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采石场工人慢性阻塞性肺疾病(COPD)的患病率及发病危险因素:一项横断面研究

Prevalence and risk factors for the development of COPD among workers in stone quarries: a cross-sectional study.

作者信息

Rahman Sadequr, Das Atonu, Islam Afm Nazmul, Hossain Enayet, Mesbahul Islam Sahm, Rony Khasruzzaman, Rahul Abu Kamran, Hossain Guljar, Romel Bhuia Mohammad, Asaduzzaman Md

机构信息

Department of Medicine, Parkview Medical College, Sylhet, Bangladesh.

Department of Neurology, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh.

出版信息

BMC Pulm Med. 2025 Aug 11;25(1):384. doi: 10.1186/s12890-025-03542-y.

Abstract

BACKGROUND

Employees working in stone quarries are frequently exposed to dust, especially silica particles, which may increase the risk of developing various lung diseases, notably chronic obstructive pulmonary disease (COPD). This study aimed to evaluate pulmonary function and explore the prevalence and potential risk factors associated with COPD among individuals in this occupational category.

METHODS

This Cross-sectional study recruited 200 workers from multiple stone quarries. Pulmonary function was evaluated through Spirometry, and sociodemographic information, current symptoms, and data on dust exposure were gathered using a prearranged questionnaire. Logistic regression analysis was performed to identify the factors contributing to the development of COPD.

RESULTS

The overall prevalence of COPD was 39%. The primary pattern observed in pulmonary function test was non-reversible obstructive. There was a consistent decrease in all spirometric parameters with an increase in years of service. Age (OR = 1.07, 95% CI = 1.04-1.10; p = 0.001), male gender (OR = 2.51, 95% CI = 1.23-5.08; p = 0.0106), smoking status (OR = 2.15, 95% CI = 1.12-4.11; p = 0.02), length of service (10-15 years) (OR = 67.3, 95% CI = 21.35-212.64; p < 0.001), and length of service (> 15 years) (OR = 112.8, 95% CI = 116.28-1095.58; p < 0.001) have been identified as significant risk factors for the development of COPD.

CONCLUSIONS

The prevalence of COPD is significantly high among stone quarry workers, underscoring the necessity for implementing effective preventive measures to mitigate the impact of occupational lung diseases.

摘要

背景

在采石场工作的员工经常接触粉尘,尤其是二氧化硅颗粒,这可能会增加患各种肺部疾病的风险,特别是慢性阻塞性肺疾病(COPD)。本研究旨在评估肺功能,并探讨这一职业类别的个体中COPD的患病率及相关潜在风险因素。

方法

这项横断面研究从多个采石场招募了200名工人。通过肺活量测定法评估肺功能,并使用预先安排好的问卷收集社会人口统计学信息、当前症状和粉尘接触数据。进行逻辑回归分析以确定导致COPD发生的因素。

结果

COPD的总体患病率为39%。肺功能测试中观察到的主要模式是不可逆性阻塞。随着服务年限的增加,所有肺活量测定参数均持续下降。年龄(OR = 1.07,95%CI = 1.04 - 1.10;p = 0.001)、男性(OR = 2.51,95%CI = 1.23 - 5.08;p = 0.0106)、吸烟状况(OR = 2.15,95%CI = 1.12 - 4.11;p = 0.02)、服务年限(10 - 15年)(OR = 67.3,95%CI = 21.35 - 212.64;p < 0.001)和服务年限(>15年)(OR = 112.8,95%CI = 116.28 - 1095.58;p < 0.001)已被确定为COPD发生的重要风险因素。

结论

采石场工人中COPD的患病率显著较高,这突出了实施有效预防措施以减轻职业性肺病影响的必要性。

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