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调查汽车行业焊接烟尘对焊工肺功能的影响。

Investigating the Effect of Welding Fume in Pulmonary Function of Welders in an Automobile Industry.

作者信息

Saadiani Elham, Hosseinkhani Zahra, Safari-Variani Ali

机构信息

School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.

Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Indian J Occup Environ Med. 2023 Apr-Jun;27(2):166-171. doi: 10.4103/ijoem.ijoem_194_21. Epub 2023 Jul 3.

Abstract

CONTEXT

Respiratory exposure to welding fumes directly or indirectly, in the long run, can lead to systematic effects among welders.

AIMS

This study aimed to investigate respiratory symptoms and pulmonary function parameters among welders working in the automotive industry.

MATERIAL AND METHODS

This cross-sectional study was performed among 2304 workers from two groups in the manufacturing and administrative staff (as exposure and control groups). Pulmonary function parameters and respiratory symptoms were collected through periodic spirometry examinations and a standard respiratory symptoms questionnaire. Exposure to welding fumes was obtained from the annual measurement data based on the NIOSH7300 method. Data were analyzed using SPSS software version 22 and linear and multiple regression statistical tests.

RESULTS

The mean age of the subjects in the case and control groups were 37.5 and 38.5 years, respectively. All the apparent symptoms of respiratory diseases (cough, sputum) in the welder's group were more than in the control group. Also, there was a significant difference between the respiratory symptoms in the two groups (P < 0.001). The mean value of all spirometric parameters (FVC, FEV1, FEV1/FVC, FEF25-75, PEF) in the case group (welders) was significantly lower than the control group.

CONCLUSION

The results of this study revealed that the variables of age and work experience effectively reduce all spirometric parameters of welders. Also, regarding the effect of metal vapors, a significant relationship has been seen between Cu in welding fume and FEF25-75 and FEV1 spirometric parameters.

摘要

背景

从长远来看,直接或间接呼吸道接触焊接烟尘会导致焊工出现全身性影响。

目的

本研究旨在调查汽车行业焊工的呼吸道症状和肺功能参数。

材料与方法

本横断面研究在制造部门和行政部门的两组2304名工人中进行(分别作为暴露组和对照组)。通过定期肺活量测定检查和标准呼吸道症状问卷收集肺功能参数和呼吸道症状。焊接烟尘暴露量根据美国国家职业安全与健康研究所(NIOSH)7300方法的年度测量数据获取。使用SPSS 22版软件以及线性和多元回归统计检验对数据进行分析。

结果

病例组和对照组受试者的平均年龄分别为37.5岁和38.5岁。焊工组所有明显的呼吸道疾病症状(咳嗽、咳痰)均多于对照组。此外,两组的呼吸道症状存在显著差异(P < 0.001)。病例组(焊工)所有肺活量测定参数(用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC、25%~75%用力呼气流量(FEF25 - 75)、呼气峰值流量(PEF))的平均值均显著低于对照组。

结论

本研究结果显示,年龄和工作经验变量会有效降低焊工的所有肺活量测定参数。此外,关于金属蒸气的影响,已观察到焊接烟尘中的铜与FEF25 - 75和FEV1肺活量测定参数之间存在显著关系。

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本文引用的文献

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Respiratory health of a population of welders.一群焊工的呼吸健康状况。
J Family Community Med. 2014 Sep;21(3):162-5. doi: 10.4103/2230-8229.142969.

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