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：

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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

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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,姚婉贞,等.职业性接触粉尘和烟雾对慢性阻塞性肺疾病及呼吸道症状的影响.中国呼吸与危重监护杂志,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,陈平,陈燕,等.尘肺并发慢性阻塞性肺疾病研究.国际呼吸杂志,2013,33:1455-1459.
15.	肖显俊,靳伟张,卓然,等.煤工尘肺合并慢性阻塞性肺疾病的研究分析.中国实用医刊,2012,39:20-22.
16.	马兰,付小灵.煤工尘肺并发慢性阻塞性肺疾病的影响因素分析.中华劳动卫生职业病杂志,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. 李翠兰,沈福海,孙志谦,等.1988~2011年某煤业集团煤工尘肺病例构成的动态分析.工业卫生与职业病,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,姚婉贞,等.职业性接触粉尘和烟雾对慢性阻塞性肺疾病及呼吸道症状的影响.中国呼吸与危重监护杂志,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,陈平,陈燕,等.尘肺并发慢性阻塞性肺疾病研究.国际呼吸杂志,2013,33:1455-1459.
15. 肖显俊,靳伟张,卓然,等.煤工尘肺合并慢性阻塞性肺疾病的研究分析.中国实用医刊,2012,39:20-22.
16. 马兰,付小灵.煤工尘肺并发慢性阻塞性肺疾病的影响因素分析.中华劳动卫生职业病杂志,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

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