Wagner V, Wagnerová M, Háková L, Zavázal V, Wokounová D
Regional Hygienic Station, Central Bohemia, Prague.
Czech Med. 1987;10(2):70-8.
In autumn and spring a group of 132 ten-year-old school children (54.5% from families of smokers) were examined for blood content of immunoglobulins (IgG, IgA, (gM, in autumn including also IgE), lysozyme (LYS) and the so called acute reactants (alpha-1-antitrypsin = A1AT; alpha-2-macroglobulin = A2M; transferrin = TRF; ceruloplasmin = CPL); and for saliva sIgA and sLYS. Autumn examination detected significantly higher mean values of IgE in children from families of smokers, while other mean differences remained insignificant. Spring examination revealed significant differences in the means of IgA levels children from families of smokers (FS) had significantly lower levels of IgA while their saliva sIgA values were significantly higher. Mean spring CPL levels in FS were significantly higher. Analysis of distribution curves of autumn examination showed a significant shift of A1AT towards higher values in boys from FS. Girls from FS exhibited a shift of LYS towards lower values. Spring examination in boys FS evidenced a shift of CPL and sIgA values towards higher values; the curve of serum IgA levels split distinctly into two subgroups. In girls from FS the only change observed during the spring examination was a shift of A2M levels towards higher values with an indication of a split. To conclude, passive smoking in school children is responsible for a number of significant changes, the latter being more frequent and marked in spring when the children's organism is weakened by many other unfavourable circumstances. More significant changes were seen in boys.
在秋季和春季,对132名10岁学童(其中54.5%来自吸烟者家庭)进行了检查,检测其血液中免疫球蛋白(IgG、IgA、IgM,秋季还包括IgE)、溶菌酶(LYS)以及所谓的急性反应物(α1抗胰蛋白酶 = A1AT;α2巨球蛋白 = A2M;转铁蛋白 = TRF;铜蓝蛋白 = CPL)的含量;并检测唾液中的分泌型IgA(sIgA)和分泌型LYS(sLYS)。秋季检查发现,来自吸烟者家庭的儿童IgE平均水平显著更高,而其他平均差异不显著。春季检查显示,来自吸烟者家庭(FS)的儿童IgA水平均值存在显著差异,FS家庭儿童的IgA水平显著较低,而其唾液sIgA值显著较高。FS家庭儿童春季CPL平均水平显著更高。秋季检查分布曲线分析显示,FS家庭男孩的A1AT值向更高值显著偏移。FS家庭女孩的LYS值向更低值偏移。FS家庭男孩的春季检查表明,CPL和sIgA值向更高值偏移;血清IgA水平曲线明显分为两个亚组。在FS家庭女孩中,春季检查期间观察到的唯一变化是A2M水平向更高值偏移,并显示有分开的迹象。总之,学童被动吸烟会导致许多显著变化,这些变化在春季更为频繁和明显,因为此时儿童机体因许多其他不利情况而减弱。男孩的变化更显著。