许明佳, 程薇. 某大型化工区周边儿童肺功能现况分析[J]. 上海预防医学, 2016, 28(11): 757-760,765.
引用本文: 许明佳, 程薇. 某大型化工区周边儿童肺功能现况分析[J]. 上海预防医学, 2016, 28(11): 757-760,765.
XU Ming-jia, CHENG Wei. Analysis of pulmonary function of children close to a large chemical industrial park[J]. Shanghai Journal of Preventive Medicine, 2016, 28(11): 757-760,765.
Citation: XU Ming-jia, CHENG Wei. Analysis of pulmonary function of children close to a large chemical industrial park[J]. Shanghai Journal of Preventive Medicine, 2016, 28(11): 757-760,765.

某大型化工区周边儿童肺功能现况分析

Analysis of pulmonary function of children close to a large chemical industrial park

  • 摘要: 目的 了解某大型化工区周边儿童肺功能现况和影响因素。方法 对上海某区两地小学(A位于某化工区周边,B远离该化工区)的3~5年级学生进行问卷调查和肺功能测定,同时收集两地的大气监测资料。结果 A地和B地可吸入颗粒物(PM10)年均浓度分别为75.12μg/m3和79.46μg/m3,均超过GB3095-2012二级标准(70μg/m3);B地二氧化氮(NO2)年均浓度(40.67μg/m3)较GB3095-2012二级标准(40μg/m3)稍高;两地大气PM10、二氧化硫(SO2)和NO2浓度无明显差异。A地儿童身高、部分儿童最大肺活量(FVC)、1秒用力肺活量(FEV1)实测值较B地低;在参考肺功能正常预计值后,两地儿童大部分肺功能指标无明显差异,FVC%及FEV1%均在87%以上,用力呼出50%肺活量(FEF50%)和(FEF75%)均在72%以上;厨房无排烟设施与FEV1%、被动吸烟与FVC%和FEF50%%有弱负相关性(r=-0.1)。结论 该化工区周边大气质量状况尚可,儿童肺功能与无化工地区相比无明显差别,在大气污染水平较低时儿童肺功能可能与室内污染有一定的弱相关性。

     

    Abstract: Objective To investigate pulmonary function of the children close to a large chemical industrial park and its influencing factors. Methods Date of daily average air PM10,SO2 and NO2 levels from two communities(Area A near a chemical industrial area, area B far away from the chemical industrial area)of Shanghai were collected. Questionnaires and pulmonary functions tests were performed among children of grade 3 to 5 in two primary schools from the two communities. Results The annual PM10 levels were 75.12 μg/m3 in area A and 79.46 μg/m3 in area B, which were both slightly higher than the secondary standard of Ambient Air Quality Standard, GB 3095-2012(70 μg/m3). The annual NO2 level (40.67 μg/m3)in area B was slightly higher than the secondary standard of Ambient Air Quality Standard, GB 3095-2012(40 μg/m3). There were no significant differences in PM10, SO2 and NO2 levels between the two communities. The height and some pulmonary functions parameters such as forced vital capacity (FVC)and forced expiratory volume in one second (FEV1) of children in are A were lower than those in area B. After reference predicted values of lung function were balanced, there were no significant differences in children's pulmonary function parameters between the two areas, FVC% and FEV1% were both above 87%, FEF50% and FEF75% were both above 72%. Bad condition of the ventilation in the kitchen and passive smoking had adverse effects on FEV1% or FVC% and FEF50%% (r about -0.1). Conclusion The air quality close to the large chemical industrial park was not so bad, and there is no significant differences in the children's pulmonary function between area A and area B. The children's pulmonary may be more sensitive to the indoor environment in the low levels of atmosphere pollution.

     

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