石棉工人临床数据的因子分析：对诊断和筛查的启示
Factor analysis of clinical data from asbestos workers: implications for diagnosis and screening.
作者信息
Harber P, Lew M, Tashkin D P, Simmons M
机构信息
Occupational Medicine Branch, University of California, Los Angeles 90024.
出版信息
Br J Ind Med. 1987 Nov;44(11):780-4. doi: 10.1136/oem.44.11.780.
Abstract
Clinical data from 624 asbestos exposed workers were analysed by factor analysis. Fifteen clinical variables were found to reflect several underlying factors: "obstruction," "interstitial disorder," "x ray change," "air tapping," and "age/exposure." Scoring individual subjects along these axes can facilitate identifying early cases and avoiding false diagnosis. The analysis suggests that screening should be multimodal and that radiographic abnormality need not imply physiological impairment.
摘要
对624名接触石棉工人的临床数据进行了因子分析。发现15个临床变量反映了几个潜在因素：“阻塞”“间质性疾病”“x光变化”“气切”和“年龄/接触情况”。沿这些轴对个体受试者进行评分有助于识别早期病例并避免误诊。该分析表明，筛查应是多模式的，且影像学异常并不一定意味着生理损伤。
相似文献
1
Factor analysis of clinical data from asbestos workers: implications for diagnosis and screening.石棉工人临床数据的因子分析：对诊断和筛查的启示
Br J Ind Med. 1987 Nov;44(11):780-4. doi: 10.1136/oem.44.11.780.
2
Pulmonary function of nonsmoking female asbestos workers without radiographic signs of asbestosis.无石棉肺影像学表现的不吸烟女性石棉工人的肺功能
Arch Environ Health. 1998 Jul-Aug;53(4):292-8. doi: 10.1080/00039899809605711.
3
Early detection of interstitial lung disease in asbestos exposed non-smoking workers by mid-expiratory flow rate and high resolution computed tomography.通过呼气中期流速和高分辨率计算机断层扫描早期检测石棉暴露非吸烟工人的间质性肺疾病
Br J Ind Med. 1991 Oct;48(10):663-4. doi: 10.1136/oem.48.10.663.
4
Lung function studies of asbestos workers.
Scand J Work Environ Health. 1985;11 Suppl 4:34-42.
5
Regional lung function in asbestos workers: observations and speculations.
Respiration. 1982;43(1):8-22. doi: 10.1159/000194457.
6
Absence of synergism between exposure to asbestos and cigarette smoking in asbestosis.石棉沉着病中石棉暴露与吸烟之间不存在协同作用。
Am Rev Respir Dis. 1979 Jul;120(1):75-82. doi: 10.1164/arrd.1979.120.1.75.
7
[Analysis of changes in radiographic lung image and lung ventilation disorders in workers occupationally exposed to chrysotile in the past].[既往职业性接触温石棉工人肺部影像学改变及肺通气功能障碍分析]
Med Pr. 2017 Mar 24;68(2):247-258. doi: 10.13075/mp.5893.00501. Epub 2017 Mar 17.
8
Crackles in asbestos workers: auscultation and lung sound analysis.石棉工人的啰音：听诊与肺音分析
Br J Dis Chest. 1981 Oct;75(4):386-96. doi: 10.1016/0007-0971(81)90026-7.
9
The diagnosis of asbestosis.石棉沉着病的诊断
Br J Dis Chest. 1975 Jan;69(1):51-6. doi: 10.1016/0007-0971(75)90055-8.
10
[Long-term radiology and respiratory function study following exposure to asbestos].[石棉暴露后的长期放射学和呼吸功能研究]
Rev Mal Respir. 1985;2(3):139-44.
引用本文的文献
1
Assessment of physicians' proficiency in reading chest radiographs for pneumoconiosis, based on a 60-film examination set with two factors constituting eight indices.基于一套由两个因素构成八个指标的60张胸片的检查集，评估医生阅读尘肺病胸片的能力。
Ind Health. 2018 Oct 3;56(5):382-393. doi: 10.2486/indhealth.2017-0115. Epub 2018 May 26.
本文引用的文献
1
STUDIES ON THE INTRAPULMONARY MIXTURE OF GASES. III. AN OPEN CIRCUIT METHOD FOR MEASURING RESIDUAL AIR.肺内气体混合的研究。III. 一种测量残气的开路方法。
J Clin Invest. 1940 Jul;19(4):609-18. doi: 10.1172/JCI101163.
2
Respiratory function tests; normal values at median altitudes and the prediction of normal results.呼吸功能测试；中等海拔地区的正常数值及正常结果的预测
Am Rev Tuberc. 1959 Apr;79(4):457-67. doi: 10.1164/artpd.1959.79.4.457.
3
A standardized breath holding technique for the clinical measurement of the diffusing capacity of the lung for carbon monoxide.一种用于临床测量肺一氧化碳弥散能力的标准化屏气技术。
J Clin Invest. 1957 Jan;36(1 Part 1):1-17. doi: 10.1172/JCI103402.
4
Variation in isoniazid susceptibility of Mycobacterium avium during the cell cycle.鸟分枝杆菌在细胞周期中对异烟肼敏感性的变化。
Am Rev Respir Dis. 1981 Apr;123(4 Pt 1):450-3. doi: 10.1164/arrd.1981.123.4.450.
5
Follow-up respiratory measurements in Quebec chrysotile asbestos miners and millers.
Scand J Work Environ Health. 1982;8 Suppl 1:105-10.
6
Morphology of small-airway lesions in patients with asbestos exposure.石棉暴露患者小气道病变的形态学
Hum Pathol. 1984 Jan;15(1):68-74. doi: 10.1016/s0046-8177(84)80332-9.
7
Airway function in lifetime-nonsmoking older asbestos workers.终生不吸烟的老年石棉工人的气道功能
Am J Med. 1983 Oct;75(4):631-8. doi: 10.1016/0002-9343(83)90449-7.
8
The relative importance of clinical, radiological and pulmonary function variables in evaluating asbestosis and chronic obstructive airway disease in asbestos workers.临床、放射学及肺功能变量在评估石棉工人的石棉沉着病和慢性阻塞性气道疾病中的相对重要性。
Clin Sci. 1971 Dec;41(6):569-82. doi: 10.1042/cs0410569.
9
The maximal expiratory flow-volume curve. Normal standards, variability, and effects of age.最大呼气流量-容积曲线。正常标准、变异性及年龄的影响。
Am Rev Respir Dis. 1976 May;113(5):587-600. doi: 10.1164/arrd.1976.113.5.587.
10
Pulmonary function profiles in Quebec asbestos workers.
Bull Physiopathol Respir (Nancy). 1975 Jul-Aug;11(4):429-45.
Zotero 插件