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可吸入合成非晶态二氧化硅粉尘暴露的扩展调查及其对非恶性呼吸系统疾病发病率的潜在影响。

Extended Investigation of Exposure to Respirable Synthetic Amorphous Silica Dust and Its Potential Impact on Non-malignant Respiratory Morbidity.

机构信息

MY EpiConsulting, Duesseldorf, Germany.

Private Scientist, Schwerte, Germany.

出版信息

Front Public Health. 2022 May 12;10:801619. doi: 10.3389/fpubh.2022.801619. eCollection 2022.

Abstract

OBJECTIVES

The present analysis aims to study the health impact of an occupational exposure to respirable synthetic amorphous silica (SAS) dusts, based on the available data from the German study.

METHODS

The effect of cumulative exposure to respirable SAS dust on respiratory morbidity were investigated in 462 exposed male workers. Multiple exposure assessments was performed anchored by a most recent measurement series. Internal regression models in addition to Monte Carlo-Multi Model were fitted.

RESULTS

An averaged cumulative respirable SAS dust concentration of 6.44 mg/m-years was estimated. Internal regression models suggested a reduction of 8.11 ml (95% confidence interval: 0.49-15.73) in forced vital capacity (FVC) per 1 mg/m-year increase of exposure. But no effect on forced expiratory volume in 1 s (FEV) and the ratio of the parameters FEV/FVC was observed in association with exposure to a respirable fraction of SAS. No adverse effects on the occurrence of respiratory diseases were indicated.

CONCLUSION

This study provides no clear evidence of adverse health effects from occupational exposure to respirable SAS.

SPONSOR

Evonik Operations GmbH/Smart Materials, Cabot Corporation, Wacker Chemie AG.

摘要

目的

本分析旨在基于德国研究中的现有数据,研究职业性接触可吸入合成无定形二氧化硅 (SAS) 粉尘对健康的影响。

方法

对 462 名暴露于 SAS 粉尘的男性工人进行了累积暴露于可吸入 SAS 粉尘对呼吸发病率的影响研究。以最近的测量系列为基础,进行了多次暴露评估。拟合了内部回归模型和蒙特卡罗-多模型。

结果

估计平均累积可吸入 SAS 粉尘浓度为 6.44 mg/m-年。内部回归模型表明,每增加 1 mg/m-年的暴露,用力肺活量 (FVC) 降低 8.11 ml(95%置信区间:0.49-15.73)。但与暴露于可吸入的 SAS 分数无关,FEV 没有观察到对 1 秒用力呼气量 (FEV) 和参数 FEV/FVC 的比值的影响。暴露于可吸入 SAS 未显示对呼吸疾病的发生有不良影响。

结论

本研究没有提供职业性接触可吸入 SAS 粉尘对健康产生不良影响的明确证据。

赞助商

赢创运营有限公司/智能材料、卡博特公司、瓦克化学股份有限公司。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8067/9136026/0d2af80625cf/fpubh-10-801619-g0001.jpg

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