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女性麻醉护士患多发性硬化症的风险:一项基于登记处的研究。

The risk for multiple sclerosis in female nurse anaesthetists: a register based study.

作者信息

Landtblom A-M, Tondel M, Hjalmarsson P, Flodin U, Axelson O

机构信息

Department of Neuroscience and Locomotion, Division of Neurology, Faculty of Health Sciences, Linköping University, Linköping, Sweden.

出版信息

Occup Environ Med. 2006 Jun;63(6):387-9. doi: 10.1136/oem.2005.024604.

DOI:10.1136/oem.2005.024604
PMID:16709703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2078114/
Abstract

BACKGROUND

Previous studies have suggested that exposure to organic solvents, including volatile anaesthetic agents, may be a risk factor for multiple sclerosis (MS), possibly in combination with genetic and other environmental factors.

AIMS

To further investigate the role of volatile anaesthetic agents having similar acute toxic effects to other organic solvents.

METHODS

Female nurse anaesthetists, other female nurses, and female teachers from middle and upper compulsory school levels were identified and retrieved from the 1985 census, Statistics Sweden. By means of the unique personal identity number in Sweden, these individuals were linked with the disability pension registers at The National Social Insurance Board and also with data on hospital care 1985-2000 at The National Board of Health and Welfare.

RESULTS

The cumulative incidence rate ratio of MS was found to be increased in female nurse anaesthetists in relation to other nurses (statistically not significant) and teachers (statistically significant), respectively.

CONCLUSIONS

These findings give some support to previous findings of an increased risk for MS in nurse anaesthetists. This is interesting in the context of previous observations of organic solvents in general as a potential risk factor in MS.

摘要

背景

先前的研究表明,接触有机溶剂,包括挥发性麻醉剂,可能是多发性硬化症(MS)的一个风险因素,可能与遗传和其他环境因素共同作用。

目的

进一步研究与其他有机溶剂具有相似急性毒性作用的挥发性麻醉剂的作用。

方法

从瑞典统计局1985年人口普查中识别并检索女性麻醉护士、其他女性护士以及初中和高中女教师。通过瑞典独特的个人身份号码,将这些人与国家社会保险局的残疾抚恤金登记册以及国家卫生和福利委员会1985 - 2000年的医院护理数据相联系。

结果

发现女性麻醉护士中MS的累积发病率相对于其他护士(统计学上无显著差异)和教师(统计学上有显著差异)有所增加。

结论

这些发现为先前关于麻醉护士患MS风险增加的研究结果提供了一些支持。鉴于先前观察到有机溶剂总体上是MS的潜在风险因素,这一发现很有趣。

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本文引用的文献

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Neurol Sci. 2003 Nov;24(4):248-51. doi: 10.1007/s10072-003-0148-5.
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Smoking is a risk factor for multiple sclerosis.吸烟是多发性硬化症的一个风险因素。
Neurology. 2003 Oct 28;61(8):1122-4. doi: 10.1212/01.wnl.0000081305.66687.d2.
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Risk of multiple sclerosis in nurse anaesthetists.麻醉护士患多发性硬化症的风险。
Mult Scler. 2003 Aug;9(4):427-8. doi: 10.1191/1352458503ms941xx.
4
The risk of multiple sclerosis in nurses: a population-based epidemiological study.护士患多发性硬化症的风险:一项基于人群的流行病学研究。
Mult Scler. 2003 Jun;9(3):299-301. doi: 10.1191/1352458503ms919oa.
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Can we contract multiple sclerosis from our working environment?我们会因工作环境而患上多发性硬化症吗?
Mult Scler. 2003 Jun;9(3):217-8. doi: 10.1191/1352458503ms922ed.
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Hypointensity in T2-weighted images of the basal ganglia in solvent-exposed patients with multiple sclerosis: clinical, MRI and CSF characteristics.溶剂暴露的多发性硬化症患者基底神经节T2加权图像中的低信号强度:临床、MRI和脑脊液特征
Neurol Sci. 2003 Apr;24(1):2-9. doi: 10.1007/s100720300014.
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