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[接触粉尘农民工慢性阻塞性肺疾病筛查问卷及肺功能检测分析]

[Analysis of chronic obstructive pulmonary disease screening questionnaire and pulmonary function test among migrant workers exposed to dust].

作者信息

Dai W R, Yin B Z, Li X, Cai H Q, Zhang H L, Liu W F

机构信息

Hunan Prevention and Treatment Center for Occupational Diaseases, Changsha 410007, China.

Xinhua Center for Disease Control and Prevention, Loudi 417600, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021 Aug 20;39(8):582-585. doi: 10.3760/cma.j.cn121094-20200330-00163.

Abstract

To analyze the application of Chronic Obstructive Pulmonary Disease (COPD) Screening Questionnaire and pulmonary function test in dust-exposed migrant workers. In May 2019, 149 cases of dust exposed migrant workers were selected as the research subjects through the free clinic in the countryside. COPD Screening Questionnaire and lung function test were carried out to analyze the high-risk groups and the influencing factors of positive pulmonary function test results. Among 149 cases of dust-exposed migrant workers, 107 (71.8%) were positive for questionnaire screening, 73 (49.0%) were positive for pulmonary function test, 75 (50.3%) were diagnosed with coal worker's pneumoconiosis, and 101 (67.8%) were diagnosed with lung function injury. The positive rate of pulmonary function of migrant workers with positive questionnaire screening results was significantly higher than that of those with negative results (<0.05) . The results of multivariate analysis showed that compared with non-pneumoconiosis, the risk of positive pulmonary function test results was higher in dust-exposed migrant workers with stage Ⅲ pneumoconiosis (=16.462, 95%: 3.390-79.946; <0.01) . Compared with non-smoking, the risks of positive pulmonary function test results of dust-exposed migrant workers with smoking index of 11-20 package years and >20 package years were higher (=19.814, 95%: 3.854-101.883; =9.733, 95%: 2.310-41.008; <0.01) . The risk of COPD in dust-exposed migrant workers is high, so we should strengthen the early examination of the high pneumoconiosis stage and smoking population. The screening questionnaire can better screen out the high-risk groups of COPD, and it can be used as a basic screening tool.

摘要

分析慢性阻塞性肺疾病(COPD)筛查问卷及肺功能检测在粉尘暴露农民工中的应用情况。2019年5月,通过乡村义诊选取149例粉尘暴露农民工作为研究对象,进行COPD筛查问卷及肺功能检测,分析高危人群及肺功能检测结果阳性的影响因素。149例粉尘暴露农民工中,问卷筛查阳性107例(71.8%),肺功能检测阳性73例(49.0%),诊断为煤工尘肺75例(50.3%),诊断为肺功能损伤101例(67.8%)。问卷筛查结果阳性的农民工肺功能阳性率显著高于阴性者(<0.05)。多因素分析结果显示,与非尘肺者相比,Ⅲ期尘肺的粉尘暴露农民工肺功能检测结果阳性风险更高(=16.462,95%:3.390 - 79.946;<0.01)。与不吸烟者相比,吸烟指数为11 - 20包年及>20包年的粉尘暴露农民工肺功能检测结果阳性风险更高(=19.814,95%:3.854 - 101.883;=9.733,95%:2.310 - 41.008;<0.01)。粉尘暴露农民工COPD发病风险高,应加强对高尘肺期及吸烟人群的早期检查。筛查问卷能较好地筛出COPD高危人群,可作为基层筛查工具。

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