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对手术室工作人员进行的细胞遗传学检测(麻醉气体的使用)。

Cytogenetic tests performed on operating room personnel (the use of anaesthetic gases).

作者信息

Bilban M, Jakopin C Bilban, Ogrinc D

机构信息

Institute of Occupational Safety, Ljubljana, Slovenia.

出版信息

Int Arch Occup Environ Health. 2005 Feb;78(1):60-4. doi: 10.1007/s00420-004-0579-1. Epub 2005 Feb 10.

Abstract

OBJECTIVES

Personnel exposure to anaesthetic gases in the health sector, whether in the operating room, recovery room, or in the context of outpatient clinics, may entail a health risk. The goal of this research was to study the cytogenetic effects of chronic exposure to small doses of pollutants in operating theatres.

METHODS

Results of cytogenetic analyses [structural chromosomal aberrations (SCAs), sister chromatid exchange (SCE) and micronucleus (MN) test] of anaesthetists and other personnel handling anaesthetic gases, who only occasionally work in zones of ionizing radiation, were compared with results from radiologists, occupationally exposed to ionizing radiation only, and with the results obtained from a group of Slovene citizens who were never exposed to genotoxic agents.

RESULTS

This study involved 153 workers handling anaesthetic gases. The average frequency of SCAs in the group working with anaesthesia was 2.693. The result was statistically significantly higher than in the group of radiologists and Slovene citizens. The frequency of SCE and MN was also statistically significant. A number of authors, who used the same cytogenetic tests, found similar results in the group of anaesthetist.

CONCLUSION

The results of our study indicate that exposure to anaesthetic gases induced changes in human chromosomes.

摘要

目的

卫生部门的人员,无论是在手术室、恢复室还是在门诊环境中接触麻醉气体,都可能存在健康风险。本研究的目的是探讨手术室中长期低剂量接触污染物的细胞遗传学效应。

方法

将仅偶尔在电离辐射区域工作的麻醉师和其他处理麻醉气体的人员的细胞遗传学分析结果[染色体结构畸变(SCA)、姐妹染色单体交换(SCE)和微核(MN)试验],与仅职业性接触电离辐射的放射科医生的结果以及从未接触过遗传毒性剂的一组斯洛文尼亚公民的结果进行比较。

结果

本研究涉及153名处理麻醉气体的工作人员。麻醉工作组的SCA平均频率为2.693。该结果在统计学上显著高于放射科医生组和斯洛文尼亚公民组。SCE和MN的频率在统计学上也有显著差异。许多使用相同细胞遗传学检测方法的作者在麻醉师组中也发现了类似结果。

结论

我们的研究结果表明,接触麻醉气体可导致人类染色体发生变化。

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