Schachter E N, Witek T J, Brody D J, Tosun T, Beck G J, Leaderer B P
Mount Sinai Medical Center, New York, New York 10029.
Environ Res. 1987 Dec;44(2):188-205. doi: 10.1016/s0013-9351(87)80227-x.
It has been suggested that exposure to formaldehyde (FA) induces asthmatic symptomatology. We have previously studied healthy and asthmatic individuals and found that lung function was unaltered by controlled exposures to 2.0 ppm FA with and without mild exercise. Our present study extends these observations to a group of hospital laboratory workers routinely exposed to FA. Fifteen laboratory workers were exposed in double-blind, random sequence to 0 and 2 ppm FA for 40 min in an environmental chamber with temperature and relative humidity held constant at 23 degrees C and 50%, respectively. These exposures were repeated on two more occasions with a 10-min exercise regimen (450 kpm/min) after being in the chamber 5 min. In addition, a symptom diary and measurements of peak expiratory flow rate (PEFR) were recorded for 24 hr after exposure. Lung function remained unaltered for all 4 exposure days; e.g., mean FEV1.0 for the group did not change by more than 3% at any testing time on any exposure day. Also, there were no delayed obstructive changes as measured by PEFR recordings. Symptoms were mild and transient with unusual odor and eye irritation the most frequent complaint. No lower airway symptoms were reported. We conclude that this group of healthy laboratory workers did not experience any acute or delayed lung function changes from exposure to 2.0 ppm FA at rest and with exercise and that irritative symptoms were few.
有人提出,接触甲醛(FA)会引发哮喘症状。我们之前研究了健康人和哮喘患者,发现无论有无轻度运动,在受控条件下接触2.0 ppm的FA时,肺功能并未改变。我们目前的研究将这些观察结果扩展到了一组经常接触FA的医院实验室工作人员。15名实验室工作人员在环境舱中以双盲、随机顺序分别接触0和2 ppm的FA,持续40分钟,环境舱中的温度和相对湿度分别保持在23摄氏度和50%不变。在进入舱内5分钟后,进行10分钟的运动方案(450千帕米/分钟),并重复上述接触过程两次。此外,在接触后24小时记录症状日记和测量呼气峰值流速(PEFR)。在所有4个接触日,肺功能均未改变;例如,在任何接触日的任何测试时间,该组的平均第一秒用力呼气容积(FEV1.0)变化不超过3%。此外,根据PEFR记录,也没有出现延迟性阻塞性变化。症状轻微且短暂,最常见的主诉是异常气味和眼睛刺激。未报告下呼吸道症状。我们得出结论,这组健康的实验室工作人员在休息和运动时接触2.0 ppm的FA后,未出现任何急性或延迟性肺功能变化,刺激性症状也很少。