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职业工人子女的铅暴露及其对健康的不良影响。

Lead exposure and its adverse health effects among occupational worker's children.

作者信息

Khan Dilshad Ahmed, Qayyum Shazia, Saleem Shahid, Ansari Wafa Munir, Khan Farooq Ahmad

机构信息

Department of Pathology Army Medical College, National University of Sciences and Technology, Islamabad, Pakistan.

出版信息

Toxicol Ind Health. 2010 Sep;26(8):497-504. doi: 10.1177/0748233710373085. Epub 2010 Jun 10.

Abstract

Lead exposure is an important environmental health problem particularly affecting the children of occupational workers living in the lead-contaminated environment. The objectives of the study were to find out the frequency, potential sources and adverse health effects of elevated blood lead level (BLL) in the children of lead-related occupational workers. It was a comparative cross-sectional study. A total of two hundred forty six children aged 1-6 years, comprising an equal number (n = 123) from lead smelters/battery recycle plant workers living close to the industries at Wah/Gujranwala, Pakistan (lead-exposed group) and those living 30 km away from the industrial area (controls) were included. Demographic and clinical data of each subject was collected. Blood lead analysis was carried out by using kits on the lead analyzer (3010 B ESA, USA). Biochemical tests of renal and hepatic profile were analyzed on Selectra E auto analyzer. The median age of children was 4 years; comprising of 69 boys and 54 girls. The lead-exposed children had significantly high BLLs median (range) 8.1 (1-20.9) microg/dL as compared to controls 6.7 (1-13.3) microg/dL (p <or= 0.01). The children of occupational workers had elevated BLL (>10 microg/dL) in 38 (31%) as compared with 14 (11%) in controls. Hematopoietic, renal, and hepatic functions were significantly impaired in the lead-exposed children. In conclusion, the children of lead-related occupational workers have significantly increased frequency (31%) of lead poisoning. The potential source of lead overexposure in these children may be indirect through father's clothes and contaminated environment at home. Increased lead accumulation adversely affects health of these children.

摘要

铅暴露是一个重要的环境卫生问题,尤其影响生活在铅污染环境中的职业工人的子女。本研究的目的是查明与铅相关的职业工人子女血铅水平(BLL)升高的频率、潜在来源和对健康的不良影响。这是一项比较性横断面研究。共纳入246名1至6岁的儿童,其中来自巴基斯坦瓦赫/古杰兰瓦拉靠近铅冶炼厂/电池回收厂的工人家庭(铅暴露组)和居住在距工业区30公里以外的家庭(对照组)各123名。收集了每个受试者的人口统计学和临床数据。使用试剂盒在铅分析仪(美国ESA 3010 B型)上进行血铅分析。在Selectra E自动分析仪上分析肾脏和肝脏功能的生化检测结果。儿童的中位年龄为4岁;其中69名男孩,54名女孩。与对照组的6.7(1 - 13.3)μg/dL相比,铅暴露儿童的血铅水平中位数(范围)显著更高,为8.1(1 - 20.9)μg/dL(p≤0.01)。职业工人的子女中有38名(31%)血铅水平升高(>10μg/dL),而对照组为14名(11%)。铅暴露儿童的造血、肾脏和肝脏功能明显受损。总之,与铅相关的职业工人的子女铅中毒频率显著增加(31%)。这些儿童铅过度暴露的潜在来源可能是通过父亲的衣服和家中受污染的环境间接导致的。铅蓄积增加对这些儿童的健康产生不利影响。

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