the risk of silicosis in ceramic workers.
矽肺病仍然是世界上最常见的职业病之一。陶瓷行业是报告矽肺病患者日益增多的主要行业之一。本研究的目的是评估患矽肺病的陶瓷工人与未患该病的陶瓷工人在人口统计学特征、放射学检查结果和肺功能测试结果方面的差异。
本研究纳入了2009年至2018年间在安卡拉职业与环境疾病医院就诊的626名陶瓷行业工人,其中459名患有矽肺病,167名未患矽肺病。对这些病例进行回顾性评估。
与未患矽肺病的工人相比,患矽肺病的工人的年龄中位数和工作年限显著更高(p<0.001)。发现50岁及以上年龄患矽肺病的风险高出22.5倍。工作11 - 20年和超过20年分别使患矽肺病的风险增加3.1倍和3.9倍。发现吸烟超过10包年使患矽肺病的风险增加2倍。在粘土加工、打磨、上釉或熔炼岗位工作的工人患矽肺病的风险分别高出5.2倍、3.8倍、2.5倍和2.4倍。
在本研究中,已表明年龄较大、工作年限较长、吸烟、在粘土加工、打磨、上釉或熔炼部门工作会增加陶瓷工人患矽肺病的风险。