Wennborg Helena, Magnusson Linda L, Bonde Jens Peter, Olsen Jørn
Department of Biosciences, Novum Research Park, Karolinska Institutet, Sweden.
J Occup Environ Med. 2005 Jan;47(1):11-9. doi: 10.1097/01.jom.0000150237.67801.93.
To investigate major congenital and neural crest malformations (NCM; craniofacial and conotruncal defects) in the offspring of laboratory employees.
Data for 1951 females was linked to the Medical Birth Register (3003 pregnancies). Exposure information was based on questionnaires. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated.
The prevalence of "major malformations" were 2.3% (n = 41; exposed) and 1.9% (n = 23; unexposed). For the major malformations, solvent exposure before the third trimester gave an OR of 1.8 (CI = 1.0-2.9); "laboratory work in general," of 1.2 (CI = 0.7-2.0) unadjusted. OR for benzene use around conception/organogenesis was 5.3 (CI = 1.4-21.1) for NCM.
No significant risk for laboratory work in general was seen, but there was an increased ratio for NCM relative to solvents, especially benzene. These results are based on small numbers and should be interpreted cautiously.
调查实验室工作人员后代中的主要先天性和神经嵴畸形(NCM;颅面和圆锥干缺陷)。
1951名女性的数据与医疗出生登记册相关联(3003次妊娠)。暴露信息基于问卷调查。计算了95%置信区间(CI)的比值比(OR)。
“主要畸形”的患病率在暴露组为2.3%(n = 41),未暴露组为1.9%(n = 23)。对于主要畸形,孕晚期前接触溶剂的OR为1.8(CI = 1.0 - 2.9);未经调整的“一般实验室工作”的OR为1.2(CI = 0.7 - 2.0)。对于NCM,受孕/器官形成期前后使用苯的OR为5.3(CI = 1.4 - 21.1)。
一般来说,未发现实验室工作存在显著风险,但相对于溶剂,尤其是苯,NCM的比例有所增加。这些结果基于小样本数量,应谨慎解读。