水泥暴露时间对水泥工人止血参数的影响

Jonathan, Nyebuchi, Jeremiah Owubokiri Ngowari, C. Adjekuko, A. Okur, M. I. Jumbo
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摘要

吸入水泥粉尘与弱势群体健康完整性的变化有关。本研究的重点是评估每小时暴露于水泥粉尘对哈科特港水泥工人止血标志物的影响。研究招募了100名在水泥厂和工地工作的研究对象,并根据工作期间接触水泥粉尘的时间分为三个研究组。第1组27人,暴露时间为1-5小时;第2组62人,暴露时间为6-10小时;第3组11人,暴露时间超过10小时。采用方便抽样法选择研究对象。采用静脉穿刺法采血,分别装于柠檬酸三钠瓶和普通瓶中检测PT、APTT、纤维蛋白原、血管性血变因子和d -二聚体。PT和APTT采用手工法测定,其他研究参数采用ELISA法测定。方差分析结果显示,各类别间PT水平均值为15.58±2.11;16.29±4.07和16.17±2.07,差异无统计学意义(p=0.6775)。各组间APTT水平平均值为35.09±10.06;32.62±9.61和33.00±12.74,差异无统计学意义(p=0.5695)。各组间VWF水平为69.62±36.89;64.23±31.32和71.92±16.17,差异无统计学意义(p=0.6396)。各组间d -二聚体水平为496.60±490.00;457.60±409.80和519.20±357.70,差异无统计学意义(p=0.8661)。各组间纤维蛋白原水平分别为4.74±4.63;(5.33±4.67)和(6.53±6.09),差异无统计学意义(p=0.6604)。各组间止血标志物水平差异无统计学意义(p值0.05)。这项研究表明,每小时接触水泥粉尘对哈科特港水泥工人的止血指标没有任何关键影响。
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Impact of Hours of Exposure to Cement on Haemostatic Parameters among Cement Workers
Inhaling cement dust has been linked to changes in the health integrity of vulnerable groups. This study was focused at evaluating the impact of hourly exposure to cement dust on haemostatic markers in cement workers in Port Harcourt. One hundred subjected working at cement depot and sites were recruited for the study and were divided into three study groups based on hours of exposure to cement dust during work. Group 1 was 27 subjects with 1-5hourly exposure, Group 2 was 62 subjects with 6-10hourly exposure and the last group was Group 3 containing 11 subjects with over 10hours of exposure. Subjects were selected by convenient sampling technique. Blood samples were drawn using venipuncture method and samples were collected into trisodium citrate and plain bottles for PT, APTT, fibrinogen and Von Willebrand factor and D-dimer respectively. PT and APTT were assayed using manual methods but other studied parameters were assayed using ELISA. ANOVA result showed that the mean values of PT level among the classes were 15.58 ±2.11; 16.29 ±4.07 and 16.17 ±2.07 and were not significantly different (p=0.6775). Mean values for APTT level among the classes were 35.09 ±10.06; 32.62 ±9.61 and 33.00 ±12.74 but not significantly different (p=0.5695). VWF level among the classes were 69.62 ±36.89; 64.23 ±31.32 and 71.92 ±16.17 but not significantly different (p=0.6396). D-Dimer level among the classes were 496.60 ±490.00; 457.60 ±409.80 and 519.20 ±357.70 but statistically non-significant (p=0.8661). Fibrinogen level among the classes were 4.74 ±4.63; 5.33 ±4.67 and 6.53 ±6.09 but statistically not significant (p=0.6604). There was no significant difference in haemostatic markers levels among the groups (P-value>0.05). This study has shown that hourly exposure to cement dust does not have any key effect on haemostatic markers of cement workers in Port Harcourt.
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