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[技术环境对卢甘斯克地区新生儿和婴幼儿健康的影响]

[Influence of the technogenic environment on health new-borns infant children in Lugansk region].

作者信息

Kapranov S V, Sapel'nikov A Ia, Sapel'nikova L Ia

出版信息

Lik Sprava. 2014 May-Jun(5-6):19-26.

Abstract

The aim of the work was to evaluate the health of new-borns born to mothers who lived constantly influenced of the technogenic environmentat on health infant children in Luhansk region. We exameded evaluation of the influence of the technogenic environmental factors on the health of 1119 children in Alchevsk city, Perevalsk town with mining towns and rural villages of Perevalsky area of Lugansk region and Zhovtnev district of Lugansk region. The children were measured in anthropometric studies conducted body length, body weight, chest circumference and the head. Evaluation of the physical development of the children carried tsentilnym method. Prior to discharge from the hospital new-borns divided into three main groups--healthy, risk group, pathology. Also we have done the analysis of the statistical information on the health status of all newborns administrative units Lugansk region. Found that the percentage of new-borns with normal anthropometric variables (from 3 to 97 centile), body length and head circumference was significantly higher in rural areas Perevalsky area with more favorable environmental conditions compared to the industrial city of Alchevsk. New-borns with abnormal significantly higher in women who are domiciled in the city of Alchevsk (19.01% ± 1.44%) under the impact of emissions components ferrous metallurgy and coke-chemical, compared with Perevalskiy and mining towns (13.82% ± 2.20%), as well as rural villages Perevalsky area (11.90% ± 2.89%). Over the period 2004-2011, the incidence of congenital anomalies of new-borns weighing 1000 g or more (per 1000 live births and stillbirths) were significantly higher in the industrial cities of Luhansk region--19.70 ± 0.61 compared with rural areas--15.51 ± 0.73. The incidence of this pathology is one of the highest in Alchevsk--31.88 ± 2.48, which was significantly higher than.in urban areas, as well as in the whole of Luhansk region--19.13 ± 0.55. Therefore, the health of new-born babies is determined by man-made ecological environment of life. The preventive recommendations are developed.

摘要

这项工作的目的是评估居住在受技术环境持续影响地区的母亲所生新生儿的健康状况,以及技术环境因素对卢甘斯克地区1119名儿童健康的影响。这些儿童来自阿尔乔夫斯克市、佩列瓦尔镇(属于矿业城镇)以及卢甘斯克地区佩列瓦尔区和日托夫内区的乡村。在人体测量研究中对儿童进行了身长、体重、胸围和头围的测量。采用百分位数法评估儿童的身体发育情况。在新生儿出院前,将其分为三个主要组——健康组、风险组、病理组。此外,我们还分析了卢甘斯克地区所有行政区新生儿健康状况的统计信息。结果发现,与工业城市阿尔乔夫斯克相比,佩列瓦尔区环境条件更有利的农村地区,人体测量变量(3至97百分位数)、身长和头围正常的新生儿百分比显著更高。受黑色冶金和焦化排放成分影响,居住在阿尔乔夫斯克市的女性所生新生儿异常的比例显著更高(19.01%±1.44%),而佩列瓦尔镇和矿业城镇的这一比例为(13.82%±2.20%),佩列瓦尔区乡村的这一比例为(11.90%±2.89%)。在2004年至2011年期间,卢甘斯克地区工业城市中体重1000克及以上新生儿的先天性异常发病率(每1000例活产和死产)显著高于农村地区——分别为19.70±0.61和15.51±0.73。这种病理的发病率在阿尔乔夫斯克最高,为31.88±2.48,显著高于城市地区以及整个卢甘斯克地区——分别为19.13±0.55。因此,新生儿的健康取决于人为的生活生态环境。并制定了预防性建议。

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