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勞工安全衛生研究季刊

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篇名 台灣爆裂物製造勞工肝腎功能之調查
卷期 16:4
並列篇名 The Renal and Hepatic Function of Explosives Factory Workers in Taiwan
作者 熊映美楊 燦陳秋蓉王 琳陳昱林顏世雄
頁次 358-369
關鍵字 爆裂物Explosive materialsKidneyLiverWorkers腎功能肝功能勞工
出刊日期 200812

中文摘要

本研究共進行6家爆裂物製造工廠勞工健康相關問卷調查,暴露組肝腎功能相關的健康檢查資料完整的勞工共105人,來自工礦炸藥、煙火以及爆竹製造工廠,三類工廠勞工分別為41人、53人及11人,分布於台灣南部及北部之山區及濱海地區。對照組共42人,由爆裂物無關之行政教學人員組成。
問卷調查統計分析結果發現暴露組勞工群與對照組的自覺症狀百分比差異顯著,鼻喉刺激感、呼吸道過敏以及嘔吐症狀的盛行率在暴露組較對照組高 (p<0.05)。暴露組吸菸者百分比較高。健檢結果統計分析顯示,暴露組勞工血中麩草酸轉胺基. (aspartate aminotransferase,AST)
與麩丙酮酸轉胺.之平均值與對照組無顯著差異,但AST異常率則顯著較高;代表腎功能的血中尿素氮 (blood urine nitrogen, BUN) 之平均值及異常率在暴露組均高於對照組。
依工廠類型分群統計發現,肝功能未因工廠種類不同而有顯著差異;肌胺酸校正之BUN平均值以煙火製造群為最高,尿液尿膽紅素陽性率亦以該群為最高。經抽菸、性別及年齡控制後之BUN差異仍達到顯著性。
總結本研究發現煙火製造勞工群之腎功能受到工作因子影響最大。

英文摘要

This study investigated the renal and hepatic function of 105 workers at six factories manufacturing explosives. The three exposed groups, working in factories producing dynamite, sparklers, and firecrackers, consisted of 53, 41 and 11 workers, respectively. The non-exposed group consisted of 42 individuals with no exposure to explosives from the administrative staff.
Significantly higher rates of self-reported symptoms, such as nasal acridity, airway allergy,and feelings of nausea, were found in the exposed group (p <0.05). The smoking rate, however, was also higher in the exposed group. Medical examinations including tests of liver and kidney function were performed. The exposed and non-exposed groups had similar mean values in tests of aspartate aminotransferase (AST) and alanine aminotransferase, but the abnormality rate in AST tests was significantly higher in the exposed group. The mean value and abnormality rate of blood urea nitrogen (BUN) were also significantly higher in the exposed group.
No significant differences were observed in liver function between the three factory types.
The sparkler group had the highest urine bilirubin abnormality rate and a higher mean BUN, which remained significant after controlling for smoking, sex, and age.
In conclusion, workers in sparkler factories were the most influenced by work factors on renal function.

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