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人造石工人中结晶二氧化硅粉尘暴露与矽肺发展之间的关联。

Association between Crystalline Silica Dust Exposure and Silicosis Development in Artificial Stone Workers.

机构信息

Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain.

Andalusian Council of Health and Families at Almería Province, 04005 Almería, Spain.

出版信息

Int J Environ Res Public Health. 2021 May 25;18(11):5625. doi: 10.3390/ijerph18115625.

Abstract

Occupational exposure to respirable crystalline silica (SiO) is one of the most common and serious risks because of the health consequences for the workers involved. Silicosis is a progressive, irreversible, and incurable fibrotic lung disease caused by the inhalation of respirable crystalline silica dust. A cross-sectional epidemiological study was carried out to assess the occupational risk factors that may contribute to the onset of silicosis in workers carrying out work activities with the inhalation of silica compact dust. The study population consisted of 311 artificial stone workers from the province of Almeria (southeast of Spain). Among them, 64 were previously diagnosed with silicosis and the rest of the participants (n = 247 workers) were not diagnosed with such a disease. The workers showing a greater risk of developing silicosis were those who installed kitchen worktops at consumers' homes, as they did not use face-masks or were not provided with personal protective equipment (PPE) by their business. The results of this study provide support for the evidence indicating that silicosis is a major emerging health concern for workers in the artificial stone sector. Exposure to crystalline silica dust thus can influence the development of silicosis in those cases where individual and collective protection measures are not used or adequately applied.

摘要

职业性接触可吸入结晶二氧化硅(SiO)是最常见和最严重的风险之一,因为这会对相关工人的健康造成影响。矽肺是一种由吸入可吸入结晶二氧化硅粉尘引起的进行性、不可逆转和无法治愈的纤维性肺部疾病。进行了一项横断面流行病学研究,以评估可能导致从事吸入硅石粉尘工作的工人发生矽肺的职业危险因素。该研究人群包括来自阿尔梅里亚省(西班牙东南部)的 311 名人造石工人。其中,64 人以前被诊断患有矽肺,其余的 247 名参与者(工人)没有被诊断出患有这种疾病。在那些在消费者家中安装厨房台面的工人中,矽肺的发病风险更高,因为他们没有使用面罩,也没有得到企业提供的个人防护设备(PPE)。这项研究的结果为矽肺是人造石材行业工人主要的新出现的健康问题这一证据提供了支持。因此,在未使用或未充分应用个体和集体防护措施的情况下,接触结晶二氧化硅粉尘会影响矽肺的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ce8/8197517/eb33394faef8/ijerph-18-05625-g001.jpg

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