Goldsmith J R, Scharf S M, Israeli R
J Occup Med. 1986 Aug;28(8):656-63. doi: 10.1097/00043764-198608000-00024.
Lung function testing among occupationally exposed workers has demonstrated its usefulness in risk evaluation and, once risks are identified, in medical surveillance. Its usefulness for screening and biological monitoring for effects of exposure is not yet established; in part, this is due to some failure to understand the requirements for screening and for monitoring, and in part, it is due to some unresolved questions as to procedures and their interpretation. The use of screening in occupational groups in general and those exposed to inhalational risks is evaluated. The current recommendation is that priority for screening be given to risk factor reduction, including smoking cessation. Problems associated with screening relate to procedures, equipment, and interpretation of data. An agenda is proposed for an international effort to determine principles for epidemiological use of lung function tests for prevention of occupational pulmonary disease risks.
对职业暴露工人进行肺功能测试已证明其在风险评估以及一旦识别出风险后在医学监测中的有用性。其在暴露影响的筛查和生物监测方面的有用性尚未确立；部分原因是对筛查和监测要求的理解存在一些不足，部分原因是关于程序及其解释存在一些未解决的问题。评估了在一般职业群体以及暴露于吸入风险的群体中进行筛查的应用情况。目前的建议是，筛查的重点应是降低风险因素，包括戒烟。与筛查相关的问题涉及程序、设备和数据解释。提议制定一项国际议程，以确定将肺功能测试用于预防职业性肺病风险的流行病学原则。
