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在制药公司工作的不吸烟女性接触混合有机溶剂对血压的影响。

Effects of exposure to mixed organic solvents on blood pressure in non-smoking women working in a pharmaceutical company.

机构信息

Occupational Medicine Department, School of Medicine, Tehran University of Medical Sciences, Iran.

出版信息

Arh Hig Rada Toksikol. 2012 Jun 1;63(2):161-9. doi: 10.2478/10004-1254-63-2012-2186.

Abstract

Some studies suggest that exposure to industrial solvents can affect blood pressure. The objective of this study was to investigate the effect of a mixture of organic solvents on blood pressure in women working in a pharmaceutical company in Iran. Four hundred and thirty-three women were included in the study. Women working in packing units (group 1) were not exposed to the mixture of organic solvents, women in new laboratory units (group 2) were exposed to the mixture within the permitted range and women working in old laboratory units (group 3) were exposed to the mixture above the permitted limit. We compared systolic and diastolic blood pressures (SBP & DBP) and prevalence of hypertension and pre-hypertension among groups. The results revealed a significant difference in SBP and pre-hypertension (p<0.001) and hypertension (p<0.05) prevalence between the exposed and the control group, but DBP did not differ significantly. Logistic regression analysis showed a significant association between hypertension and exposure to mixed solvents. Odds ratio for hypertension in the group 2 and group 3 (exposed) workers was 2.36 and 3, respectively, compared to controls. Our results suggest that exposure to a mixture of organic solvents may increase SBP and hypertension and pre-hypertension prevalence in drug manufacture workers. Therefore, more attention should be paid to workers that work in such settings by periodically measuring blood pressure and implementing accurate and comprehensive programs to reduce exposure to organic solvents.

摘要

一些研究表明,接触工业溶剂会影响血压。本研究的目的是调查在伊朗一家制药公司工作的女性接触混合有机溶剂对血压的影响。共有 433 名女性纳入本研究。包装车间的女性(第 1 组)未接触有机溶剂混合物,新实验室的女性(第 2 组)在允许范围内接触混合物,旧实验室的女性(第 3 组)接触超过允许限度的混合物。我们比较了各组间的收缩压和舒张压(SBP 和 DBP)以及高血压和高血压前期的患病率。结果显示,暴露组与对照组之间 SBP 和高血压前期(p<0.001)和高血压(p<0.05)的患病率存在显著差异,但 DBP 无显著差异。Logistic 回归分析显示,高血压与混合溶剂暴露之间存在显著关联。与对照组相比,第 2 组和第 3 组(暴露)工人的高血压的比值比分别为 2.36 和 3。我们的结果表明,接触混合有机溶剂可能会增加药物制造工人的 SBP 和高血压及高血压前期的患病率。因此,应通过定期测量血压和实施准确、全面的方案来减少有机溶剂暴露,更多地关注在这种环境下工作的工人。

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