Impact of Exposure of Chemical Fumes on Blood Pressure and Peak Expiratory Flow Rate in Industrial Workers of Faisalabad

S. Jawed, Benash Altaf, Qaisar Sohail, N. Naeem, F. Ali
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Abstract

Objectives: 1. To determine the impact of duration of exposure to industrial chemical fumes on Peak Expiratory Flow Rate (PEFR) and blood pressure of the industrial workers. 2. To find out the association between changes in blood pressure and PEFR due to exposure to industrial chemical fumes in these subjects. Methods: This cross-sectional study was performed at Aziz Fatimah Medical and Dental College, Faisalabad. The study participants were 151 males working in the chemical industries. The study was approved by institutional ethical committee and informed consent was taken from the participants. Free camp was arranged for three days in September 2020 in the industrial area of Faisalabad. Thorough history of exposure to chemicals was taken using structured proforma. PEFR values were recorded using Wrights handheld peak flow meter. Blood pressure was taken by auscultatory method using mercury sphygmomanometer. Data was analyzed using SPSS version 22. Results: Systolic and diastolic blood pressures were significantly raised with increase in duration of exposure.  PEFR levels were significantly declined with increase in duration of exposure to chemicals. Significant negative association was noted between diastolic blood pressure and PEFR (p value = 0.003). Negative correlation was observed between PEFR and systolic Blood pressure, however it was not statistically significant (p value = 0.92). Conclusions: PEFR decreased while Systolic and diastolic blood pressures increased significantly with increase in the duration of exposure to chemicals. There was a significant negative correlation between PEFR and diastolic blood pressure while there was no association between PEFR and systolic blood pressure.
化学烟雾暴露对费萨拉巴德工业工人血压和呼气峰值流速的影响
目的:1。确定工业化学烟雾暴露时间对工业工人呼气峰值流速(PEFR)和血压的影响。2. 为了找出这些受试者因暴露于工业化学烟雾而导致的血压变化与PEFR之间的关系。方法:本横断面研究在费萨拉巴德阿齐兹法蒂玛医学和牙科学院进行。这项研究的参与者是151名在化工行业工作的男性。本研究得到了机构伦理委员会的批准,并获得了参与者的知情同意。2020年9月,在费萨拉巴德工业区安排了为期三天的免费营地。使用结构化形式记录了接触化学品的详细历史。使用赖特手持式峰值流量计记录PEFR值。用水银血压计听诊法测血压。数据分析使用SPSS version 22。结果:随着暴露时间的延长,收缩压和舒张压显著升高。PEFR水平随着接触化学品时间的增加而显著下降。舒张压与PEFR呈显著负相关(p值= 0.003)。PEFR与收缩压呈负相关,但无统计学意义(p值= 0.92)。结论:PEFR降低,收缩压和舒张压随暴露时间的延长而显著升高。PEFR与舒张压呈显著负相关,而PEFR与收缩压无相关性。
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