首页|煤矿燃油车辆尾气暴露与肺功能损伤的危险因素研究

煤矿燃油车辆尾气暴露与肺功能损伤的危险因素研究

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目的 探究暴露于煤矿燃油车辆尾气与机体呼吸系统尤其是肺功能损伤的关系,分析煤矿工人发生肺功能下降的危险因素.方法 采用现况研究,通过整群抽样法从2021年陕北地区接受体检的煤矿工人中抽取研究对象.根据肺功能分为正常组和异常组,采用多因素logistic回归分析模型分析肺功能异常与煤矿燃油车辆尾气暴露之间的关联.结果 共纳入564名研究对象,陕北地区煤矿工人肺功能正常组和异常组的年龄、性别和工龄差异均有统计学意义(均P<0.05).两组人群在二氧化碳(carbon dioxide,CO2)、一氧化氮(nitric oxide,NO)、二氧化氮(nitro-gen dioxide,NO2)和多环芳烃(polycyclic aromatic hydrocarbon,PAH)暴露的差异均有统计学意义(均P<0.05).调整了年龄、工龄等潜在混杂因素后,NO高暴露(OR=2.01,95%CI:1.43~3.04,P<0.001)和PAH高暴露(OR=1.81,95%CI:1.01~4.18,P<0.05)的煤矿工人发生肺损伤的风险更高,而 CO2高暴露(OR=1.24,95%CI:0.71~2.36)和 NO2高暴露(OR=1.43,95%CI:0.54~4.17)风险差异均无统计学意义(均P>0.05).结论 在煤矿工人中,男性、年龄大和工龄长,燃油车辆尾气中的NO和PAH是肺功能损伤的危险因素.提示应对煤矿工人采取针对性的保护措施,减少肺功能损伤.
Prediction study on the exposure of coal mine fuel vehicle exhaust and lung function damage
Objective The aim of this study was to observe the relationship between exposure to coal mine fuel vehicle exhaust and the respiratory system of the organism,with a particular focus on lung function damage,and to explore the risk factors for the occurrence of lung function decline in coal miners.Methods The current situation study was used to select the study subjects from the coal miners who un-derwent physical examination in northern Shaanxi in 2021 by cluster sampling.The subjects were divided into two groups based on their lung function:a normal group and an abnormal group.The relationship be-tween lung function abnormalities and exposure to coal mine fuel vehicle exhaust was then examined using multifactorial logistic regression.Results A total of 564 study subjects were included,and the differ-ences in age,gender,and length of service between the normal and abnormal lung function groups of coal miners in northern Shaanxi were statistically significant(all P<0.05).The differences in carbon dioxide(CO2),nitric oxide(NO),nitrogen dioxide(NO2)and polycyclic aromatic hydrocarbon(PAH)expo-sure between the two groups were statistically significant(all P<0.05).After adjusting for potential con-founding factors such as age and seniority,miners exposed to high levels of NO(OR=2.01,95%CI:1.43-3.04,P<0.001)and PAH(OR=1.81,95%CI:1.01-4.18,P<0.05)exhibited a heightened risk of developing lung injury.Injury risk was observed among coal miners with high CO2 exposure(OR=1.24,95%CI:0.71-2.36)and NO2 exposure(OR=1.43,95%CI:0.54-4.17),but no significant difference was noted between these groups(all P>0.05).Conclusions Among coal miners,males,older,and seniority,exposure to NO and PAH from fuel vehicle exhaust are risk factors for lung function impairment.It is suggested that targeted protective measures should be taken to reduce lung function injury in coal miners.

CoalmineVehicle exhaustLung function

王志荣、乔金林、安世岗、王佳、刘思思、李雯雯、邹元杰、穆敏

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国能神东煤炭集团有限责任公司,鄂尔多斯 017200

安徽理工大学公共卫生学院预防医学系,淮南 232001

安徽理工大学工业粉尘防控与职业安全健康教育部重点实验室,淮南 232001

安徽理工大学安徽省职业安全健康研究院,淮南 232001

合肥综合性国家科学中心,大健康研究院职业医学与健康联合研究中心,合肥 230061

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煤矿 燃油车辆尾气 肺功能

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(12)