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工人职业性粉尘暴露与肺功能评估:中国的横断面研究。

Workers' Occupational Dust Exposure and Pulmonary Function Assessment: Cross-Sectional Study in China.

机构信息

School of Public Health, Chongqing Medical University, Chongqing 400016, China.

Department of Occupational Health and Radiation Health, Chongqing Center for Disease Control and Prevention, Chongqing 400042, China.

出版信息

Int J Environ Res Public Health. 2022 Sep 4;19(17):11065. doi: 10.3390/ijerph191711065.

Abstract

OBJECTIVE

This study aims to determine the occupational health status of workers exposed to dust and the risk factors of lung function decline, to provide a basis for formulating corresponding occupational disease-prevention strategies.

METHODS

Data on 2045 workers exposed to dust, including their age, gender, exposure time, chest X-ray test results, and pulmonary function test results, were obtained from a key occupational disease monitoring project in Chongqing, China, in 2021. Chi-square tests and multifactorial logistic regression, and other methods, were used for statistical analysis.

RESULTS

The prevalence of pneumoconiosis-like changes was 0.83% (17/2045), and the prevalence of abnormal forced expiratory volume in one second (FEV), forced vital capacity (FVC), and FEV/FVC was 4.25% (87/2045), 12.81% (262/2045), and 1.47% (30/2045), respectively. With increasing worker's age, the prevalence of abnormal pneumoconiosis-like changes ( = 0.0065), FEV ( = 0.0002), FVC ( < 0.0001), and FEV/FVC ( = 0.0055) all increased. Factors such as age, exposure duration, enterprise size, and dust exposure concentration were associated with abnormal lung function.

CONCLUSIONS

Workers exposed to occupational dust have a high rate of abnormal lung function. The government, enterprises, and individuals should pay attention to occupational dust exposure, and various effective measures should be actively taken to protect the life and health of workers.

摘要

目的

本研究旨在确定接触粉尘作业人员的职业健康状况和肺功能下降的危险因素,为制定相应的职业病防治策略提供依据。

方法

2021 年,我们从中国重庆市重点职业病监测项目中获取了 2045 名接触粉尘作业人员的年龄、性别、接触时间、胸部 X 射线检查结果和肺功能检查结果等数据。采用卡方检验和多因素 logistic 回归等方法进行统计学分析。

结果

类矽肺样改变的患病率为 0.83%(17/2045),一秒用力呼气容积(FEV)、用力肺活量(FVC)和 FEV/FVC 异常的患病率分别为 4.25%(87/2045)、12.81%(262/2045)和 1.47%(30/2045)。随着工人年龄的增加,类矽肺样改变( = 0.0065)、FEV( = 0.0002)、FVC( < 0.0001)和 FEV/FVC( = 0.0055)的患病率均增加。年龄、接触时间、企业规模和粉尘暴露浓度等因素与肺功能异常有关。

结论

接触职业性粉尘的作业人员肺功能异常率较高。政府、企业和个人均应关注职业性粉尘暴露,积极采取各种有效措施,保护劳动者的生命健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e72/9518133/9977a05cc951/ijerph-19-11065-g001.jpg

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