在西班牙喘队伍中与工作有关的喘的处置:在雇佣和退休工人之间比较喘严重程度
Christian Romero-Mesones1, Maria-Jesus Cruz2, Isam Alobid3
1Medicine Department, Universitat Autònoma de Barcelona, Barcelona, Spain; CIBER de Enfermedades Respiratorias, Madrid, Spain.
概括
与工作相关的喘 (WRA) 影响了专门单位17%的喘患者. 对于WRA患者来说,工作变化应该是个性化的,因为工作状态没有显著影响喘严重程度或恶化.
科学领域:
- 职业医学 职业医学 职业医学
- 肺部病理学 肺部病理学
- 临床研究是临床研究.
背景情况:
- 与工作相关的喘 (WRA),包括职业和工作加重的喘,是由工作场所的暴露引发的.
- 了解WRA的患病率和特征对于有效的患者管理至关重要.
研究的目的:
- 评估职业对喘的实际影响.
- 在一个更大的喘队列中分析诊断出WRA的患者的独特特征.
主要方法:
- 一项前性多中心研究招募了连续的喘患者.
- 患者被分为WRA和非WRA组,根据就业状态 (就业者与失业者) 分为子组.
- 进行了标准化的临床病史,肺功能测试,FeNO和甲胆挑战.
主要成果:
- 在480名患者中,有82人 (17%) 患有WRA;70%的WRA患者仍在工作.
- 雇佣的患者较年轻 (平均年龄为46岁与57岁),治疗坚持率较低 (64.9%与88%).
- 雇佣的WRA患者经历了更严重的喘恶化 (35.7%vs0%).
结论:
- 在专业的喘护理机构中,WRA构成了巨大的负担.
- 工作和非工作患者之间的喘严重程度,治疗,肺功能和恶化率相似,建议个性化更换工作建议.
- 建议为WRA患者提供个性化职业咨询,考虑到就业对他们的状况的微妙影响.
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