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受六价铬 [Cr (VI)] 污染的地下水:社区居民的健康调查和临床检查(印度坎普尔)。

Groundwater contaminated with hexavalent chromium [Cr (VI)]: a health survey and clinical examination of community inhabitants (Kanpur, India).

机构信息

Petroleum Toxicology Division, CSIR-Indian Institute of Toxicology Research, Lucknow, India.

出版信息

PLoS One. 2012;7(10):e47877. doi: 10.1371/journal.pone.0047877. Epub 2012 Oct 24.

Abstract

BACKGROUND

We assessed the health effects of hexavalent chromium groundwater contamination (from tanneries and chrome sulfate manufacturing) in Kanpur, India.

METHODS

The health status of residents living in areas with high Cr (VI) groundwater contamination (N = 186) were compared to residents with similar social and demographic features living in communities having no elevated Cr (VI) levels (N = 230). Subjects were recruited at health camps in both the areas. Health status was evaluated with health questionnaires, spirometry and blood hematology measures. Cr (VI) was measured in groundwater samples by diphenylcarbazide reagent method.

RESULTS

Residents from communities with known Cr (VI) contamination had more self-reports of digestive and dermatological disorders and hematological abnormalities. GI distress was reported in 39.2% vs. 17.2% males (AOR = 3.1) and 39.3% vs. 21% females (AOR = 2.44); skin abnormalities in 24.5% vs. 9.2% males (AOR = 3.48) and 25% vs. 4.9% females (AOR = 6.57). Residents from affected communities had greater RBCs (among 30.7% males and 46.1% females), lower MCVs (among 62.8% males) and less platelets (among 68% males and 72% females) than matched controls. There were no differences in leucocytes count and spirometry parameters.

CONCLUSIONS

Living in communities with Cr (VI) groundwater is associated with gastrointestinal and dermatological complaints and abnormal hematological function. Limitations of this study include small sample size and the lack of long term follow-up.

摘要

背景

我们评估了印度坎普尔地区六价铬地下水污染(来自制革厂和铬酸酐制造)对健康的影响。

方法

将居住在高 Cr(VI)地下水污染地区的居民(N=186)的健康状况与具有相似社会人口特征且 Cr(VI)水平未升高的社区居民(N=230)进行比较。在两个地区的保健营招募了研究对象。通过健康问卷、肺活量测定和血液血液学测量评估健康状况。采用二苯卡巴肼试剂法测定地下水样品中的 Cr(VI)。

结果

来自已知 Cr(VI)污染社区的居民报告的胃肠道和皮肤病以及血液异常情况更多。胃肠道不适在男性中为 39.2%(AOR=3.1),在女性中为 39.3%(AOR=2.44),分别高于 17.2%和 21%;皮肤异常在男性中为 24.5%(AOR=3.48),在女性中为 25%(AOR=6.57),分别高于 9.2%和 4.9%。受影响社区的居民红细胞计数较高(男性中 30.7%,女性中 46.1%),MCV 较低(男性中 62.8%),血小板较少(男性中 68%,女性中 72%),白细胞计数和肺活量测定参数无差异。

结论

生活在 Cr(VI)地下水社区与胃肠道和皮肤投诉以及血液异常功能有关。本研究的局限性包括样本量小和缺乏长期随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15af/3480439/04e71b205ece/pone.0047877.g001.jpg

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