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土耳其牙科保健工作者的汞暴露:与汞合金作业及自身补牙的相关性。

Exposure to mercury among dental health workers in Turkey: correlation with amalgam work and own fillings.

作者信息

Yılmaz Hınç, Tutkun Engin, Demiralp Kemal Ö, Yılmaz Fatma M, Aliyev Vugar, Söylemezoğlu Tülin

机构信息

Ministry of Health, Ankara Occupational Diseases Hospital, Ankara, Turkey

Ministry of Health, Ankara Occupational Diseases Hospital, Ankara, Turkey.

出版信息

Toxicol Ind Health. 2015 Oct;31(10):951-4. doi: 10.1177/0748233713484652. Epub 2013 Apr 15.

Abstract

PURPOSE

To investigate the current status of exposure to mercury (Hg) among dental health workers in Turkey.

METHODS

A total of 115 persons working in the same hospital were included in the study and were divided into three groups. Group 1 consisted of 67 dentists; group 2 consisted of 21 dental personnel who work with amalgam, and group 3 consisted of 27 control subjects who work in the same hospital but are non-dental personnel. The number of amalgam fillings that have been made by the dentists and the number of own fillings of the subjects were recorded.

RESULTS

Plasma Hg levels were found to be 3.76 ± 1.84, 3.54 ± 1.83, and 2.69 ± 0.97 µg/L in groups 1, 2, and 3, respectively. Hg concentrations in group 1 were significantly higher than the control group. There was no significant difference between groups 1 and 2. The number of amalgam fillings made by the dentists in the previous year correlated significantly with plasma Hg levels (r = 0.378, p < 0.01). There was no significant correlation between the own amalgam fillings in the teeth of the subjects and Hg levels.

CONCLUSION

Preventive measures for protection from exposure to Hg are necessary for occupational health in dentistry and proper industrial hygiene rules should be emphasized to avoid contamination during work.

摘要

目的

调查土耳其牙科保健工作者的汞(Hg)暴露现状。

方法

共有115名在同一家医院工作的人员纳入本研究,并分为三组。第一组由67名牙医组成;第二组由21名使用汞合金的牙科人员组成,第三组由27名在同一家医院工作但非牙科人员的对照受试者组成。记录牙医制作的汞合金填充物数量以及受试者自身的填充物数量。

结果

第一、二、三组的血浆汞水平分别为3.76±1.84、3.54±1.83和2.69±0.97μg/L。第一组的汞浓度显著高于对照组。第一组和第二组之间无显著差异。牙医在前一年制作的汞合金填充物数量与血浆汞水平显著相关(r = 0.378,p < 0.01)。受试者牙齿上自身的汞合金填充物与汞水平之间无显著相关性。

结论

牙科职业健康中,采取预防措施防止汞暴露是必要的,应强调适当的工业卫生规则以避免工作期间的污染。

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