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暴露于野火烟雾中的消防员呼吸功能不良的流行率及相关因素。

Prevalence and Factors Associated with Poor Respiratory Function among Firefighters Exposed to Wildfire Smoke.

机构信息

Escola Superior de Saúde Jean Piaget Algarve, Instituto Piaget, 8300-025 Silves, Portugal.

Research in Education and Community Intervention (RECI), 3515-776 Viseu, Portugal.

出版信息

Int J Environ Res Public Health. 2022 Jul 12;19(14):8492. doi: 10.3390/ijerph19148492.

Abstract

One of the world's biggest disasters are wildfires. The firefighting environment involves physical and respiratory risks, due the inhalation of fire smoke. This study aims to determine the respiratory function of firefighters exposed to wildfire smoke and explore the potential risk factors associated with poor respiratory function. The sample involved 53 firefighters, aged between 23 and 60 years (39.28 ± 8.71), 41 (77.40%) male and 12 (22.60%) female, who fought in wildfires. The measurement instruments used were as follows: a scale, a stadiometer, a questionnaire, a Fagerstrom test and a spirometer. Thirty-six (67.9%) firefighters showed a restrictive pattern. Firefighters fought between 1 and 9 (3.64 ± 1.97) fires and in total between 5 and 212 (62.34 ± 46.89) h. Nineteen (52.8%) firefighters, who showed a restrictive pattern, did not perform any physical exercise ( = 0.045). Twelve (70.6%) firefighters who practiced exercise and revealed a restrictive pattern trained at least 3 or less hours weekly, whilst five (29.4%) practiced more than 3 h ( = 0.030) of weekly exercise. Twenty (55.6%) firefighters with a restrictive pattern spent more than 48 h in combat ( = 0.029) and twenty-two (61.1%) did not use any respiratory protection ( = 0.011). The study data showed that occupational exposure to wildfire smoke was associated with the development of a restrictive pattern and associated factors included a sedentary lifestyle, limited duration of physical exercise, longer exposure to fire smoke and non-use of respiratory protection.

摘要

世界上最大的灾害之一是野火。由于吸入火灾烟雾,消防人员的工作环境涉及到身体和呼吸方面的风险。本研究旨在确定暴露于野火烟雾的消防人员的呼吸功能,并探讨与呼吸功能不佳相关的潜在危险因素。该样本包括 53 名年龄在 23 岁至 60 岁之间(39.28 ± 8.71)的消防员,其中 41 名(77.40%)为男性,12 名(22.60%)为女性,他们曾参与过扑灭野火。使用的测量仪器如下:体重秤、身高计、问卷、Fagerstrom 测试和肺活量计。36 名(67.9%)消防员表现出限制型模式。消防员参加了 1 至 9 次(3.64 ± 1.97)火灾,总共参加了 5 至 212 小时(62.34 ± 46.89)。19 名(52.8%)表现出限制型模式的消防员没有进行任何体育锻炼(=0.045)。12 名(70.6%)进行锻炼并表现出限制型模式的消防员每周至少锻炼 3 小时或更少,而 5 名(29.4%)每周锻炼超过 3 小时(=0.030)。20 名(55.6%)表现出限制型模式的消防员在战斗中花费超过 48 小时(=0.029),而 22 名(61.1%)没有使用任何呼吸保护装置(=0.011)。研究数据表明,职业性暴露于野火烟雾与发展为限制型模式有关,相关因素包括久坐的生活方式、体育锻炼时间有限、暴露于火灾烟雾时间较长以及不使用呼吸保护装置。

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本文引用的文献

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Decreased Pulmonary Function Over 5 Years in US Firefighters.美国消防员 5 年内肺功能下降。
J Occup Environ Med. 2020 Oct;62(10):816-819. doi: 10.1097/JOM.0000000000001944.
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Short-term spirometric changes in wildland firefighters.野外消防员的短期肺功能变化。
Am J Ind Med. 2011 Nov;54(11):819-25. doi: 10.1002/ajim.21002. Epub 2011 Aug 30.
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Particle size-dependent radical generation from wildland fire smoke.野火烟雾中与颗粒大小相关的自由基生成
Toxicology. 2007 Jul 1;236(1-2):103-13. doi: 10.1016/j.tox.2007.04.008. Epub 2007 Apr 24.
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Pulmonary function in Sardinian fire fighters.撒丁岛消防员的肺功能
Am J Ind Med. 1996 Jul;30(1):78-82. doi: 10.1002/(SICI)1097-0274(199607)30:1<78::AID-AJIM13>3.0.CO;2-5.

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