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中国东部一省煤矿工人职业性粉尘暴露对胸部 X 射线、肺功能、血压和心电图的影响。

Effects of occupational exposure to dust on chest radiograph, pulmonary function, blood pressure and electrocardiogram among coal miners in an eastern province, China.

机构信息

School of Public Health, Xuzhou Medical University, Xuzhou, 221004, China.

Institute of Occupational Disease Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, 210009, China.

出版信息

BMC Public Health. 2019 Sep 5;19(1):1229. doi: 10.1186/s12889-019-7568-5.

Abstract

BACKGROUND

Coal dust is one of the most serious risk factor that leads to respiratory diseases and cardiovascular diseases in miners. This study aimed to observe the effects of occupational dust exposure on chest radiograph, pulmonary function (PF), blood pressure (BP) and electrocardiogram (ECG) indexes in coal miners and explore the related risk factors.

METHODS

In the Chinese Occupational Disease Monitoring and Occupational Health Risk Assessment Program, a total of 11,061 subjects in 2015 and 12,597 subjects in 2016 were recruited in this study. The chest radiograph, PF, BP and ECG of coal miners were surveyed using radiograph machine, spirometer, sphygmomanometer and electrocardiograph, respectively.

RESULTS

The prevalence of aberrant BP was the highest in coal miners, followed by abnormal ECG, PF and radiograph. Significant differences in abnormal BP, ECG, PF and radiograph of coal miners were closely associated with age, years of dust exposure, smoking, drinking, working types and size of mines. A total of 80 persons diagnosed with coal workers' pneumoconiosis (CWP) in 2015-2016, which occupied 0.34% of the coal miners.

CONCLUSION

Abnormal BP, ECG, PF and radiograph of coal miners are highlighted health problems in China and require serious attention. Feasible health promotion and protective facilities should be adopted to guarantee coal miners' health.

摘要

背景

煤尘是导致矿工患呼吸道疾病和心血管疾病的最严重危险因素之一。本研究旨在观察职业性粉尘暴露对矿工胸部 X 线、肺功能(PF)、血压(BP)和心电图(ECG)指标的影响,并探讨相关危险因素。

方法

在中国职业疾病监测和职业健康风险评估计划中,本研究共招募了 2015 年的 11061 名和 2016 年的 12597 名矿工。使用 X 光机、肺活量计、血压计和心电图机分别对矿工的胸部 X 光片、PF、BP 和 ECG 进行了调查。

结果

矿工中异常血压的患病率最高,其次是异常心电图、PF 和 X 光片。矿工异常 BP、ECG、PF 和 X 光片与年龄、粉尘暴露年限、吸烟、饮酒、工作类型和矿山规模密切相关。2015 年至 2016 年共诊断出 80 例煤工尘肺(CWP)患者,占矿工的 0.34%。

结论

中国矿工的异常 BP、ECG、PF 和 X 光片是突出的健康问题,需要引起高度重视。应采取可行的健康促进和保护设施,保障矿工的健康。

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