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纸质出版:2013
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孙磊,李代波,陶成玉,王洪飞,王涛,赵晓龙,韩飞,崔志鸿,杨桓,刘文斌,曹佳,刘晋祎.坦克舱室有害因素对乘员肺功能的影响[J].陆军军医大学学报(原第三军医大学学报),2013,35(03):193-196.
Sun Lei,Li Daibo,Tao Chengyu,Wang Hongfei,Wang Tao,Zhao Xiaolong,Han Fei,Cui Zhihong,Yang Huan,Liu Wenbin,Cao Jia,Liu Jinyi.Effect of harmful factors on pulmonary functions of crews in tank cabins[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(03):193-196.
孙磊,李代波,陶成玉,王洪飞,王涛,赵晓龙,韩飞,崔志鸿,杨桓,刘文斌,曹佳,刘晋祎.坦克舱室有害因素对乘员肺功能的影响[J].陆军军医大学学报(原第三军医大学学报),2013,35(03):193-196. DOI:
Sun Lei,Li Daibo,Tao Chengyu,Wang Hongfei,Wang Tao,Zhao Xiaolong,Han Fei,Cui Zhihong,Yang Huan,Liu Wenbin,Cao Jia,Liu Jinyi.Effect of harmful factors on pulmonary functions of crews in tank cabins[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(03):193-196. DOI:
目的 探讨长期暴露于坦克舱室有害因素对乘员肺功能的影响。 方法 在某坦克部队选取196名职业性坦克乘员作为坦克乘员组,并在同一部队选取基本情况相似的156名非坦克作业战士作为非坦克乘员组,采用CHESTGRAPH HI-101型肺功能仪对2组人员进行肺功能检查,检测指标包括用力肺活量(FVC),第1秒用力呼气容积(FEV
1
)
1 s 用力呼气容积占用力肺活量比值(FEV
1
/FVC)
最大呼气中期流量(MMF)
最高呼气流量(PEF)
用力呼出25%、50%、75%肺活量的呼气流量(FEF25、FEF50、FEF75)。 结果 与非坦克乘员组比较,坦克乘员组肺功能指标FEV
1
、MMF、FEF50显著降低(P0.05
P0.01);坦克乘员组FVC、FEV
1
和FEF25异常率及肺功能损害发生率显著高于非坦克乘员组(P0.05
P0.01)。与非坦克乘员组比较,不同军龄段坦克乘员中2~5年组FEV
1
显著降低(P0.01);5~8年组FEV
1
、MMF、FEF50显著降低(P0.05
P0.01)。不同坦克作业岗位的乘员中,车长组肺功能指标中的FVC、FEV
1
显著低于非坦克乘员组(P0.01);炮长组肺功能指标中的FEV
1
、MMF、FEF75显著低于非坦克乘员组(P0.05,P0.01);驾驶员组肺功能指标中FVC、FEV
1
显著低于非坦克乘员组(P0.05,P0.01)。 结论 坦克乘员肺功能受到一定程度的影响,其中以5~8年军龄的车长及炮长损伤最为严重。
Objective To explore the effect of harmful factors on pulmonary functions of crews in tank cabins. Methods One hundred and ninety-six soldiers occupied in tanks (observation group) and 156 soldiers without any tank-related exposure in the same forces (control group) were selected in the study randomly. The pulmonary functions were tested i
n both groups. The test items included forced vital capacity (FVC)
forced expiratory volume in first second (FEV
1
)
FEV
1
to FVC ratio (FEV
1
/FVC)
maximal mid-expiratory flow (MMF)
peak expiratory flow (PEF)
and forced expired flow at 25%
50% and 75% of FVC (FEF25
FEF50 and FEF75). Results FEV
1
MMF and FEF50 in the observation group were significantly lower than those in the control group (P0.05
P0.01). The rates of abnormal FVC
FEV
1
FEF25 and incidence of pulmonary function damage in the observation group were significantly higher than those in the control group (P0.05
P0.01). Compared with the control group
FEV
1
MMF and FEF50 in the crews with 6 to 8 years of occupational period decreased significantly (P0.05
P0.01)
and FEV
1
in the crews with 3 to 5 years of occupational period decreased significantly (P0.01). According to different roles of the crews in a tank
FVC and FEV
1
of tank conductors
FEV
1
MMF
FEF50 and FEF75 of tank gunners
and FVC and FEV
1
of tank drivers decreased significantly (P0.05
P0.01) as compared with the control group. Conclusion Harmful factors in tank cabins lead to pulmonary function damage in tank crews
especially in tank conductors and gunners with 6 to 8 years of occupational period.
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