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首页> 外文期刊>Occupational and environmental medicine >Respiratory health of cigar factory workers.
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Respiratory health of cigar factory workers.

机译：雪茄工厂工人的呼吸健康。

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OBJECTIVES: To determine whether occupational exposure to raw tobacco causes respiratory or allergic diseases, an excess of respiratory symptoms, a decrease in lung function, or parenchymal changes in chest radiography among Finnish cigar workers. METHODS: This cross sectional study included all Finnish cigar workers (n = 106) exposed to raw tobacco and also a group of unexposed matched referents. Data were collected with a self administered questionnaire, flow volume spirometry, measurements of diffusing capacity of the lung for carbon monoxide, chest radiography and skin prick tests. A questionnaire was also sent to former workers of the factory. RESULTS: There were no significant differences between the groups in the prevalence of respiratory symptoms and chest radiography findings. Nine of 102 tobacco workers had pulmonary fibrosis of at least 1/0 (according to the International Labour Organisation (ILO) 1980 classification) and the corresponding figure was five for the referents. The tobacco workers tended to have a low forced vital capacity (FVC), and they had impaired forced expiratory volume in 1 second and lower means of the maximal expiratory flow at 25% of the FVC significantly more often than the referents. Diffusing capacity tended to be lower among the referents. The referents more often had atopy and earlier atopic diseases than the exposed workers. These results indicate the possibility of selection among the exposed workers. CONCLUSIONS: No excess of prevalence of respiratory symptoms in the tobacco workers was found. According to the questionnaire episodes of allergic alveolitis may have occurred in the cigar factory workers. However, in the absence of impairments in lung function and radiological changes it was not possible to distinguish humidifier fever and allergic alveolitis. In exposure conditions that include humidification of the air humidifier, fever and allergic alveolitis constitute a risk for tobacco workers. No effects were shown of exposure to tobacco dust on lung function.
机译：目的：确定职业雪茄烟暴露是否引起呼吸道或过敏性疾病，过度的呼吸道症状，肺功能下降或胸部X线摄影的实质改变。方法：这项横断面研究包括所有暴露于生烟草的芬兰雪茄工人（n = 106），以及一组未暴露的匹配对象。使用自我管理的调查表，肺活量肺活量测定法，肺对一氧化碳扩散能力的测定，胸部放射线照相和皮肤点刺试验收集数据。还向工厂的前工人发送了调查表。结果：两组之间在呼吸系统症状的发生率和胸部X线摄片结果之间无显着差异。 102名烟草工人中有9名肺纤维化程度至少为1/0（根据国际劳工组织（ILO）1980年分类），相应的数字是5。烟草工人往往具有较低的强制肺活量（FVC），并且他们在1秒内损害了强制呼气量，最大呼气流量的平均值较低，占呼气量的25％，比参考人高得多。在对象之间的扩散能力往往较低。与暴露的工人相比，被访者患特应性疾病和特应性疾病的频率更高。这些结果表明在暴露的工人中进行选择的可能性。结论：未发现烟草工人呼吸道症状的流行。根据问卷调查，雪茄工厂的工人可能发生了过敏性肺炎。但是，在没有肺功能损害和放射学改变的情况下，不可能区分加湿器发烧和过敏性肺泡炎。在包括空气加湿器加湿在内的暴露条件下，发烧和过敏性肺泡炎对烟草工人构成危险。暴露于烟尘对肺功能没有影响。

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