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多氯联苯(PCBs)的发育神经毒性:7个月大儿童的认知和心理运动功能

Developmental neurotoxicity of polychlorinated biphenyls (PCBS): cognitive and psychomotor functions in 7-month old children.

作者信息

Winneke G, Bucholski A, Heinzow B, Krämer U, Schmidt E, Walkowiak J, Wiener J A, Steingrüber H J

机构信息

Medizinisches Institut für Umwelthygiene an der Heinrich-Heine-Universität Düsseldorf, Germany.

出版信息

Toxicol Lett. 1998 Dec 28;102-103:423-8. doi: 10.1016/s0378-4274(98)00334-8.

Abstract

Neurobehavioral effects of polychlorinated biphenyls (PCBs) at environmental levels of exposure have been reported in cross-sectional and prospective studies in infants and children. However, observations differ for effect spectrum, persistence and effective matrix (cord plasma, maternal plasma or milk). In order to improve risk assessment by clarifying some of these uncertainties, a European multicentric study was set up. Results from the German (Düsseldorf) cohort covering 171 healthy mother-infant pairs are given. The sum of PCB congeners 138, 153 and 180 (sigma PCB) in cord plasma and maternal milk was used to describe neonatal PCB exposure. Mean sigma PCB-concentrations were 0.55 ng/ml in cord plasma and 427 ng/g fat in breastmilk. This report covers the Bayley II mental (MDI) and psychomotor development index (PDI) as well as the Fagan Test of Infant Intelligence (Visual Recognition Memory) taken at 7 months of age in relation to neonatal sigma PCB. After confounder-adjustment significant negative associations were found between sigma PCB in milk and MDI (P < 0.05), whereas the other associations proved insignificant.

摘要

在针对婴幼儿的横断面研究和前瞻性研究中,已有关于环境暴露水平下多氯联苯(PCBs)神经行为影响的报告。然而,在影响范围、持续性和有效基质(脐血、母体血浆或乳汁)方面的观察结果存在差异。为了通过澄清其中一些不确定性来改进风险评估,开展了一项欧洲多中心研究。本文给出了来自德国(杜塞尔多夫)队列的结果,该队列涵盖了171对健康母婴。脐血和母乳中多氯联苯同系物138、153和180的总和(∑PCB)用于描述新生儿多氯联苯暴露情况。脐血中∑PCB的平均浓度为0.55纳克/毫升,母乳中为427纳克/克脂肪。本报告涵盖了在7个月大时进行的贝利婴幼儿发展量表第二版心理发育指数(MDI)和精神运动发育指数(PDI),以及与新生儿∑PCB相关的法根婴儿智力测验(视觉识别记忆)。在对混杂因素进行调整后,发现母乳中的∑PCB与MDI之间存在显著负相关(P < 0.05),而其他相关性则不显著。

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