Zhang Y L, Liu W W, Zeng W Y, Lin Q H, Liu Y M
Guangzhou occupational disease prevention and treatment hospital, Guangdong Guangzhou 510620, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2017 May 20;35(5):380-382. doi: 10.3760/cma.j.issn.1001-9391.2017.05.018.
To analyze the level of immunoglobulin E (IgE) changes with benzene exposure workers. Firstly, through occupational health monitoring, 68 hospitalized cases were discovered who were suspected chronic benzene poisoning. Secondly, according to the GBZ68-2013《The diagnosis of occupational benzene poisoning》standard diagnosis and indexing, 68 cases were divided into the benzene poisoning group (= 29) and the benzene exposure group (=39) . 50 cases of healthy workers without benzene exposure were for the control group. Use the immune luminescence method to detect IgE levels. Thirdly, Case-control study was used, observing IgE changes though the three groups by statistical analysis. Compared with control group, the level of leukocyte、neutrophil and IgE was drop in benzene exposure group with statistically significant (<0.05) . Compared with benzene exposure group, IgE of benzene poisoning group was rise, with statistically significant (<0.05) , IgE of mild benzene poisoning group rise the most obvious, with statistically significant (<0.05) . Compared with benzene exposure group, IgE of moderate benzene poisoning group was drop, without statistically significant (>0.05) . Benzene occupational exposure can induce immunosuppression, IgE decreases, and reduces immune surveillance. The response of the IgE level in the mild benzene poisoning patients was significantly elevated, whether it is protective response of the body immune function needs to be studied further investigated.
分析苯接触工人免疫球蛋白E(IgE)的变化水平。首先,通过职业健康监护,发现68例疑似慢性苯中毒的住院病例。其次,依据GBZ68 - 2013《职业性苯中毒诊断》标准诊断和分度,将68例病例分为苯中毒组(n = 29)和苯接触组(n = 39)。选取50例无苯接触的健康工人作为对照组。采用免疫发光法检测IgE水平。第三,采用病例对照研究,通过统计学分析观察三组IgE的变化。与对照组相比,苯接触组白细胞、中性粒细胞及IgE水平下降,差异有统计学意义(<0.05)。与苯接触组相比,苯中毒组IgE升高,差异有统计学意义(<0.05),轻度苯中毒组IgE升高最为明显,差异有统计学意义(<0.05)。与苯接触组相比,中度苯中毒组IgE下降,差异无统计学意义(>0.05)。苯职业接触可引起免疫抑制,IgE降低,免疫监视功能减弱。轻度苯中毒患者IgE水平反应性显著升高,其是否为机体免疫功能的保护性反应有待进一步研究。