Mermer fabrikası işçilerinde solunum fonksiyonları ve radyolojik bulgular
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Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Modestum Publishing Ltd.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmanın amacı mermer tozuna maruz kalma
ile oluşan solunum sistemi semptomları, solunum fonksiyon testi ve akciğer grafi bulgularını araştırmaktır.
Gereç ve yöntem: Mermer fabrikasında çalışan toplam
110 kişi çalışma grubu olarak alındı ve işçiler fabrikada
çalıştıkları yerlere göre 4 gruba ayrıldı: blok kesim hattı
(Grup A, 25 kişi), cilalama (Grup B, 33 kişi), fayans kesim (Grup C, 31 kişi) ve büro elemanı grubu (Grup D, 21
kişi). Kontrol grubu (Grup E) olarak mermer tozu maruziyet öyküsü olmayan benzer demografik özelliklere sahip 30 kişi alındı. Tüm grupların çalıştığı ortamlardaki toz
konsantrasyonları ölçüldü. Olgulara anket uygulandı, fizik
muayene ve spirometrik ölçümleri yapıldı. Akciğer grafileri
çekildi.
Bulgular: Fabrikada çalışan olguların tümü erkek olup
yaş ortalaması 33,4±6,3 yıl idi. Gruplar arasında ortalama
yaş ve sigara tüketimi açısından farklılık saptanmadı. Toz
konsantrasyonlarının ilk üç grup için benzer, büroda ise
daha düşük olduğu görüldü. İlk üç çalışma grubunda ofis
grubuna göre öksürük ve balgam şikayetleri daha sık bulundu (p<0.05). İlk üç çalışma grubu ile ofis grubunda ölçülen zorlu vital kapasite (FVC), 1. saniyedeki zorlu ekspirasyonun hacmi (FEV1) veFEV1/FVC farklı değildi. İlk üç
grupta ölçülen FEV1, FEV1/FVC ve zorlu ekspirasyonun
%25 ile %75’i arasındaki akım (FEF25-75) kontrol grubundan belirgin düşük bulundu. İlk üç grupta ofis grubuna göre akciğer grafisinde daha yüksek oranda patolojik
bulgu saptanmakla birlikte fark istatistiksel olarak anlamlı
değildi. Akciğer grafisi patolojileri mermer fabrikasında on
yıldan fazla çalışan grupta daha sık saptandı (p<0,001).
Sonuç: Mermer fabrikası işçilerinde toza maruziyetin yoğunluğu ve süresi solunum semptomları ve akciğer grafi
bulguları ile ilişkilidir.
Objectives: The aim of this study is to investigate the probable effect of exposure to marble dust on respiratory symptoms, respiratory function tests and chest radiographies. Materials and methods: Totally 110 marble workers were enrolled as study group. Marble workers were divided into 4 groups according to work places: block cutting line (Group A, n=25), polishing unit (Group B, n=33), tile cutting unit (Group C, n=31), and office workers (n=21). Control group (Group E, n=30) consisted of similar demographical characteristics without dust exposure. Dust concentrations of all groups working environments were measured. The patients administered the questionnaire, and examination findings and respiratory function test results were recorded. Chest graphies were obtained. Results: All of factory workers were male and mean age was 33,4±6,3 years. There was no difference between groups in mean age and cigarette consumption. Dust concentrations were similar in the first three groups, but it was lower in the office. In first three groups, cough and sputum frequencies were more than office group. Regarding the respiratory function test results, no significant difference was detected between the FEV1, FVC and FEV1/FVC values. But lower values in first three groups than control group according to FEV1, FEV1/FVC and FEF25-75 were detected. Although statistically not different, more abnormal chest radiographic findings were found in first three groups. Workers, who had a history of marble dust exposure more than ten years, had more chest radiographic abnormalities. Conclusion: Marble dust exposure was related to respiratory symptoms and chest radiographic findings in relation to the intensity and duration of exposure in marble factory workers. J Clin Exp Invest 2012; 3(2): 250-254.
Objectives: The aim of this study is to investigate the probable effect of exposure to marble dust on respiratory symptoms, respiratory function tests and chest radiographies. Materials and methods: Totally 110 marble workers were enrolled as study group. Marble workers were divided into 4 groups according to work places: block cutting line (Group A, n=25), polishing unit (Group B, n=33), tile cutting unit (Group C, n=31), and office workers (n=21). Control group (Group E, n=30) consisted of similar demographical characteristics without dust exposure. Dust concentrations of all groups working environments were measured. The patients administered the questionnaire, and examination findings and respiratory function test results were recorded. Chest graphies were obtained. Results: All of factory workers were male and mean age was 33,4±6,3 years. There was no difference between groups in mean age and cigarette consumption. Dust concentrations were similar in the first three groups, but it was lower in the office. In first three groups, cough and sputum frequencies were more than office group. Regarding the respiratory function test results, no significant difference was detected between the FEV1, FVC and FEV1/FVC values. But lower values in first three groups than control group according to FEV1, FEV1/FVC and FEF25-75 were detected. Although statistically not different, more abnormal chest radiographic findings were found in first three groups. Workers, who had a history of marble dust exposure more than ten years, had more chest radiographic abnormalities. Conclusion: Marble dust exposure was related to respiratory symptoms and chest radiographic findings in relation to the intensity and duration of exposure in marble factory workers. J Clin Exp Invest 2012; 3(2): 250-254.
Açıklama
Anahtar Kelimeler
Mermer işçisi, Solunum fonksiyonları, Akciğer grafisi, Marble workers, Respiratory functions, Chest x-ray
Kaynak
Journal of Clinical and Experimental Investigations
WoS Q Değeri
Scopus Q Değeri
Cilt
3
Sayı
2
Künye
Sezgi, C., Abakay, Ö., Önder, H., Şen, H. S., Abakay, A., Kaya, H. ve diğerleri. (2012). Mermer fabrikası işçilerinde solunum fonksiyonları ve radyolojik bulgular. Journal of Clinical and Experimental Investigations, 3(2), 250-254.