在美国退伍军人中,在与部署有关的职业和环境暴露后出现慢性呼吸道症状
Eric Garshick1,2, Carrie A Redlich3, Anna Korpak4
1Pulmonary, Allergy, Sleep, and Critical Care Medicine Section, Medical Service, VA Boston Healthcare System, West Roxbury, Massachusetts, USA eric.garshick@va.gov.
部署在阿富汗和西南亚的美国退伍军人经历了大量的吸入暴露,包括烧坑烟雾和军事蒸汽,气体,尘埃或烟雾 (VGDF). 这些暴露与部署后出现慢性呼吸道症状的几率增加有关.
科学领域:
- 环境健康 环境健康
- 职业医学 职业医学是专业的.
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阿富汗和西南亚的军事部署涉及各种环境暴露.
- 在部署的服务人员中,吸入暴露,如燃烧坑烟雾和军事职业蒸汽,气体,尘埃或烟雾 (VGDF) 很普遍.
- 了解这些暴露的长期呼吸系统健康后果对于退伍军人医疗保健至关重要.
研究的目的:
- 描述美国军事人员在部署期间所经历的吸入暴露.
- 调查与部署相关的特定吸入暴露和部署后呼吸道症状的发展之间的关联.
主要方法:
- 一项涉及1960年美国退伍军人的横截面研究,他们填写了32次部署暴露的问卷.
- 暴露被分为包括燃烧坑烟雾,燃烧源,发动机废气,灰尘,有毒物质和VGDF等组.
- 使用通用线性模型来评估暴露得分与呼吸系统症状之间的关联,并根据共变量进行调整.
主要成果:
- 报告了暴露于燃烧坑烟雾 (72.7%) 和VGDF (72.0%) 的高患病率.
- 在燃烧坑烟雾暴露和呼吸障碍和慢性支气管炎之间发现了显著的关联.
- 暴露于VGDF与呼吸障碍和喘息的几率增加有关.
结论:
- 与部署相关的暴露于燃烧坑烟雾和军事职业VGDF与美国退伍军人的慢性呼吸道症状的可能性更高有关.
- 这些发现凸显了有关呼吸系统健康的退伍军人持续监测和医疗保健的需要.
- 进一步的研究可能会为部署的军事人员提供预防措施和治疗策略.
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