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职业暴露与后代中枢神经系统缺陷:综述

Occupational exposure and defects of the central nervous system in offspring: review.

作者信息

Roeleveld N, Zielhuis G A, Gabreëls F

机构信息

Department of Epidemiology, University of Nijmegen, The Netherlands.

出版信息

Br J Ind Med. 1990 Sep;47(9):580-8. doi: 10.1136/oem.47.9.580.

Abstract

A study of published work was carried out in a search for evidence of a causal role for parental occupational exposure in the origin of structural and functional defects of the central nervous system (CNS) in children. Studies that consider this topic are scarce and mostly refer to broad categories of exposures and effects. Non-occupational studies referring to environmental exposure of humans and studies on experimental animals were also reviewed. The studies on animals provided straightforward evidence about morphological and behavioural abnormalities resulting from some agents used occupationally. The studies on humans yielded a scala of defects that could be ascribed to exposure to high doses of various agents in the environment. Evidence for a causal role of occupational exposure has not been found, but a highly probable influence on the developing CNS is hypothesised for lead, methyl mercury, and ionising radiation. Parental occupational exposure to cadmium, organic solvents, anaesthetics, and pesticides may also play a part in causing defects of the CNS. Well designed future research is needed to test the above hypotheses.

摘要

开展了一项对已发表作品的研究,以寻找证据证明父母职业暴露在儿童中枢神经系统(CNS)结构和功能缺陷的成因中所起的因果作用。考虑这一主题的研究很少,且大多涉及广泛的暴露类别和影响。还回顾了涉及人类环境暴露的非职业研究以及实验动物研究。动物研究提供了关于某些职业使用的制剂导致形态和行为异常的直接证据。人类研究得出了一系列缺陷,这些缺陷可归因于在环境中接触高剂量的各种制剂。尚未找到职业暴露起因果作用的证据,但推测铅、甲基汞和电离辐射对发育中的中枢神经系统有极有可能的影响。父母职业接触镉、有机溶剂、麻醉剂和农药也可能在导致中枢神经系统缺陷中起作用。需要精心设计未来的研究来检验上述假设。

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