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关于使用移动电话和无绳电话与患恶性脑肿瘤风险的病例对照研究。

Case-control study on the use of cellular and cordless phones and the risk for malignant brain tumours.

作者信息

Hardell L, Mild K H, Carlberg M

机构信息

Department of Oncology, Orebro Medical Centre, S-701 85 Orebro, Sweden.

出版信息

Int J Radiat Biol. 2002 Oct;78(10):931-6. doi: 10.1080/09553000210158038.

Abstract

PURPOSE

To investigate the use of cellular and cordless phones and the risk for malignant brain tumours.

MATERIALS AND METHODS

A case-control study was performed on 649 patients aged 20-80 years of both sexes with malignant brain tumour diagnosed from 1 January 1997 to 30 June 2000. All patients were alive during the time of the study and had histopathology verified brain tumours. One matched control to each case was selected from the Swedish Population Register. The study area was the Uppsala-Orebro, Stockholm, Linköping and Göteborg medical regions of Sweden.

RESULTS

Exposure was assessed by a questionnaire answered by 588 (91%) cases and 581 (90%) controls. Phone usage was defined as 'ever use' and usage starting within 1 year before diagnosis was disregarded. Overall, no significantly increased risks were found: analogue cellular phones yielded an odds ratio (OR)=1.13, 95% confidence interval (CI)=0.82-1.57, digital cellular phones OR=1.13, CI=0.86-1.48, and cordless phones OR=1.13, CI=0.85-1.50. For ipsilateral (same side) radiofrequency exposure, analogue mobile phones gave OR=1.85, CI=1.16-2.96, for all malignant brain tumours. For astrocytoma, this risk was OR=1.95, CI=1.12-3.39. For all malignant brain tumours, digital mobile phones yielded OR=1.59, CI=1.05-2.41, and cordless phones yielded OR=1.46, CI=0.96-2.23, in the analysis of ipsilateral exposure.

CONCLUSION

The ipsilateral use of an analogue cellular phone yielded a significantly increased risk for malignant brain tumours.

摘要

目的

研究移动电话和无绳电话的使用情况与患恶性脑肿瘤风险之间的关系。

材料与方法

对1997年1月1日至2000年6月30日期间确诊的649例年龄在20至80岁之间的恶性脑肿瘤患者(男女均有)进行了一项病例对照研究。所有患者在研究期间均存活,且脑肿瘤经组织病理学证实。从瑞典人口登记册中为每个病例挑选一名匹配对照。研究区域为瑞典的乌普萨拉 - 厄勒布鲁、斯德哥尔摩、林雪平和哥德堡医疗区域。

结果

通过对588例(91%)病例和581例(90%)对照填写的问卷来评估暴露情况。电话使用情况定义为“曾经使用”,并忽略在诊断前1年内开始使用的情况。总体而言,未发现显著增加的风险:模拟移动电话的优势比(OR)=1.13,95%置信区间(CI)=0.82 - 1.57;数字移动电话OR = 1.13,CI = 0.86 - 1.48;无绳电话OR = 1.13,CI = 0.85 - 1.50。对于同侧(同一侧)射频暴露,所有恶性脑肿瘤患者中,模拟移动电话的OR = 1.85,CI = 1.16 - 2.96。对于星形细胞瘤,该风险为OR = 1.95, CI = 1.12 - 3.39。在同侧暴露分析中,所有恶性脑肿瘤患者中,数字移动电话的OR = 1.59,CI = 1.05 - 2.41;无绳电话的OR = 1.46,CI = 0.96 - 2.23。

结论

同侧使用模拟移动电话会显著增加患恶性脑肿瘤的风险。

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