Investigations of 451 Coal Worker's Pneumoconiosis complicated with COPD in Western District of Beijing_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

YuChunxiao ¹ ^* , GaoHong ¹ ^* , LiSuwen ² ^* , ChenChunlan ³ ^* , AnFucheng ⁴ ^* , WangJianguo ⁵ ^* , ChenDongjin ¹ ^* , XiaoZhiqiang ⁶ ^* , ZhangYingying ¹ , WenZhengjun ¹ , ZhangHongli ¹ ,  HeQuanying ⁷

1. Beijing Jingmei Group General Hospital, Beijing, 102300, China;
2. ;
3. ;
4. ;
5. ;
6. ;
7. ;

Corresponding?author：

HeQuanying, Email: hxk313@126.com

Keywords：

Coal worker's pneumoconiosis; Chronic obstructive pulmonary disease; Smoking index; Exposure duration; CAT score

DOI：

10.7507/1671-6205.2015033

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To understand the prevalence,risk factors,clinical features and the medication of coal worker's pneumoconiosis(CWP) complicated with chronic obstructive pulmonary disease (COPD). Methods Pulmonary function testing results,clinical symptoms,medication of 451 patients with CWP were collected. Then, the risk factors relevant to the incidence of COPD in CWP were analyzed with Cox multivariate regression. Results The prevalence of COPD in CWP was 44.6%,and the incidence was rising with the increasing of CWP phases, exposure duration,smoking index,with the odds ratio of 3.20,1.09,and 1.01,respectively.The patients with CWP and COPD were suffered more symtoms with a CAT score of 25.5 but received less regular medications. Conclusions The incidence of COPD in CWP is obviously higher than that in common populaton.Exposure duration, smoking index and phases of CWP are the high risk factors for COPD in the population of CWP. The patients with CWP and COPD are suffered more symtoms but receive irregular medications.

Citation： YuChunxiao, GaoHong, LiSuwen, ChenChunlan, AnFucheng, WangJianguo, ChenDongjin, XiaoZhiqiang, ZhangYingying, WenZhengjun, ZhangHongli, HeQuanying. Investigations of 451 Coal Worker's Pneumoconiosis complicated with COPD in Western District of Beijing. Chinese Journal of Respiratory and Critical Care Medicine, 2015, 14(2): 128-131. doi: 10.7507/1671-6205.2015033 Copy

1.	?李翠蘭,沈福海,孫志謙,等.1988~2011年某煤業集團煤工塵肺病例構成的動態分析.工業衛生與職業病,2012,38:345-348.
2.	Becklake MR,Irwig L,Kielkowski D,et al.The predictors of emphysema in South African gold miners.Am Rev Respir Dis,1987,135:1234-1241.
3.	Hnizdo E,Sluis-Cremer GK.Silica exposure,silicosis,and lung cancer:a mortality study of South African gold miners.Br J Ind Med,1991,48:53-60.
4.	Cochcroft A,Seal RM,Wagner JC,et al.Post-mortem study of emphysema in coalworkers and noncoalworker.Lancet,1982,2:600-603.
5.	Santo Tomas LH.Emphysema and chronic obstructive pulmonary disease in coal miners.Curr Opin Pulm Med,2011,17:123-125.
6.	Balmes J,Becklake M,Blanc P,et al.American Thoracic Society statement:occupational contribution to the burden of airway disease.Am J Respir Crit Care Med,2003,167:787-797.
7.	Xu X, Christiani DC, Dockery DW, et al. Exposure-response relationships between occupational exposures and chronic respiratory illness:a community-based study. Am Rev Respir Dis,1992,146:413-418.
8.	Boggia B, Farinaro E, Grieco L, et al.Burden of smoking and occupational exposure on etiology of chronic obstructive pulmonary disease in workers of Southern Italy. J Occup Environ Med,2008,50:366-370.
9.	Diaz-Guzman E, Aryal S, Mannino DM. Occupational chronic obstructive pulmonary disease:an update.Clin Chest Med,2012,33:625-636.
10.	Pellegrino R,Viegi G,Bmsasco V,et al.Interpretative strategies for lung function tests.Eur Respir J,2005,26:948-968.
11.	Vestbo J,Hurd SS,Agustt AG,et al.Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease:GOLD executive summary.Am J Respir Crit Care Med,2013,187:347-365.
12.	周玉民,王辰,姚婉貞,等.職業性接觸粉塵和煙霧對慢性阻塞性肺疾病及呼吸道癥狀的影響.中國呼吸與危重監護雜志,2009,8:6-11.
13.	Mortaz E,Folkerts G,Nijkamp FP,et al.ATP and the pathogenesis of COPD.Eur J Pharmacol,2010,638:1-4.
14.	李欣,陳平,陳燕,等.塵肺并發慢性阻塞性肺疾病研究.國際呼吸雜志,2013,33:1455-1459.
15.	肖顯俊,靳偉張,卓然,等.煤工塵肺合并慢性阻塞性肺疾病的研究分析.中國實用醫刊,2012,39:20-22.
16.	馬蘭,付小靈.煤工塵肺并發慢性阻塞性肺疾病的影響因素分析.中華勞動衛生職業病雜志,2010,28:849-850.
17.	Pritchard J.A guide to industrial respiratory protection. HEW Publication 176-189. Cincinnati(OH) NIOSH:1976.
18.	Respiratory protection.Code of Federal Regulations. Title 29 Part 1910.134 US Gov. and Occupational Safety and Health Administration.2009.
19.	Balmes JR. Occupational airways disease from chronic low-level exposure to irritants. Chin Chest Med,2002,23:727-735.

