Institute for Occupational Physiology at the University of Dortmund, Ardeystraβe 67, D - 44139 Dortmund, Germany.
Environ Toxicol Pharmacol. 2005 May;19(3):635-43. doi: 10.1016/j.etap.2004.12.029.
Data of a follow up study with four examinations were summarized by odds ratio statistics in order to scrutinize the results of the earlier studies with cross sectional approaches. For a "high"- (n=106) and a "low"-exposed group (references, n=86) current toluene exposures of 26ppm versus 3ppm and lifetime weighted average exposures of 45ppm versus 9ppm were ascertained. As measures of sensory functions vibration thresholds, colour discrimination, and auditory thresholds were used. Measures of psychological performances were attention (symbol-digit substitution, switching attention, simple reaction), memory (digit span forward, delayed reproduction of pictures), and psychomotor functions (steadiness, line tracing, aiming, tapping, peg board). Additionally, the frequency of diseases and symptoms were ascertained. By odds ratio statistics including relevant cofactors no significant increase of "cases with impaired functions" among the high-exposed workers was found. Evidence for neurobehavioral effects due to long-term toluene exposure below 50ppm was not established.
为了仔细审查之前采用横断面方法进行的研究结果,通过优势比统计对一项包含四次检查的随访研究的数据进行了总结。将当前甲苯暴露水平为 26ppm(暴露组,n=106)与 3ppm(对照组,n=86)和终生加权平均暴露水平为 45ppm(暴露组)与 9ppm(对照组)的“高暴露”组和“低暴露”组进行了区分。振动阈值、颜色辨别和听觉阈值等感觉功能的测量,以及注意力(符号数字替代、转换注意力、简单反应)、记忆(数字跨度向前、图片延迟再现)和心理运动功能(稳定性、线条追踪、瞄准、敲击、钉板)等心理表现的测量都被采用。此外,还确定了疾病和症状的发生频率。通过包括相关协变量的优势比统计,未发现高暴露工人中“功能受损病例”的显著增加。没有证据表明长期接触低于 50ppm 的甲苯会导致神经行为效应。