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接触棉尘工人的呼气峰值流速昼夜节律。

Circadian rhythms in peak expiratory flow rate in workers exposed to cotton dust.

作者信息

Cinkotai F F, Sharpe T C, Gibbs A C

出版信息

Thorax. 1984 Oct;39(10):759-65. doi: 10.1136/thx.39.10.759.

Abstract

One hundred and sixty two people working in various departments of cotton spinning and weaving mills measured and recorded their own peak expiratory flow rate (PEFR) at two hourly intervals during Monday, Wednesday, and Thursday of the same work week, from waking in the morning throughout the day until going to bed and a last time the following morning after waking. The circadian rhythm in PEFR was computed by the Halberg program. The mean amplitude of the rhythm in the group was found to be 3.3% and the acrophase fell approximately in the middle of the waking hours. Older workers and those claiming to suffer from symptoms of chronic bronchitis were found to have an amplitude significantly higher (4.1% and 3.9% respectively) than their younger or symptom free counterparts (2.6% and 2.9% respectively; p less than 0.03). The amplitude of cardroom workers (2.4%), workers with byssinosis (2.7%), and those with much exposure to airborne cotton dust (3.3%) and bacteria (2.9%) tended to be lower than that of less exposed groups such as office staff (3.9%), though the difference was significant only in the case of cardroom workers (p less than 0.04). This may be due to airborne contaminants in the working environment.

摘要

162名在棉纺织厂各部门工作的人员,在同一工作周的周一、周三和周四,每隔两小时测量并记录一次他们自己的呼气峰值流速(PEFR),从早晨醒来直至全天结束上床睡觉,以及次日早晨醒来后最后一次测量。通过哈尔伯格程序计算PEFR的昼夜节律。该组中节律的平均振幅为3.3%,峰值相位大约落在清醒时间的中间。发现年长工人以及自称患有慢性支气管炎症状的工人,其振幅显著高于年轻或无症状的同行(分别为4.1%和3.9%)(年轻或无症状同行分别为2.6%和2.9%;p<0.03)。棋牌室工作人员(2.4%)、棉尘肺患者(2.7%)以及大量接触空气中棉尘(3.3%)和细菌(2.9%)的人员的振幅,往往低于接触较少的群体,如办公室工作人员(3.9%),不过只有棋牌室工作人员的差异具有统计学意义(p<0.04)。这可能是由于工作环境中的空气传播污染物所致。

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本文引用的文献

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Changes in forced expiratory volumes throughout the day.全天用力呼气量的变化。
Br Med J. 1960 Feb 13;1(5171):462-4. doi: 10.1136/bmj.1.5171.462.
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Lung function studies before and after a work shift.轮班前后的肺功能研究。
Br J Ind Med. 1983 May;40(2):153-9. doi: 10.1136/oem.40.2.153.

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