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居住环境暴露于输电线与淋巴增生性和骨髓增生性疾病风险:一项病例对照研究。

Residential exposure to electric power transmission lines and risk of lymphoproliferative and myeloproliferative disorders: a case-control study.

作者信息

Lowenthal R M, Tuck D M, Bray I C

机构信息

School of Medicine, University of Tasmania, Hobart, Australia.

出版信息

Intern Med J. 2007 Sep;37(9):614-9. doi: 10.1111/j.1445-5994.2007.01389.x. Epub 2007 Jun 2.

Abstract

BACKGROUND

Studies have shown an association between electromagnetic fields and childhood leukaemia. The aim of this study was to determine whether there is an increased risk of lymphoproliferative disorders (LPD) or myeloproliferative disorders (MPD) associated with residence < or =300 m from high-voltage power lines.

METHODS

Case-control study of 854 patients diagnosed with LPD or MPD (including leukaemia, lymphoma and related conditions) aged 0-94 years comprising all cases diagnosed in Tasmania between 1972 and 1980. Controls were individually matched for sex and approximate age at the time of diagnosis.

RESULTS

Compared with those who had always lived >300 m from a power line, those who had ever lived within 50 m had an odds ratio (OR) of 2.06 (95% confidence interval 0.87-4.91) for developing LPD or MPD (based on 768 adult case-control pairs); those who had lived between 50 and 300 m had an OR of 1.30 (0.88-1.91). Adults who had lived within 300 m of a power line during the first 15 years of life had a threefold increase in risk (OR 3.23; 1.26-8.29); those who had lived within the same distance aged 0-5 years had a fivefold increase in risk (OR 4.74; 0.98-22.9). These associations were strengthened when analyses were repeated for 201 pairs with entirely Tasmanian residential histories.

CONCLUSION

Although recognizing that this study has limitations, the results raise the possibility that prolonged residence close to high-voltage power lines, especially early in life, may increase the risk of the development of MPD and LPD later.

摘要

背景

研究表明电磁场与儿童白血病之间存在关联。本研究的目的是确定居住在距离高压电线小于或等于300米处是否会增加患淋巴增生性疾病(LPD)或骨髓增生性疾病(MPD)的风险。

方法

对854例年龄在0至94岁之间被诊断为LPD或MPD(包括白血病、淋巴瘤及相关病症)的患者进行病例对照研究,这些病例涵盖了1972年至1980年间在塔斯马尼亚岛确诊的所有病例。对照组在诊断时按性别和大致年龄进行个体匹配。

结果

与那些一直居住在距离电线超过300米处的人相比,那些曾经居住在50米范围内的人患LPD或MPD的比值比(OR)为2.06(95%置信区间0.87 - 4.91)(基于768对成人病例对照);那些居住在50至300米之间的人OR为1.30(0.88 - 1.91)。在生命的前15年中居住在距离电线300米范围内的成年人风险增加了两倍(OR 3.23;1.26 - 8.29);那些在0至5岁时居住在相同距离内的人风险增加了四倍(OR 4.74;0.98 - 22.9)。当对201对具有完全塔斯马尼亚居住史的病例进行重复分析时,这些关联得到了加强。

结论

尽管认识到本研究存在局限性,但结果提出了这样一种可能性,即长期居住在靠近高压电线的地方,尤其是在生命早期,可能会增加日后患MPD和LPD的风险。

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