Zuskin E, Kanceljak B, Mustajbegović J, Bradić V, Budak A
Skola narodnog zdravlja Andrija Stampar Medicinskog fakulteta Sveucilista u Zagrebu.
Lijec Vjesn. 1996 May-Jun;118(5-6):113-7.
Ventilatory capacity and immunological reactions were studied in 54 female workers employed in processing dried fruits and teas, and in 40 control workers. There was higher prevalence of all chronic respiratory symptoms in the exposed compared to control workers, although the differences were statistically significant only for dyspnea and nasal catarrh (p < 0.01). The exposed workers with positive skin tests had significantly higher prevalence of dyspnea (p < 0.05) and nasal catarrh (p < 0.01) than those with negative skin tests. In exposed workers there were statistically significant acute reductions of ventilatory capacity tests during the shift, particularly in flow rates at 50% and the last 25% of vital capacity on maximum expiratory flow-volume (MEFV) curves (FEF50, FEF25). In comparison to predicted normal values, the mean FEF25 was significantly lower than normal (p < 0.01). Significantly larger number of exposed workers compared to controls reacted with positive skin tests to at least one of the occupational allergens (p < 0.01). However, only the prevalence of positive skin test to sage (60.0%) was significantly higher than in control workers (20.0%) (p < 0.01). Our data indicate that exposure to aerosols of dried fruits and teas may in some workers cause the development of respiratory symptoms and increased skin reactivity to work-related allergens, with an increase of immunoglobulin IgE.
对54名从事果脯和茶叶加工的女工以及40名对照工人的通气能力和免疫反应进行了研究。与对照工人相比,暴露组所有慢性呼吸道症状的患病率更高,不过只有呼吸困难和鼻粘膜炎的差异具有统计学意义(p<0.01)。皮肤试验呈阳性的暴露组工人中,呼吸困难(p<0.05)和鼻粘膜炎(p<0.01)的患病率显著高于皮肤试验呈阴性的工人。暴露组工人在轮班期间通气能力测试出现了统计学意义上的急性下降,尤其是在最大呼气流量-容积(MEFV)曲线的肺活量的50%和最后25%时的流速(FEF50、FEF25)。与预测的正常值相比,平均FEF25显著低于正常水平(p<0.01)。与对照组相比,暴露组中对至少一种职业过敏原皮肤试验呈阳性反应的工人数量显著更多(p<0.01)。然而,只有对鼠尾草皮肤试验呈阳性的患病率(60.0%)显著高于对照工人(20.0%)(p<0.01)。我们的数据表明,接触果脯和茶叶的气溶胶可能会使一些工人出现呼吸道症状,并增加皮肤对与工作相关过敏原的反应性,同时免疫球蛋白IgE也会增加。