Avtor/Urednik		Rozman, Aleš; Remškar, Zlata; Cesar, Rok; Fležar, Matjaž
Naslov		Ali se vzorec bolezenskih sprememb azbestne bolezni v Sloveniji spreminja?
Prevedeni naslov		Are patterns of disease related changes in asbestos-induced disease in Slovenia changing?
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 75, št. 9
Leto izdaje		2006
Obseg		str. 561-6
Jezik		slo
Abstrakt		Background In Slovenia reside several thousand people with occupational asbestos exposure. The purpose of our study was to determine the qualily of teratment in patients with asbestos-induced disease, severity and pattern of disease. We tried to establish whether the pattern of disease has changed during last 15 years in according with decreasing sources of asbestos exposure. Methods In a retrospective study we analyzed records of 109 patients with asbestos-induced disease, who were treated at KOPA Golnik hospital between June 2003 and June 2005. The data were compared with data from group of 105 patients, who were treated in hospital between years 1980 and 1988. We analyzed demographic data, exposure data, symptoms, pulmonary funnction data, radiological data and presence of coexisting diseases. Results 49.5% of records did not include some data about asbestos exposure such as description of the work post, latency period, duration and intensity of exposure. Inconsistencies are also in imaging usage. In comparison with similar group of patients from eighties, patients in this study were average more than 10 years older, smaller share of them came from Anhovo, and the share of patients who worked in direct contact with asbestos is decreasing. Patients from the present group have a different pattern of disease with less interstitial lung changes and diffuse pleural thickenings, but more pleural plaques. Conclusions The pattern of asbestos-induced disease in Slovenia has been changing in direction of lesser severity, because the intensity of exposure is on the decrease. This calls for more systematical and unified collecting of all parameters, necessary for diagnosing of asbestos-induced disease.
Izvleček		Izhodišča V Sloveniji živi več tisoč ljudi, ki so bili poklicno izpostavljeni azbestu. Namen raziskave je bil ugotoviti zadostnost postopkov obravnave bolnikov, stopnjo in obliko azbestne bolezni in ali se je vzorec bolezenskih sprememb v zadnjih 15 letih pri nas spremenil glede na podatek, da so se znatno zmanjšali tudi viri izpostavljenosti azbestu. Metode Z retrospektivno analizo podatkov smo ugotavljali značilnosti 109 bolnikov z azbestno boleznijo, ki so bili med junijem 2003 in junijem 2005 obravnavani na KOPA Golnik, ter jih primerjali s skupino 105 bolnikov iz let 1980 do 1988. Pregledovali smo demografske podatke, podatke o izpostavljenosti azbestu, simptomih, pljučni funkciji, radioloških ugotovkih in spremljajočih boleznih. Rezultati V 49,5% primerov v dokumentaciji niso navedeni vsi potrebni podatki, ki bi osvetlili izpostavljenost azbestu, kot so: potrditev izpostavljenosti z opisom delovnega mesta, trajanje in intenziteta izpostavljenosti ter latentna doba do razvoja bolezni. Nedoslednosti opažamo tudi pri uporabi slikovne diagnostike. Glede na primerljivo skupino bolnikov z azbestno boleznijo iz 80. let so današnji bolniki v času obravnave v povprečju več kot 10 let starejši, manjši delež jih prihaja iz Anhovega, manjša pa se tudi delež tistih, ki so delali neposredno z azbestom. Bolniki iz sedanje skupine imajo drugačen profil bolezenskih sprememb: manj je intersticijske prizadetosti in difuznih zadebelitev plevre, višji je delež plevralnih plakov. Zaključki Zaradi količinsko manj intenzivne izpostavljenosti azbestu v zadnjih desetletjih se azbest na bolezen v Sloveniji pomika v smer manj izraženih bolezenskih sprememb. Zato je potrebno poenotiti obravnavo bolnikov z bolj sistematičnim zajetjem vseh kazalcev, potrebrnih za diagnozo azbestne bolezni.
Deskriptorji		ASBESTOSIS OCCUPATIONAL DISEASES OCCUPATIONAL EXPOSURE LUNG VOLUME MEASUREMENTS THORACIC RADIOGRAPHY