medbioМедико-биологические проблемы жизнедеятельностиMedical and Biological Problems of Life Activity2074-2088Республиканский научно-практический центр радиационной медицины и экологии человека10.58708/2074-2088.2024-2(32)-111-120medbio-384Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEРаспространенность респираторных симптомов у рабочих промышленных предприятийPrevalence of respiratory symptoms in industrial workershttps://orcid.org/0009-0006-2538-0283НгуенТ. Х.NguenT. H.

г. Ханой

nmthachvn@gmail.comНгуенД. Ш.NguenD. Sh.

г. Ханой

ЧанВ. Д.ChanV. D.

г. Ханой

ДаоФ. К.DaoF. K.

г. Ханой

НгуенТ.Б.Л.NguenT.B.L.

г. Ханой

НгуенМ. Т.NguenM. T.

г. Ханой

Национальный институт охраны труда и окружающей среды ВьетнамаViet Nam20241710202402111120Copyright © Нгуен Т.Х., Нгуен Д.Ш., Чан В.Д., Дао Ф.К., Нгуен Т., Нгуен М.Т., 20242024Нгуен Т.Х., Нгуен Д.Ш., Чан В.Д., Дао Ф.К., Нгуен Т., Нгуен М.Т.Nguen T.H., Nguen D.S., Chan V.D., Dao F.K., Nguen T., Nguen M.T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medbio.ejournal.by/jour/article/view/384

Исследование проведено во Вьетнаме среди 1 228 рабочих (836 — рабочие по производству стали, 392 — по производству керамической плитки) с целью изучения риска хронической обструктивной болезни легких (ХОБЛ) среди работников. В исследовании использовался скрининговый опросник для хронической обструктивной болезни легких в сообществе, основанный на «Руководстве по диагностике и лечению хронической обструктивной болезни легких», предоставленном Министерством здравоохранения.Результаты показали, что доля рабочих с риском ХОБЛ составила 8,6% (9,7% — среди рабочих по производству стали и 6,4% — среди рабочих по производству керамической плитки). Риск ХОБЛ имеет тенденцию увеличиваться с возрастом и стажем работы. Среди тех, кто находится в группе риска ХОБЛ, уровни воздействия пыли, токсичных паров и курения составили 10,2%, 11,6% и 51,8% среди рабочих по производству стали и 7,2%, 9,9% и 36,0% — среди рабочих по производству керамической плитки. Факторы окружающей среды, воздействию которых подвергались рабочие, включали тепло, шум, пыль и токсичные пары/химикаты. Уровни их влияния составили 58,6%, 93,3%, 94,3% среди рабочих по производству стали и 47,7%, 90,6%, 88,5% — среди рабочих по производству керамической плитки. Ежедневный уровень курения составил 24,3% и 20,4%.Ежедневное курение в 3,6 раза повышает риск развития ХОБЛ по сравнению с некурящими (p<0,001; 95%CI=2,37–5,35).Исследование выявило повышенный риск ХОБЛ среди рабочих, подвергающихся воздействию пыли, токсичных паров и курения. Авторы предложили несколько мер по предотвращению риска ХОБЛ на рабочем месте, включая улучшение условий труда, повышение медицинских услуг, регулярные медицинские обследования и усиление коммуникации по управлению ХОБЛ.

The study was conducted in Vietnam among 1,228 workers (836 steel workers and 392 ceramic tile workers) to investigate the risk of chronic obstructive pulmonary disease (COPD) among workers. The study used a screening questionnaire for chronic obstructive pulmonary disease in the community based on the «Guidelines for the Diagnosis and Treatment of ChronicObstructive Pulmonary Disease» provided by the Ministry of Health. The results showed that the proportion of workers at risk of COPD was 8,6% (9,7% among steel workers and 6,4% among ceramic tile workers). The risk of COPD tends to increase with age and length of service. Among those at risk of COPD, the levels of exposure to dust, toxic fumes, and smoking were 10,2%, 11,6%, and 51,8% among steel workers and 7,2%, 9,9%, and 36,0% among ceramic tile workers. The environmental factors to which the workers

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The authors declare that there are no conflicts of interest present.