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某煤矿掘砌工人肺通气功能分析

李翠兰 姚三巧 范雪云 华正兵 钱庆增 沈福海 孙志谦 秦天榜 张志远 袁聚祥 王东 肖淑玉

环境与职业医学2012,Vol.29Issue(6):371-374,4.
环境与职业医学2012,Vol.29Issue(6):371-374,4.

某煤矿掘砌工人肺通气功能分析

Analysis of Pulmonary Ventilation Function of Excavation Workers in a Coal Mine

李翠兰 1姚三巧 2范雪云 2华正兵 2钱庆增 2沈福海 2孙志谦 2秦天榜 1张志远 2袁聚祥 2王东 2肖淑玉3

作者信息

  • 1. 开滦职业病防治院,河北唐山063000
  • 2. 河北联合大学公共卫生学院、河北省煤矿卫生与安全实验室,河北唐山063000
  • 3. 唐山市疾病预防控制中心,河北唐山063000
  • 折叠

摘要

Abstract

[ObjectiVe ] To understand pulmonary ventilation function damage among excavation workers, and to identify impact of dust exposure duration on pulmonary function. [ MethOdS ] A total of 221 excavation workers in a coal mine were selected as dust exposure group, and 83 workers without dust exposure in the same mine as controls. Unified physical examinations and pulmonary function tests were provided. All results were presented as relative values. Chi-square test and covarianee analysis were used for statistical analysis. [ Results ] Significant differences in abnormal lung function rates were found between suhjests having smoking history in the exposure and the control groups (p<0.05), but not found between those without smoking history. The rate of abnormality in excavation worker's pulmonary function was higher than that of the controls (p<0.05). In covarianee analysis, with smoking; as the covariant, forced vital capacity (FVC), forced expiratory volume in the first second (FEV1.0), peak expiratory flow rate (PEFR), FVC best, FEV1.0 best were, significantly lower in the excavation workers than in the controls (p<0.05); PEFR and the maximum flow rate at 25% of FVC devided by body height (V25/Ht) were significantly lower in the workers with ≥ 30 years of work duration than in those with≥10 years and ≥ 20 years of work duration; the distributions of chronic obstructive pulmonary diseases were not significantly different between the exposure and the control groups, and same results were found between the exposure groups with different lengths of work duration. [Conclusion ] Excavation worker's lung function is significantly worse than controls'. The pulmonary ventilation functions reduce with extention of the length of dust exposure. Pulmonary function tests can be used to monitor lung damages in workers exposed to dust.

关键词

尘肺/肺功能/肺通气/工种/工龄

Key words

pneumoconiosis/ lung function/ pulmonary ventilation/ occupation/ work duration

分类

医药卫生

引用本文复制引用

李翠兰,姚三巧,范雪云,华正兵,钱庆增,沈福海,孙志谦,秦天榜,张志远,袁聚祥,王东,肖淑玉..某煤矿掘砌工人肺通气功能分析[J].环境与职业医学,2012,29(6):371-374,4.

环境与职业医学

OA北大核心CSTPCD

1006-3617

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