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产前铅暴露及其对发育障碍的潜在意义:一项关于脐带血铅水平的初步研究。

Prenatal lead exposure and its potential significance for developmental disabilities: a preliminary study of umbilical cord blood lead levels.

作者信息

Shucard J L, Shucard D W, Patterson R, Guthrie R

机构信息

Department of Neurology, SUNY, Buffalo School of Medicine.

出版信息

Neurotoxicology. 1988 Fall;9(3):317-26.

PMID:3200501
Abstract

It has been reported that between 1976-1980 the mean blood lead level in American preschool children was 16 micrograms/dl. The Centers for Disease Control (CDC) recently set a blood level of 25 micrograms/dl as the highest acceptable level for children. However, current research findings have provided evidence that detrimental effects on development can occur when lead levels are below this acceptable value. In particular, recent work has shown a relationship between early (prenatal) exposure to lead and delayed cognitive development. Because the developing fetus is particularly vulnerable to insult, it is of critical importance to obtain information about the developmental effects of prenatal exposure to lead and about those factors that may influence this exposure. This report presents initial findings of an ongoing investigation pertaining to issues surrounding early lead exposure. To date umbilical cord blood samples have been measured in 802 infants born at Children's Hospital of Buffalo between November 1987 and April 1988. These infants' residence span approximately 50 townships with most residing in Buffalo proper. Approximately 60 percent of the infants had measurable cord blood lead levels in the range of 4 to 20 micrograms/dl.

摘要

据报道,1976年至1980年间,美国学龄前儿童的平均血铅水平为16微克/分升。疾病控制中心(CDC)最近将血铅水平25微克/分升设定为儿童可接受的最高水平。然而,目前的研究结果表明,当铅水平低于这个可接受值时,仍可能对发育产生有害影响。特别是,最近的研究表明,早期(产前)接触铅与认知发育延迟之间存在关联。由于发育中的胎儿特别容易受到伤害,获取有关产前接触铅的发育影响以及可能影响这种接触的因素的信息至关重要。本报告介绍了一项正在进行的关于早期铅暴露问题调查的初步结果。截至目前,已对1987年11月至1988年4月在布法罗儿童医院出生的802名婴儿的脐带血样本进行了检测。这些婴儿居住在大约50个城镇,大多数居住在布法罗市区。大约60%的婴儿脐带血铅水平可测,范围在4至20微克/分升之间。

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