某集团煤矿接尘工人肺功能损伤现状及其影响因素

发布时间：2018-06-01 06:14

本文选题：煤矿 + 接尘工人　；参考：《职业与健康》2016年02期

【摘要】：目的通过对某集团煤矿接尘工人肺功能损伤的现状和流行病学特征的分析,探讨其影响因素,为保护接尘工人健康提供科学依据。方法收集2013年6月-2014年5月该集团甲、乙、丙、丁、戊5个煤矿879名男性接尘工人的健康监护资料,调查其人口统计学信息、职业史、疾病史、吸烟情况等,分析该集团煤矿接尘工人的肺功能损伤程度及其影响因素。结果接尘工人用力肺活量(FVC)、1秒钟用力呼气量(FEV1.0)、1秒钟用力呼气率(FEV1.0%)、峰值呼气流速(PEFR)、最大呼气中期流量(MMF)、25%FVC时的流速/被测者的身高(V25/Ht)异常检出率分别为12.97%、15.93%、19.68%、39.82%、41.41%、34.70%。检出通气功能异常者为220例。肺功能损伤类型以阻塞性为主(12.06%),混合性次之(7.62%),限制性最少(5.35%)。丙和戊矿接尘工人肺功能损伤程度较重,表现为丙矿FVC、FEV1.0、FEV1.0%和戊矿V25/Ht的总体均数下降最明显。吸烟指数为0、≤200、200时,FEV1.0%的异常检出率分别为8.05%、15.52%、40.98%;年龄为30、30~、40~和50岁~时,FEV1.0%的总体均数分别为85.18±5.70、81.55±9.79、79.37±10.19、75.28±10.18;接尘工龄为10、10~、20~、30 a~时,FVC的异常检出率分别为13.33%、14.71%、18.63%、29.41%。多因素分析表明,排除年龄、吸烟的混杂影响,工种、接尘工龄是肺通气功能损伤的危险因素。结论该集团煤矿接尘工人肺功能损伤主要表现为阻塞性通气功能障碍,肺通气功能的改变与年龄、接尘工龄、工种及吸烟的关系密切相关。
[Abstract]:Objective through the analysis of the status and epidemiological characteristics of lung function damage in the dust exposed workers in a group coal mine, the influence factors were discussed to provide scientific basis for protecting the health of the dust exposed workers. Methods the health monitoring data of 879 male dust workers in the 5 coal mines of the group A, B, C, C, D and E in the June 2013 year of -2014 were collected to investigate the population of their population. Statistical information, career history, history of disease, smoking and so on, analyzed the lung function damage degree and its influencing factors in the coal mine workers. Results the workers exposed to the forced expiratory volume (FVC), 1 second forced expiratory volume (FEV1.0), 1 second forced expiratory rate (FEV1.0%), peak expiratory flow rate (PEFR), maximum expiratory flow (MMF), 25%FVC The abnormal detection rates of velocity / height (V25/Ht) were 12.97%, 15.93%, 19.68%, 39.82%, 41.41%, and 220 cases with abnormal ventilatory function in 34.70%.. The types of pulmonary function injury were mainly obstructive (12.06%), mixed (7.62%), and Limited (5.35%). The lung function damage of the workers exposed to C and E was heavy, showing FV C mine The total average number of C, FEV1.0, FEV1.0% and AML V25/Ht decreased most obviously. When the smoking index was 0, or less than 200200, the abnormal detection rates of FEV1.0% were 8.05%, 15.52%, 40.98% respectively. The total average number of FEV1.0% was 85.18 + 5.70,81.55 + 9.79,79.37 + 10.18, respectively, with the age of 30,30~, 40~ and 50 years old, respectively. The abnormal detection rates were 13.33%, 14.71% and 18.63% respectively. 29.41%. multiple factors analysis showed that the exclusion age, the mixed effect of smoking, the work age and the age of the dust were the risk factors for lung ventilation injury. Conclusion the lung function damage of the coal dust workers in this group is mainly obstructive ventilation dysfunction, the change of lung ventilation function and age, and the connection of lung ventilation function and age. The relationship between working age, work and smoking is closely related.
【作者单位】：徐州矿务集团总医院;新乡医学院公共卫生学院;
【分类号】：R135.2

【相似文献】