Effects of occupational exposure to dust on chest radiograph, pulmonary function, blood pressure and electrocardiogram among coal miners in an eastern province, China
Effects of occupational exposure to dust on chest radiograph, pulmonary function, blood pressure and electrocardiogram among coal miners in an eastern province, China
复制标题
东部省份煤矿工人职业性粉尘暴露对胸片、肺功能、血压、心电图的影响
DOI：
10.1186/s12889-019-7568-5
复制
发表时间：
2019-09-05
影响因子：
4.5
通讯作者：
Zhu, Baoli
中科院分区：
文献类型：
--
作者：
Wu, Qiuyun;Han, Lei;Zhu, Baoli
煤尘是导致矿工呼吸系统疾病和心血管疾病的重要危险因素之一。本研究旨在观察职业性接尘对煤矿工人胸片、肺功能（PF）、血压（BP）、心电图（ECG）等指标的影响，并探讨相关危险因素。方法在中国职业病监测与职业健康风险评价项目中，2015年和12年共调查11,061人，本研究于2016年招募了597名受试者。结果煤矿工人血压异常发生率最高，其次为心电图异常、肺功能异常和胸片异常。煤矿工人血压、心电图、肺功能和X线胸片异常与年龄、接尘年限、吸烟、饮酒、工种、矿井规模等因素有显著性差异。2015 - 2016年共确诊煤工尘肺80例，占煤矿工人的0.34%。结论煤矿工人血压、心电图、肺功能和胸片异常是我国突出的健康问题，应引起高度重视。应采取切实可行的健康促进和防护措施，保障煤矿工人的健康。
BackgroundCoal dust is one of the most serious risk factor that leads to respiratory diseases and cardiovascular diseases in miners. This study aimed to observe the effects of occupational dust exposure on chest radiograph, pulmonary function (PF), blood pressure (BP) and electrocardiogram (ECG) indexes in coal miners and explore the related risk factors.MethodsIn the Chinese Occupational Disease Monitoring and Occupational Health Risk Assessment Program, a total of 11,061 subjects in 2015 and 12,597 subjects in 2016 were recruited in this study. The chest radiograph, PF, BP and ECG of coal miners were surveyed using radiograph machine, spirometer, sphygmomanometer and electrocardiograph, respectively.ResultsThe prevalence of aberrant BP was the highest in coal miners, followed by abnormal ECG, PF and radiograph. Significant differences in abnormal BP, ECG, PF and radiograph of coal miners were closely associated with age, years of dust exposure, smoking, drinking, working types and size of mines. A total of 80 persons diagnosed with coal workers’ pneumoconiosis (CWP) in 2015–2016, which occupied 0.34% of the coal miners.ConclusionAbnormal BP, ECG, PF and radiograph of coal miners are highlighted health problems in China and require serious attention. Feasible health promotion and protective facilities should be adopted to guarantee coal miners’ health.