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评估屠宰场工人的通气功能和相关炎症标志物。

Assessment of ventilatory functions and associated inflammatory markers among workers in slaughterhouses.

机构信息

Department of Occupational and Environmental Medicine, Faculty of Medicine, Cairo University, Giza, Egypt.

College of Health and Rehabilitation Sciences, Princess Nora Bint Abul Rahman University, Riyadh, Saudi Arabia.

出版信息

Int Arch Occup Environ Health. 2024 Oct;97(8):891-900. doi: 10.1007/s00420-024-02094-8. Epub 2024 Aug 16.

Abstract

OBJECTIVE

Meat processing is among the most extensive industries globally. However, data on the effects of occupational exposure on the pulmonary health of slaughterhouse workers is limited. Ascertaining the impact of the slaughterhouse atmosphere on the breathing habits of laborers exposed to it and the inflammatory markers associated with it was the aim of the current investigation.

METHODS

A cross-sectional study was performed on 82 non-smoker subjects of 41 male workers working in one of the major slaughterhouses in Cairo, Egypt, matched to 41 controls of administrative personnel. An elaborate questionnaire encompassing medical and occupational history was administered to each participant in the research. General and local systemic examinations and ventilatory function tests were carried out, and serum levels of interleukin 6 (IL-6) and high-sensitivity C-reactive protein (hsCRP) were measured.

RESULTS

Respiratory symptoms were more prevalent with a statistically significant decline in ventilatory function parameters (FVC%, FEV1%, FEV1/FVC, FEF 25%, FEF 50%, FEF 75%, and PEF%) among the exposed group compared to those of control. In addition, there was a significantly higher serum level of inflammatory markers (IL-6 and hsCRP) among the exposed group compared to the control group, with a negative correlation with ventilatory functions. Moreover, there was a positive association between levels of serum IL-6 and hsCRP and the age and duration of employment of workers.

CONCLUSION

There was a notable increase in the prevalence of respiratory disorders and inflammatory markers among slaughterhouse workers. Additionally, there was a substantial decrease in ventilatory function parameters, which could be attributed to the bioaerosols they encountered in the workplace.

摘要

目的

肉类加工业是全球最为广泛的产业之一。然而,关于职业暴露对屠宰场工人肺部健康影响的数据有限。本研究旨在确定屠宰场环境对接触工人呼吸习惯的影响以及与之相关的炎症标志物。

方法

对埃及开罗一家大型屠宰场的 41 名男性工人和 41 名行政人员进行了一项横断面研究。对每个研究对象进行了详细的问卷式调查,内容包括医学和职业史。进行了一般和局部系统检查以及通气功能测试,并测量了血清白细胞介素 6(IL-6)和高敏 C 反应蛋白(hsCRP)的水平。

结果

暴露组的呼吸道症状更为普遍,与对照组相比,通气功能参数(FVC%、FEV1%、FEV1/FVC、FEF25%、FEF50%、FEF75%和 PEF%)明显下降。此外,暴露组的血清炎症标志物(IL-6 和 hsCRP)水平明显高于对照组,且与通气功能呈负相关。此外,血清 IL-6 和 hsCRP 水平与工人的年龄和工龄呈正相关。

结论

屠宰场工人中呼吸道疾病和炎症标志物的患病率显著增加。此外,通气功能参数显著下降,这可能归因于他们在工作场所接触到的生物气溶胶。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb34/11485019/6dfb88dff1ff/420_2024_2094_Fig1_HTML.jpg

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