Szadkowska-Stańczyk I, Zmyślony M
Zakładu Epidemiologii Srodowiskowej, Instytutu Medycyny Pracy w Łodzi im. prof. dra med. Jerzego Nofera w Łodzi.
Med Pr. 2000;51(6):637-52.
Power frequency (50 to 60 Hz) electromagnetic fields (EMF) are briefly characterised, EMF sources occurring in the electromagnetic industry are discussed, and methods for and problems involved in the evaluation of individual occupational EMF exposure are also presented. The results of certain cohort industrial and case-referent studies indicate slightly enhanced risk of brain cancer and leukaemia in the group under study. The meta-analysis of the results obtained from numerous studies, published recently, showed a relative risk (RR) of 1.1-1.3 for leukaemia, and of 1.1-1.2 for brain cancer. Only a few studies demonstrate a dose-effect relationship for malignant neoplasms which decreases the power of the hypothesis on the cause-effect relationship. Among health effects of EMF exposure in electric utility workers, other than malignant neoplasms, an increased risk of certain diseases of the circulatory and neurological systems has been reported. The difficulty in the assessment of individual exposure is the main problem in evaluating the relationship between EMF exposure and adverse health effects in electric utility workers. We hope to investigate this further.
本文简要介绍了工频(50至60赫兹)电磁场(EMF),讨论了电磁行业中出现的EMF源,并介绍了评估个体职业EMF暴露的方法及相关问题。某些队列工业研究和病例对照研究的结果表明,研究组患脑癌和白血病的风险略有增加。最近发表的对众多研究结果的荟萃分析显示,白血病的相对风险(RR)为1.1 - 1.3,脑癌为1.1 - 1.2。只有少数研究证明恶性肿瘤存在剂量效应关系,这削弱了因果关系假设的说服力。在电力行业工人EMF暴露的健康影响中,除恶性肿瘤外,还报告了循环系统和神经系统某些疾病的风险增加。评估个体暴露的困难是评估电力行业工人EMF暴露与不良健康影响之间关系的主要问题。我们希望进一步对此进行研究。