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尼日利亚煤矿工人的通气功能

Ventilatory function in Nigerian coal miners.

作者信息

Jain B L, Patrick J M

出版信息

Br J Ind Med. 1981 Aug;38(3):275-80. doi: 10.1136/oem.38.3.275.

Abstract

Ventilatory capacity has been measured in 675 Nigerian colliery employees classified in three groups according to occupation: coalface workers, other underground workers with low exposure to dust, and surface workers in administrative and clerical jobs. Men with current respiratory symptoms were excluded, as were ex-miners. The faceworkers were a slightly older group who smoked less, and they were presumed to be more active. Faceworkers had a highest forced vital capacities (adjusted for age and stature) but the lowest values for indices reflecting maximal expiratory airflows, (FEV1/FVC, PFR FEF, and FMF). Apparently coalface work is associated with an 8% impairment of maximum expiratory airflow, probably due to dust exposure, but also with a modest enhancement in FVC, possibly due to training of the respiratory muscles. Regression coefficients on age for the airflow indices are significantly more negative in faceworkers than in the other groups. Smoking and duration of service did not significantly affect the pattern of results. FEV1 does not vary among the occupational groups in the colliery, and the mean value is close to that predicted on the basis of reference equations previously obtained for non-miners in Nigeria.

摘要

已对675名尼日利亚煤矿工人的通气能力进行了测量,这些工人根据职业分为三组:采煤工作面工人、其他低粉尘暴露的地下工人以及行政和文职工作的地面工人。有当前呼吸道症状的男性以及前矿工被排除在外。采煤工作面工人年龄稍大,吸烟较少,且被认为更活跃。采煤工作面工人的用力肺活量最高(根据年龄和身高进行了调整),但反映最大呼气气流的指标值最低(第一秒用力呼气容积/用力肺活量、峰值呼气流速、用力呼气流量以及最大呼气中期流量)。显然,采煤工作面工作与最大呼气气流受损8%有关,这可能是由于粉尘暴露,但同时也与用力肺活量适度增加有关,这可能是由于呼吸肌训练所致。采煤工作面工人气流指标的年龄回归系数比其他组显著更负。吸烟和工作年限对结果模式没有显著影响。煤矿各职业组之间第一秒用力呼气容积没有差异,其平均值接近根据先前为尼日利亚非矿工获得的参考方程预测的值。

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