Díaz-Valecillos Marbenis, Fernández Janice, Rojas Alicia, Valecillos José, Cañizales Jenny
Instituto de Medicina del Trabajo e Higiene Industrial, Facultad de Medicina, Universidad del Zulia, Maracaibo, Venezuela.
Invest Clin. 2004 Sep;45(3):197-211.
With the purpose of determining and characterizing chromosomal alterations and their relation to the radiation dose, time of employment and weekly exposure time, a transversal cut-descriptive study was performed on 18 workers, exposed to ionizing radiation, from a specialized company in the Venezuelan oil industry. These workers, male and females, constituted all the population studied, aged between 32 and 59 years, with at least one year on the job. A random sample of a non-exposed group of workers was used as a control. An occupational medical report was applied and personal dosimetry, environmental monitoring and a chromosomal analysis using two chromosomic culture techniques, were performed. The results show, in the exposed groups, an age average of 46.10 +/- 7.69 years, an average 17.5 +/- 5.00 years of employment and a weekly exposure of 4.30 +/- 1.33 hours. In the exposed population, 444 chromosomal abnormalities were evidenced in 700 metaphases studied; these abnormalities consisted of 66.6% single fragilities, 22% of combined fragilities, with chromosomic ruptures, deletions and poliploids, and 11% presented a normal kariotype. The control group presented chromosomic alterations as single fragilities in 55% of the cases. Radiologists presented 88.8% of chromosomic alterations, with below permissible doses detected, and 11.2% of them with exceed doses, presented the greatest number of fragilities and multiple chromosomic ruptures. The radiologists with weekly exposures of 8 hours presented the highest number of chromosomic alterations. 88% of radiologists with chromosomal abnormalities had more than 10 years of exposure. In conclusion, chronic exposure to low levels of ionizing radiation can induce chromosomic alterations, depending on the years of employment and the weekly time of exposure.
为了确定和描述染色体改变及其与辐射剂量、工作时间和每周暴露时间的关系,对委内瑞拉石油行业一家专业公司的18名暴露于电离辐射的工人进行了横断面描述性研究。这些工人有男有女,构成了所有研究对象,年龄在32岁至59岁之间,工作年限至少为一年。以一组未暴露工人的随机样本作为对照。应用了职业医学报告,并进行了个人剂量测定、环境监测以及使用两种染色体培养技术的染色体分析。结果显示,在暴露组中,平均年龄为46.10±7.69岁,平均工作年限为17.5±5.00年,每周暴露时间为4.30±1.33小时。在暴露人群中,在所研究的700个中期相中发现了444处染色体异常;这些异常包括66.6%的单条脆性位点、22%的合并脆性位点,伴有染色体断裂、缺失和多倍体,11%呈现正常核型。对照组中55%的病例出现染色体改变为单条脆性位点。放射科医生中88.8%的人在检测到低于允许剂量的情况下出现染色体改变,11.2%的人超过剂量,表现出最多的脆性位点和多条染色体断裂。每周暴露8小时的放射科医生染色体改变数量最多。88%染色体异常的放射科医生暴露年限超过10年。总之,长期暴露于低水平电离辐射可诱发染色体改变,这取决于工作年限和每周暴露时间。