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职业性铅接触工人的外周神经传导速度

Peripheral nerve conduction velocity in workers occupational exposed to lead.

作者信息

Chen Z Q, Chan Q I, Par C C, Qu J Y

出版信息

Scand J Work Environ Health. 1985;11 Suppl 4:26-8.

PMID:3832432
Abstract

The peripheral nerve conduction velocity between the wrist and elbow of the right upper limb and the relationship between this parameter and biochemical parameters for workers occupationally exposed to lead were studied. The results showed that nerve conduction velocity could be altered by lead exposure. The nerve conduction velocity was decreased when the exposure level was 0.0652 mg/m3 (time-weighed average), and it slowed further in proportion to increasing exposure levels. There was a negative correlation between the nerve conduction velocity and the length of exposure. A decrease in the nerve conduction velocity was noted after less than three years of exposure to lead. There was a close relationship between the nerve conduction velocity and the level of lead in the blood; the nerve conduction velocity decreased proportionally with increasing blood lead levels. The blood lead level associated with a change in the nerve conduction velocity was less than 40 micrograms/100 ml (less than 1.9 mumol/l). No correlation between the nerve conduction velocity and the amount of metabolites of porphyrin was found. The measurement of nerve conduction velocity can be used as one of the sensitive criteria for the early detection of the toxic effects of lead.

摘要

对职业性接触铅的工人右上肢手腕与肘部之间的周围神经传导速度及其与生化参数的关系进行了研究。结果表明,铅暴露可改变神经传导速度。当暴露水平为0.0652毫克/立方米(时间加权平均值)时,神经传导速度降低,且随着暴露水平的增加而进一步减慢。神经传导速度与暴露时长呈负相关。接触铅不到三年后即观察到神经传导速度下降。神经传导速度与血铅水平密切相关;神经传导速度随血铅水平升高而成比例下降。与神经传导速度变化相关的血铅水平低于40微克/100毫升(低于1.9微摩尔/升)。未发现神经传导速度与卟啉代谢产物量之间存在相关性。神经传导速度的测量可作为早期检测铅中毒效应的敏感标准之一。

相似文献

1
Peripheral nerve conduction velocity in workers occupational exposed to lead.职业性铅接触工人的外周神经传导速度
Scand J Work Environ Health. 1985;11 Suppl 4:26-8.
2
Electrophysiological study of subjects occupationally exposed to lead and with low levels of lead poisoning.
Scand J Work Environ Health. 1982;8 Suppl 1:142-7.
3
A meta-analysis of studies investigating the effects of lead exposure on nerve conduction.一项关于研究铅暴露对神经传导影响的研究的荟萃分析。
Arch Toxicol. 2008 Aug;82(8):531-42. doi: 10.1007/s00204-008-0292-z. Epub 2008 Apr 18.
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[Risk assessment of nerve conduction velocity in workers exposed to lead].
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A follow-up study of nerve conduction velocities in lead exposed workers.
Neurobehav Toxicol Teratol. 1982 Nov-Dec;4(6):721-3.
8
[Diagnosis of peripheral neuropathy in lead workers].[铅作业工人周围神经病变的诊断]
Sangyo Igaku. 1984 Jan;26(1):3-8.
9
Early neurotoxic effects of occupational lead exposure: a prospective study.职业性铅暴露的早期神经毒性作用:一项前瞻性研究。
Neurotoxicology. 1983 Summer;4(2):181-92.
10
Cumulative blood lead levels and nerve conduction parameters.
Occup Med (Lond). 1996 Feb;46(1):59-64. doi: 10.1093/occmed/46.1.59.

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2
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Effect of lead exposure and ergonomic stressors on peripheral nerve function.铅暴露和工效学应激源对周围神经功能的影响。
Environ Health Perspect. 2005 Dec;113(12):1730-4. doi: 10.1289/ehp.8106.
4
Effects of lead, zinc and copper absorption on peripheral nerve conduction in metal workers.铅、锌和铜吸收对金属工人周围神经传导的影响。
Int Arch Occup Environ Health. 1987;59(1):11-20. doi: 10.1007/BF00377674.
5
An electroneurographic assessment of subclinical lead neurotoxicity.亚临床铅神经毒性的神经电图评估。
Int Arch Occup Environ Health. 1988;61(1-2):141-6. doi: 10.1007/BF00381618.