1. ?李翠蘭,沈福海,孫志謙,等.1988~2011年某煤業集團煤工塵肺病例構成的動態分析.工業衛生與職業病,2012,38:345-348.
2. Becklake MR,Irwig L,Kielkowski D,et al.The predictors of emphysema in South African gold miners.Am Rev Respir Dis,1987,135:1234-1241.
3. Hnizdo E,Sluis-Cremer GK.Silica exposure,silicosis,and lung cancer:a mortality study of South African gold miners.Br J Ind Med,1991,48:53-60.
4. Cochcroft A,Seal RM,Wagner JC,et al.Post-mortem study of emphysema in coalworkers and noncoalworker.Lancet,1982,2:600-603.
5. Santo Tomas LH.Emphysema and chronic obstructive pulmonary disease in coal miners.Curr Opin Pulm Med,2011,17:123-125.
6. Balmes J,Becklake M,Blanc P,et al.American Thoracic Society statement:occupational contribution to the burden of airway disease.Am J Respir Crit Care Med,2003,167:787-797.
7. Xu X, Christiani DC, Dockery DW, et al. Exposure-response relationships between occupational exposures and chronic respiratory illness:a community-based study. Am Rev Respir Dis,1992,146:413-418.
8. Boggia B, Farinaro E, Grieco L, et al.Burden of smoking and occupational exposure on etiology of chronic obstructive pulmonary disease in workers of Southern Italy. J Occup Environ Med,2008,50:366-370.
9. Diaz-Guzman E, Aryal S, Mannino DM. Occupational chronic obstructive pulmonary disease:an update.Clin Chest Med,2012,33:625-636.
10. Pellegrino R,Viegi G,Bmsasco V,et al.Interpretative strategies for lung function tests.Eur Respir J,2005,26:948-968.
11. Vestbo J,Hurd SS,Agustt AG,et al.Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease:GOLD executive summary.Am J Respir Crit Care Med,2013,187:347-365.
12. 周玉民,王辰,姚婉貞,等.職業性接觸粉塵和煙霧對慢性阻塞性肺疾病及呼吸道癥狀的影響.中國呼吸與危重監護雜志,2009,8:6-11.
13. Mortaz E,Folkerts G,Nijkamp FP,et al.ATP and the pathogenesis of COPD.Eur J Pharmacol,2010,638:1-4.
14. 李欣,陳平,陳燕,等.塵肺并發慢性阻塞性肺疾病研究.國際呼吸雜志,2013,33:1455-1459.
15. 肖顯俊,靳偉張,卓然,等.煤工塵肺合并慢性阻塞性肺疾病的研究分析.中國實用醫刊,2012,39:20-22.
16. 馬蘭,付小靈.煤工塵肺并發慢性阻塞性肺疾病的影響因素分析.中華勞動衛生職業病雜志,2010,28:849-850.
17. Pritchard J.A guide to industrial respiratory protection. HEW Publication 176-189. Cincinnati(OH) NIOSH:1976.
18. Respiratory protection.Code of Federal Regulations. Title 29 Part 1910.134 US Gov. and Occupational Safety and Health Administration.2009.
19. Balmes JR. Occupational airways disease from chronic low-level exposure to irritants. Chin Chest Med,2002,23:727-735.

Chinese Journal of Respiratory and Critical Care Medicine

Investigations of 451 Coal Worker's Pneumoconiosis complicated with COPD in Western District of Beijing

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content