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一项分析性横断面研究,比较年龄和性别匹配的建筑工人与对照组之间的肺功能及与呼吸疾病相关的生活质量。

An Analytical Cross-sectional Study to Compare Pulmonary Function and Respiratory Morbidity-Related Quality of Life between Construction Workers with Age-and Gender-Matched Controls.

作者信息

Chittaluru Praveen K, Korra Raj K, Asuri Vinay K, Annakula Pratyusha, Gmm Reddy

机构信息

Department of Pulmonary Medicine, Chalmeda Anandarao Institute of Medical Sciences, Karimnagar, Telangana, India.

BDS Consultant Clinician.

出版信息

Indian J Occup Environ Med. 2021 Jan-Mar;25(1):22-26. doi: 10.4103/ijoem.IJOEM_101_20. Epub 2021 Apr 26.

Abstract

CONTEXT

Respiratory morbidity among construction workers is one of the most neglected occupational diseases, in spite of the high risk.

AIMS

The aim of this study is to compare the respiratory symptoms, pulmonary function, and respiratory morbidity-related quality of life between people working in construction sites and the age- and gender-matched controls.

SETTINGS AND DESIGN

It is an analytical cross-sectional study.

METHODS AND MATERIAL

People working in the construction sites (mason/daily laborer) for at least 5 years and control group working in other occupations were included. People other than mason/daily laborer and people with a past history of COPD/bronchial asthma before joining the construction industry were excluded.

STATISTICAL ANALYSIS USED

Pulmonary function test was done and St. George respiratory questionnaire was used to the quality of life. Unpaired -test and Chi-square test/Fisher's exact test were used to compare numeric outcomes and categorical outcomes respectively.

RESULTS

We have included 120 construction workers and 120 age- and gender-matched controls. The Forced Vital Capacity (FVC) (mean difference [MD] 0.20, 95% CI 0.025-0.381, value 0.025), FEV1 (MD 0.21, 95% CI 0.061-0.364, value 0.006), and FEV1\FVC% predicted (MD 5.01, 95% CI 1.11-8.92, value 0.012) were significantly lower among the construction workers. The overall SGRQ score was also significantly higher among the construction workers indicating poor overall respiratory morbidity-related quality of life (MD 12.69, 95% CI 10.59-14.80, value <0.001).

CONCLUSIONS

Pulmonary function and respiratory function-related quality of life are considerably poor among people working in the construction industry.

摘要

背景

尽管建筑工人的呼吸道疾病发病风险很高,但却是最被忽视的职业病之一。

目的

本研究旨在比较建筑工人与年龄和性别匹配的对照组在呼吸道症状、肺功能以及与呼吸道疾病相关的生活质量方面的差异。

设置与设计

这是一项分析性横断面研究。

方法与材料

纳入在建筑工地工作至少5年的人员(泥瓦匠/日工)以及从事其他职业的对照组。排除泥瓦匠/日工以外的人员以及在进入建筑行业之前有慢性阻塞性肺疾病/支气管哮喘病史的人员。

所用统计分析方法

进行肺功能测试,并使用圣乔治呼吸问卷评估生活质量。分别使用非配对t检验和卡方检验/费舍尔精确检验来比较数值结果和分类结果。

结果

我们纳入了120名建筑工人和120名年龄和性别匹配的对照组。建筑工人的用力肺活量(FVC)(平均差值[MD]0.20,95%置信区间0.025 - 0.381,p值0.025)、第一秒用力呼气容积(FEV1)(MD 0.21,95%置信区间0.061 - 0.364,p值0.006)以及预测的FEV1/FVC%(MD 5.01,95%置信区间1.11 - 8.92,p值0.012)显著更低。建筑工人的圣乔治呼吸问卷总体得分也显著更高,表明与呼吸道疾病相关的总体生活质量较差(MD 12.69,95%置信区间10.59 - 14.80,p值<0.001)。

结论

建筑行业从业人员的肺功能和与呼吸功能相关的生活质量相当差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8c5/8259588/b315d0e74619/IJOEM-25-22-g001.jpg

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