龙岩市136名煤工尘肺患者肺通气功能测定结果分析  

The Examination and Analysis of Pulmonary Ventilation Function of 136 Coal Worker's Pneumoconiosis

作　　者：谢德兴[1] 王治国 梁立徽[3] 

机构地区：[1]龙岩市疾病预防控制中心,福建364000 [2]龙岩市卫生局卫生监督所,福建364000 [3]福建省职业病与化学中毒预防控制中心,福州350001

出　　处：《海峡预防医学杂志》2006年第5期11-13,共3页Strait Journal of Preventive Medicine

基　　金：福建省科技厅计划基金重点攻关项目(2002Y19-2)

摘　　要：[目的]研究煤工尘肺患者肺通气功能的损害情况。[方法]对136名煤工尘肺患者(接触组)和83名对照人员(对照组)进行肺通气功能测定。[结果]①接触组肺通气功能异常检出率高于对照组(P<0.01)。②接触组肺通气功能指标低于对照组(P<0.05或P<0.01)。③接触组吸烟者肺通气功能指标低于不吸烟者(P<0.05或P<0.01)。④接触组随着年龄的增加,MMF和V25呈下降趋势(P<0.05);随着工龄的延长,MMF、V25、V50、V75、Vmax呈现下降趋势(P<0.05)。[结论]长期接触煤尘的煤工尘肺患者肺通气功能明显降低,吸烟与煤尘可能产生协同作用,工人的肺通气功能损伤有随工龄的延长和年龄的增加而加重的趋势。[Objective] To examination pulmonary ventilation function （PVF） of coal worker＇s pneumoconiosis （CWP）. [Methods] Totally 136 CWP （expose group） and 83 normal workers （control group） were examined for PVF. [Results] ① The abnormal rate of PVF in expose group was higher than that in control group （P〈0.01）. ② The PVF indexes in exposed group was lower than that in control group （P〈0.05 or P〈0.01） ③ In exposed group, the PVF indexes in smokers were lower than those in non-smokers （P〈0.05）. ④ In exposed group, MMF and V25 showed decreasing trend with age increasing （P〈0.05） and MMF, V25, V50, V75 and Vmax showed decreasing trend with length increasing of service （P〈0.05）. [Conclusion] The PVF of CWP exposed to coal dust for a long time is greatly reducing and smoking have joint effect with coal dust. The PVF decreasing trend is related to length increasing of service and age increasing.

关 键 词：煤工尘肺 肺通气功能 吸烟者 

分 类 号：R135.2[医药卫生—劳动卫生]