Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany.
Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany.
Respir Physiol Neurobiol. 2023 Sep;315:104094. doi: 10.1016/j.resp.2023.104094. Epub 2023 Jun 28.
Spirometry is a widely used test and the American Thoracic Society and the European Respiratory Society (ATS/ERS) provide standardised recommendations. However, detailed information on test quality is often incomplete in publications. In light of the 2005 ATS/ERS recommendations, we investigated the acceptability and repeatability criteria of spirometry performed under occupational field conditions in 242 practicing welders (WELDOX study, median age 41.5 years, all male) and 312 first-year veterinary students (AllergoVet study, median age 20.0 years, 84.3% female). At least three acceptable or usable measurements could be identified for 233 welders and 305 students. The repeatability for welders was 96.1% for the forced expiratory volume in the first second (FEV) and 97.0% for forced vital capacity (FVC). The corresponding results for students were 95.7% and 95.4%, respectively. The overall repeatability of test sessions at the 150-mL level was 90.5% (219/242) for welders and 90.1% (281/312) for students. Spirometry can be performed with reliable quality in an occupational field setting.
肺量测定法是一种广泛应用的测试方法，美国胸科学会和欧洲呼吸学会（ATS/ERS）提供了标准化的建议。然而，出版物中关于测试质量的详细信息往往不完整。鉴于 2005 年 ATS/ERS 的建议，我们调查了在 242 名在职焊工（WELDOX 研究，中位年龄 41.5 岁，均为男性）和 312 名兽医一年级学生（AllergoVet 研究，中位年龄 20.0 岁，84.3%为女性）在职业现场条件下进行肺量测定法的可接受性和可重复性标准。至少可以识别出 233 名焊工和 305 名学生的三次可接受或可使用的测量值。焊工的第一秒用力呼气量（FEV）和用力肺活量（FVC）的重复性分别为 96.1%和 97.0%。学生的相应结果分别为 95.7%和 95.4%。在 150 毫升水平上，焊工的测试总体重复性为 90.5%（219/242），学生的重复性为 90.1%（281/312）。在职业现场环境中，可以进行可靠质量的肺量测定法。
