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韩国职业性接触混合有机溶剂的神经毒性效应:姿势描记法研究。

Neurotoxic effect of occupational exposure to mixed organic solvents in Korea: Posturographic study.

作者信息

Park Jae-Beom, Lee Kyung-Jong, Lee Keou-Weon, Lim Kwang-Jin

机构信息

Department of Occupational and Environmental Medicine, Ajou University School of Medicine, Woncheon-dong, Yeongtong-gu, Suwon, South Korea.

出版信息

Am J Ind Med. 2009 May;52(5):429-37. doi: 10.1002/ajim.20679.

Abstract

BACKGROUND

This study used static posturography to investigate the neurotoxic effects on workers exposed to mixed organic solvents at low concentrations under the levels of the threshold limit values (TLV).

METHODS

Forty-one workers from four plants exposed to mixed solvents and 90 non-exposed referents were examined. The lifetime cumulative biological exposure (CE) was estimated according to subject's occupational history and biological monitoring results. Static posturography and questionnaire were the basis of data collection.

RESULTS

The mean exposure index of mixed organic solvents of four plants was 0.47 (SD: 0.33, range: 0.08-1.39). The exposed group showed a larger sway area and length under the eye open condition than did the non-exposed group. In a multiple linear regression, a significant positive association was demonstrated between postural sway area and CE.

CONCLUSIONS

This study results suggest that the exposure to organic solvents under TLV levels may cause disturbance in postural stability.

摘要

背景

本研究采用静态姿势描记法,调查低于阈限值(TLV)水平的低浓度混合有机溶剂暴露对工人的神经毒性作用。

方法

对来自四家工厂的41名接触混合溶剂的工人和90名未接触的对照者进行了检查。根据受试者的职业史和生物监测结果估算终生累积生物暴露量(CE)。静态姿势描记法和问卷调查是数据收集的基础。

结果

四家工厂混合有机溶剂的平均暴露指数为0.47(标准差:0.33,范围:0.08 - 1.39)。与未接触组相比,接触组在睁眼条件下的摆动面积和长度更大。在多元线性回归中,姿势摆动面积与CE之间存在显著正相关。

结论

本研究结果表明,低于TLV水平的有机溶剂暴露可能会导致姿势稳定性紊乱。

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