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多氯联苯暴露对电容器工人生化和血液学检查结果的影响。

Effects of PCB exposure on biochemical and hematological findings in capacitor workers.

作者信息

Lawton R W, Ross M R, Feingold J, Brown J F

出版信息

Environ Health Perspect. 1985 May;60:165-84. doi: 10.1289/ehp.8560165.

Abstract

Certain former operations in capacitor manufacturing resulted in extensive direct contact of the workers with electrical grade polychlorinated biphenyls (PCBs). A study group of 194 such individuals, all exposed to Aroclor 1016 and many previously exposed to Aroclors 1242 and/or 1254, was examined before (1976) and after (1979) discontinuance of PCB use in the operations (1977). At the two examinations, the approximate geometric mean serum levels (in ppb) and 5 to 95% ranges were for lower PCBs (LPCB), 363 (57-2270) and 68 (12-392); and for higher PCBs (HPCB), 30 (6-142) and 19 (4-108), respectively. The statistical associations among 42 measured clinical chemical and hematological parameters, five different measures of PCB exposure, and seven confounding variables observed in the two examinations were determined by three regression procedures. Similar regressions were performed with DDE, which was present at background levels. The principal statistical findings were a depression in serum bilirubin and elevations in serum GGTP and lymphocyte levels at the time of the first examination, and only an elevation in monocytes at the second. Appraisal of the results suggested an induction of microsomal enzymes which appeared to be subsiding after the cessation of direct exposure to PCBs. The statistical association between serum levels of PCBs and lipids reported by others was confirmed, but shown to be explained by the partitioning behavior of PCB in the body, rather than to changes in liver function. No evidence for health impairment related to PCBs was found, despite the high serum levels of PCBs in the study population.

摘要

电容器制造行业以前的某些作业导致工人大量直接接触电工级多氯联苯(PCBs)。一个由194名此类人员组成的研究小组,全都接触过Aroclor 1016,许多人以前还接触过Aroclors 1242和/或1254,在这些作业中停止使用多氯联苯之前(1976年)和之后(1979年)(1977年停止使用)接受了检查。在两次检查中,较低多氯联苯(LPCB)的近似几何平均血清水平(以ppb计)及5%至95%范围分别为363(57 - 2270)和68(12 - 392);较高多氯联苯(HPCB)的分别为30(6 - 142)和19(4 - 108)。通过三种回归程序确定了两次检查中观察到的42项临床化学和血液学参数测量值、五种不同的多氯联苯接触测量方法以及七个混杂变量之间的统计关联。对处于背景水平的滴滴涕(DDE)进行了类似的回归分析。主要统计结果是,第一次检查时血清胆红素降低,血清γ-谷氨酰转肽酶(GGTP)和淋巴细胞水平升高,第二次检查时仅单核细胞升高。对结果的评估表明存在微粒体酶诱导现象,在停止直接接触多氯联苯后这种现象似乎正在消退。其他人报告的多氯联苯血清水平与血脂之间的统计关联得到了证实,但表明这是由多氯联苯在体内的分配行为所解释,而非肝功能变化所致。尽管研究人群中多氯联苯血清水平很高,但未发现与多氯联苯相关的健康损害证据。

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本文引用的文献

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The toxicity of the vapors of aroclor 1242 and aroclor 1254.
Am Ind Hyg Assoc Q. 1956 Jun;17(2):204-13. doi: 10.1080/00968205609344396.

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