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血铅浓度与肾功能评估:对墨西哥暴露人群的研究。

Lead blood concentrations and renal function evaluation: study in an exposed Mexican population.

作者信息

Hernández-Serrato Maria I, Fortoul Teresa Imelda, Rojas-Martínez Rosalba, Mendoza-Alvarado Laura R, Canales-Treviño Lourdes, Bochichio-Riccardelli Tommaso, Avila-Costa Maria Rosa, Olaiz-Fernández Gustavo

机构信息

Instituto Nacional de Salud Pública, Cuernavaca, México.

出版信息

Environ Res. 2006 Feb;100(2):227-31. doi: 10.1016/j.envres.2005.03.004.

Abstract

The relation of blood Pb concentrations and renal dysfunction has been reported in association with interstitial fibrosis, tubular atrophy, and decreased glomerular filtration. In this report information about blood Pb concentrations and renal function tests in a population from Oaxaca, Mexico is analyzed. The main changes found were that males had higher blood Pb concentrations than females (P<0.0012); the leading variables associated with this were occupation (glazed pottery workers, P=0.0001) and the use of glazed pottery for preparing meals (P=0.0000). Variables that better explain uric acid variability were blood Pb concentrations, sex, weight, and height (r2=0.23). Hyperuricemia was associated with blood Pb concentrations above 40 microg/dL (OR=1.74, 95% CI, 1.12-2.61). SCr was associated with sex, age, and blood Pb, with coefficient r2=0.12. Our findings might be related to inadequate control of oven emissions, a situation that will require further analysis and the implementation of preventive measurements for the nonoccupational exposed population.

摘要

血液铅浓度与肾功能障碍的关系已有报道,其与间质纤维化、肾小管萎缩及肾小球滤过率降低有关。本报告分析了墨西哥瓦哈卡州人群的血液铅浓度及肾功能检查信息。主要发现为男性血液铅浓度高于女性(P<0.0012);与此相关的主要变量是职业(釉面陶器工人,P=0.0001)以及使用釉面陶器做饭(P=0.0000)。能更好解释尿酸变异性的变量是血液铅浓度、性别、体重和身高(r2=0.23)。高尿酸血症与血液铅浓度高于40微克/分升相关(OR=1.74,95%可信区间,1.12 - 2.61)。血清肌酐与性别、年龄和血液铅相关,系数r2=0.12。我们的研究结果可能与烤箱排放控制不足有关,这种情况需要进一步分析,并针对非职业暴露人群采取预防措施。

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