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健康新生儿脐带血和胎粪以及其母亲静脉血中的汞含量:临床前瞻性队列研究。

Mercury levels in cord blood and meconium of healthy newborns and venous blood of their mothers: clinical, prospective cohort study.

作者信息

Unuvar Emin, Ahmadov Hasan, Kiziler Ali Riza, Aydemir Birsen, Toprak Sadik, Ulker Volkan, Ark Cemal

机构信息

Istanbul University, Department of Pediatrics, Istanbul, Turkey.

出版信息

Sci Total Environ. 2007 Mar 1;374(1):60-70. doi: 10.1016/j.scitotenv.2006.11.043. Epub 2007 Jan 26.

Abstract

OBJECTIVES

The purpose of this study is to investigate the chronic mercury intoxication in pregnant women and newborns living in Istanbul, Turkey.

METHODS

The research was carried out as a prospective with 143 pregnant women and their newborns. Venous blood from the mother, cord blood from the neonate, and meconium were collected for mercury analysis. Frequency of fish and vegetable-eating and the number of teeth filled were investigated. Analyses were made in cold vapor Atomic Absorption Spectrophotometer (AAS, microg/L).

RESULTS

Mercury levels were 0.38+/-0.5 microg/L (0-2.34) in venous blood of pregnant women, 0.50+/-0.64 microg/L (0-2.36) in umbilical cord blood and 9.45+/-13.8 microg/g (0-66.5) in meconium. Maternal blood mercury level was lower than the known toxic limit for humans (EPA, 5 microg/L). Mercury levels of the maternal venous blood were significantly correlated with umbilical cord blood. The primary risk factors affecting mercury levels were eating fishmeals more than twice a week and having filled teeth more than five. The fact that the mother had a regular vegetable diet everyday reduced the mercury levels. Increased levels of mercury in the mother and umbilical cord blood could lead to retarded newborns' weight and height.

CONCLUSION

Pregnant women living in Istanbul may be not under the risk of chronic mercury intoxication. Fish consumption more than twice per week and tooth-filling of mother more than five may increase mercury level. On the contrary, regular diet rich in vegetable decreases the mercury level.

摘要

目的

本研究旨在调查居住在土耳其伊斯坦布尔的孕妇及新生儿的慢性汞中毒情况。

方法

该研究以前瞻性方式对143名孕妇及其新生儿进行。采集母亲的静脉血、新生儿的脐带血和胎粪用于汞分析。调查食用鱼类和蔬菜的频率以及补牙的数量。使用冷蒸气原子吸收分光光度计(AAS,微克/升)进行分析。

结果

孕妇静脉血中的汞含量为0.38±0.5微克/升(0 - 2.34),脐带血中为0.50±0.64微克/升(0 - 2.36),胎粪中为9.45±13.8微克/克(0 - 66.5)。母亲血液中的汞含量低于已知的人体中毒限值(美国环保署,5微克/升)。母亲静脉血中的汞含量与脐带血显著相关。影响汞含量的主要风险因素是每周食用鱼餐超过两次以及补牙超过五颗。母亲每天有规律地食用蔬菜可降低汞含量。母亲和脐带血中汞含量的增加可能导致新生儿体重和身高发育迟缓。

结论

居住在伊斯坦布尔的孕妇可能不存在慢性汞中毒风险。每周食用鱼类超过两次以及母亲补牙超过五颗可能会增加汞含量。相反,富含蔬菜的规律饮食可降低汞含量。

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