Niepsuj G, Niepsuj K, Oklek K, Kozielski J, Krzywiecki A, Ziora D, Cieślicki J, Szurkowska-Kieda J
Kliniki Fitizjopneumonologii Slaskiej Akademii Medycznej, Zabrzu.
Med Pr. 1993;44(1):1-8.
The aim of this study was to determine the influence of smoking habit and occupational exposure to air pollution on the prevalence of chronic bronchitis and lung function efficiency in foundry workers. MRC survey and spirographic measurements were performed in 917 men aged 18-62 years (mean age 38.6). In 455 men (49.6%), occupational exposure to air pollution significantly exceeded the permissible values. In 122 men (13.3%) the exposure was low. Chronic bronchitis was more than twice as frequent in smokers (27.3%) as in nonsmokers (11.0). Cessation of smoking led to an improvement in the symptoms of chronic bronchitis. Chronic bronchitis was slightly more frequent in highly exposed (25.5%) as compared with low-exposed workers (15.6%). Age-related lung function decline was significantly greater in smokers than in nonsmokers. Unlike chronic bronchitis, lung function was still lower after smoking cessation. Among highly exposed workers, age-related FVC and FEV1 declines were significantly larger in smokers than in non-smokers.
本研究旨在确定吸烟习惯和职业性接触空气污染对铸造工人慢性支气管炎患病率和肺功能效率的影响。对917名年龄在18 - 62岁(平均年龄38.6岁)的男性进行了医学研究委员会(MRC)调查和肺功能仪测量。在455名男性(49.6%)中,职业性接触空气污染显著超过允许值。在122名男性(13.3%)中,接触程度较低。吸烟者患慢性支气管炎的频率(27.3%)是非吸烟者(11.0%)的两倍多。戒烟使慢性支气管炎症状得到改善。与低接触工人(15.6%)相比,高接触工人患慢性支气管炎的频率略高(25.5%)。吸烟者与年龄相关的肺功能下降明显大于非吸烟者。与慢性支气管炎不同,戒烟后肺功能仍然较低。在高接触工人中,吸烟者与年龄相关的用力肺活量(FVC)和第一秒用力呼气容积(FEV1)下降明显大于非吸烟者。