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韩国志愿者在车内接触一氧化碳后血压降低。

Decreased blood pressure associated with in-vehicle exposure to carbon monoxide in Korean volunteers.

作者信息

Lee Geon-Woo, Bae Mun-Joo, Yang Ji-Yeon, Son Jung-Woo, Cho Jae-Lim, Lee Sang-Gyu, Jang Bo-Mi, Lee Hyun-Woo, Lim Jong-Soon, Shin Dong-Chun, Lim Young-Wook

机构信息

Department of Public Health, Graduate School, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, Korea.

The Institute for Environmental Research, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, Korea.

出版信息

Environ Health Prev Med. 2017 Apr 5;22(1):34. doi: 10.1186/s12199-017-0622-y.

Abstract

BACKGROUND

Carbon monoxide (CO) is one of the primary components of emissions from light-duty vehicles, and reportedly comprises 77% of all pollutants emitted in terms of concentration. Exposure to CO aggravates cardiovascular disease and causes other health disorders. The study was aimed to assess the negative effects by injecting different amounts of CO concentration directly to human volunteers boarding in the car.

METHODS

Human volunteers were exposed to CO concentrations of 0, 33.2, and 72.4 ppm, respectively during the first test and 0, 30.3, and 48.8 ppm respectively during the second test while seated in the car. The volunteers were exposed to each concentration for approximately 45 min. After exposure, blood pressure measurement, blood collection (carboxyhemoglobin [COHb] analysis), medical interview, echocardiography test, and cognitive reaction test were performed.

RESULT

In patients who were exposed to a mean concentration of CO for 72.4 ± 1.4 ppm during the first exposure test and 48.8 ± 3.7 ppm during the second exposure test, the COHb level exceeded 2%. Moreover, the diastolic blood pressure was decreased while increasing in CO concentration after exposure. The medical interview findings showed that the degree of fatigue was increased and the degree of concentration was reduced when the exposed concentration of CO was increased.

CONCLUSION

Although the study had a limited sample size, we found that even a low concentration of CO flowing into a car could have a negative influence on human health, such as change of blood pressure and degree of fatigue.

摘要

背景

一氧化碳(CO)是轻型车辆排放的主要成分之一,据报道,按浓度计算,其占所有污染物排放的77%。接触一氧化碳会加重心血管疾病并引发其他健康问题。本研究旨在通过直接向车内乘坐的人类志愿者注射不同量的一氧化碳浓度来评估其负面影响。

方法

在第一次测试中,人类志愿者坐在车内时分别暴露于0、33.2和72.4 ppm的一氧化碳浓度下,在第二次测试中分别暴露于0、30.3和48.8 ppm的一氧化碳浓度下。志愿者在每个浓度下暴露约45分钟。暴露后,进行血压测量、采血(碳氧血红蛋白[COHb]分析)、医学访谈、超声心动图测试和认知反应测试。

结果

在第一次暴露测试中平均暴露于72.4±1.4 ppm一氧化碳浓度、第二次暴露测试中暴露于48.8±3.7 ppm一氧化碳浓度的患者中,碳氧血红蛋白水平超过2%。此外,暴露后随着一氧化碳浓度增加舒张压降低。医学访谈结果显示,随着一氧化碳暴露浓度增加,疲劳程度增加而注意力集中程度降低。

结论

尽管本研究样本量有限,但我们发现即使流入车内的一氧化碳浓度较低也可能对人体健康产生负面影响,如血压变化和疲劳程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60f5/5664420/cda864d11675/12199_2017_622_Fig1_HTML.jpg

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