Kamijima Michihiro, Hibi Hatsuki, Gotoh Masahiro, Taki Ken-ichi, Saito Isao, Wang Hailan, Itohara Seiichiro, Yamada Tetsuya, Ichihara Gaku, Shibata Eiji, Nakajima Tamie, Takeuchi Yasuhiro
Department of Occupational and Environmental Health, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
J Occup Health. 2004 Mar;46(2):109-18. doi: 10.1539/joh.46.109.
This study aims at clarifying the semen indices of insecticide sprayers who are exposed mainly to organophosphorus and pyrethroid insecticides. Eighteen male sprayers out of 54 working for 9 companies in central Japan and 18 age-matched students or medical doctors as unexposed controls participated in detailed reproductive check-ups conducted in summer and the following winter. The sprayers were exposed to insecticides more in summer, the busiest season, than winter, the off-season (p<0.05). Erythrocyte true cholinesterase activities in the sprayers were lower than in the controls in summer (p<0.05), and decreased in significant association with the increase in exposure frequency. Testicular volumes in the sprayers tended to be smaller than in the controls (p=0.06). The serum testosterone concentration in winter in the sprayers was higher than in the controls (p<0.05), though luteinizing hormone and follicle stimulating hormone concentrations were not significantly different. The sperm counts and vitality were comparable between the groups, but detailed sperm motility analysis in summer revealed that the percentages of slow progressive and nonprogressive motile sperm were twice as high in the sprayers (p<0.05), and that of rapid progressive sperm tended to be lower (p=0.06). Such differences were not observed in winter. Differential sperm morphology counts showed that interaction of group and abstinence effects were significant in sperm with normal morphology and with head deformity only in the summer check-up. Despite possible inherent differences between the groups, the above season-dependent differences suggested that the observed lower semen quality in the sprayers was associated with pesticide spraying work.
本研究旨在阐明主要接触有机磷和拟除虫菊酯类杀虫剂的喷雾器操作人员的精液指标。在日本中部9家公司工作的54名男性喷雾器操作人员中,有18人,以及18名年龄匹配的学生或医生作为未接触对照组,参与了在夏季和次年冬季进行的详细生殖检查。喷雾器操作人员在夏季(最繁忙季节)接触杀虫剂的程度高于冬季(淡季)(p<0.05)。夏季,喷雾器操作人员的红细胞真性胆碱酯酶活性低于对照组(p<0.05),且与接触频率的增加呈显著负相关。喷雾器操作人员的睾丸体积往往小于对照组(p=0.06)。尽管促黄体生成素和促卵泡生成素浓度无显著差异,但喷雾器操作人员冬季的血清睾酮浓度高于对照组(p<0.05)。两组间精子计数和活力相当,但夏季的详细精子活力分析显示,喷雾器操作人员中缓慢前进和非前进运动精子的百分比是对照组的两倍(p<0.05),而快速前进运动精子的百分比则趋于较低(p=0.06)。冬季未观察到此类差异。精子形态差异计数显示,仅在夏季检查中,正常形态和头部畸形精子的组间和禁欲效应的相互作用具有显著性。尽管两组间可能存在固有差异,但上述季节依赖性差异表明,喷雾器操作人员精液质量较低与农药喷洒工作有关。