University Cancer and Diagnostic Centers, Houston, Tex.
Am J Med. 2013 Nov;126(11):966-74. doi: 10.1016/j.amjmed.2013.05.014. Epub 2013 Sep 17.
Oil spills are known to affect human health through the exposure of inherent hazardous chemicals such as para-phenols and volatile benzene. This study assessed the adverse health effects of the Gulf oil spill exposure in subjects participating in the clean-up activity along the coast of Louisiana.
This retrospective study included subjects that had been exposed and unexposed to the oil spill and dispersant. Using medical charts, clinical data including white blood cell count, platelets count, hemoglobin, hematocrit, blood urea nitrogen, creatinine, alkaline phosphatase (ALP), aspartate amino transferase (AST), alanine amino transferase (ALT), and somatic symptom complaints by the subjects were reviewed and analyzed.
A total of 247 subjects (oil spill exposed, n = 117 and unexposed, n = 130) were included. Hematologic analysis showed that platelet counts (× 10(3) per μL) were significantly decreased in the exposed group compared with those in the group unexposed to the oil spill (252.1 ± 51.8 vs 269.6 ± 77.3, P = .024). Conversely, the hemoglobin (g per dL) and hematocrit (%) levels were significantly increased among oil spill-exposed subjects compared with the unexposed subjects (P = .000). Similarly, oil spill-exposed subjects had significantly higher levels of ALP (76.3 ± 21.3 vs 61.2 ± 26.9 IU/L, P = .000), AST (31.0 ± 26.3 vs 22.8 ± 11.8 IU/L, P = .004), and ALT (34.8 ± 26.6 vs 29.8 ± 27 IU/L, P = .054) compared with the unexposed subjects.
The results of this study indicate that clean-up workers exposed to the oil spill and dispersant experienced significantly altered blood profiles, liver enzymes, and somatic symptoms.
众所周知,石油泄漏会通过暴露于内在危险化学品(如对苯二酚和挥发性苯)而影响人类健康。本研究评估了路易斯安那州沿海清洁活动中参与人员接触海湾石油泄漏和分散剂的不良健康影响。
本回顾性研究纳入了接触和未接触石油泄漏和分散剂的研究对象。通过查阅病历,分析了包括白细胞计数、血小板计数、血红蛋白、红细胞压积、血尿素氮、肌酐、碱性磷酸酶(ALP)、天冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)在内的临床数据以及研究对象的躯体症状主诉。
共纳入 247 名研究对象(暴露于石油泄漏组,n = 117;未暴露于石油泄漏组,n = 130)。血液学分析显示,暴露组的血小板计数(× 10³/μL)明显低于未暴露组(252.1 ± 51.8 vs 269.6 ± 77.3,P =.024)。相反,暴露于石油泄漏组的血红蛋白(g/dL)和红细胞压积(%)水平明显高于未暴露组(P =.000)。同样,暴露于石油泄漏组的 ALP(76.3 ± 21.3 vs 61.2 ± 26.9 IU/L,P =.000)、AST(31.0 ± 26.3 vs 22.8 ± 11.8 IU/L,P =.004)和 ALT(34.8 ± 26.6 vs 29.8 ± 27 IU/L,P =.054)水平明显高于未暴露组。
本研究结果表明,接触石油泄漏和分散剂的清洁工人的血液特征、肝酶和躯体症状明显改变。