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职业性接触 1,4-二氯苯对血液、肾脏和肝脏功能的影响。

Effects of occupational exposure to 1,4-dichlorobenzene on hematologic, kidney, and liver functions.

机构信息

Institute of Environmental Health, College of Public Health, National Taiwan University, No. 17 Hsu-Cho Road, Taipei, Taiwan.

出版信息

Int Arch Occup Environ Health. 2009 Oct;82(9):1077-85. doi: 10.1007/s00420-009-0398-5. Epub 2009 Feb 27.

DOI:10.1007/s00420-009-0398-5
PMID:19247685
Abstract

PURPOSE

To investigate the effects of 1,4-dichlorobenzene (1,4-DCB) on kidney, liver, and hematological functions of workers in insect repellent factories in Taiwan.

METHODS

A cross-sectional study was performed comparing 46 exposed workers and 29 non-exposed workers. Health information was collected using questionnaires and biochemical tests. The concentration of urinary 2,5-dichlorophenol (2,5-DCP), the major metabolite of 1,4-DCB, was analyzed by gas chromatography with electron-capture detection.

RESULTS

Urinary 2,5-DCP concentration, white blood cell (WBC) count, and serum alanine aminotransferase (ALT) level were higher in exposed workers than in non-exposed ones (P < 0.05). Furthermore, the WBC count and ALT level were significantly correlated with the concentration of 2,5-DCP in urine (P < 0.05). The blood urea nitrogen was significantly higher in on-site exposed workers (P < 0.05). Urinary 2,5-DCP concentration was significantly lower in workers who wore personal protective equipment (PPE) during work than in those who did not (P < 0.05).

CONCLUSIONS

The higher urinary 2,5-DCP concentration in exposed (105.38 μg/L) than non-exposed (1.08 μg/L) workers suggests that 1,4-DCB exposure may increase the 2,5-DCP concentration in urine. Moreover, exposure to 1,4-DCB may also increase WBC count and ALT activity, and PPE may protect workers from 1,4-DCB exposure.

摘要

目的

研究 1,4-二氯苯(1,4-DCB)对台湾驱虫剂工厂工人的肾脏、肝脏和血液功能的影响。

方法

采用病例对照研究,比较了 46 名接触工人和 29 名非接触工人。使用问卷调查和生化测试收集健康信息。用带电子捕获检测的气相色谱法分析尿中 2,5-二氯苯酚(2,5-DCP)的浓度,2,5-DCP 是 1,4-DCB 的主要代谢物。

结果

暴露组工人的尿 2,5-DCP 浓度、白细胞(WBC)计数和血清丙氨酸氨基转移酶(ALT)水平高于非暴露组(P<0.05)。此外,WBC 计数和 ALT 水平与尿 2,5-DCP 浓度呈显著相关(P<0.05)。现场接触工人的血尿素氮显著升高(P<0.05)。工作时佩戴个人防护设备(PPE)的工人尿 2,5-DCP 浓度明显低于未佩戴者(P<0.05)。

结论

暴露组工人尿 2,5-DCP 浓度(105.38μg/L)高于非暴露组(1.08μg/L),提示 1,4-DCB 暴露可能增加尿 2,5-DCP 浓度。此外,接触 1,4-DCB 还可能增加 WBC 计数和 ALT 活性,PPE 可能保护工人免受 1,4-DCB 暴露。

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