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工作场所化学物质神经毒性的调查。VII. 对职业接触苯乙烯人员进行神经传导速度测定的纵向研究。

Investigations on neurotoxicity of chemical substances at the workplace. VII. Longitudinal study with determination of nerve conduction velocities in persons occupationally exposed to styrene.

作者信息

Triebig G, Schaller K H, Valentin H

出版信息

Int Arch Occup Environ Health. 1985;56(3):239-47. doi: 10.1007/BF00396601.

Abstract

The aim of this longitudinal study was to investigate whether long-term exposure to styrene is associated with functional disorders of the peripheral nervous system. Eleven workers (age: 24 to 54 years) of a polyester resin boat industry were studied neurophysiologically and biochemically in 1980 and 1983. The duration of styrene-exposure varied from 3 to 7 years, with a median of 4 years. The control group was comprised of 11 non-styrene-exposed workers of similar age. Air Monitoring with passive samplers was performed on different days for each person. The mean styrene concentrations were 114, 97 and 92 ppm respectively and therefore in the magnitude of the current MAK-value of 100 ppm in the Federal Republic of Germany (FRG). For Biological Monitoring styrene in blood (S-B) and mandelic acid (MA) as well as phenylglyoxylic-acid (PGA) in urine were determined in post-shift samples. The median values for MA at four different sampling times were 816, 1660, 1101 and 1224 mg/g creatinine and for PGA 200, 273, 342 and 336 mg/g creatinine respectively. These levels were below the current "Biologischer Arbeitsstoff Toleranzwert (BAT-Wert)" for MA (2000 mg/l) and MA + PGA (2500 mg/l). The S-B concentrations ranged from 0.05 mg/l to 3.26 mg/l, with mean values of 0.92 and 0.70 mg/l. The nerve conduction velocities (NCV) of motor and sensory nerve fibers (N. ulnaris and/or N. medianus) showed no significant differences between styrene-exposed workers and age-matched control persons. There were no hints of "dose-effect-relationships" by correlation analyses. Furthermore the follow-up determination revealed no significant changes regarding NCV.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

这项纵向研究的目的是调查长期接触苯乙烯是否与外周神经系统功能障碍有关。1980年和1983年对一家聚酯树脂船业的11名工人(年龄24至54岁)进行了神经生理学和生物化学研究。苯乙烯接触时长从3年至7年不等,中位数为4年。对照组由11名年龄相仿、未接触苯乙烯的工人组成。对每个人在不同日期用被动采样器进行空气监测。苯乙烯平均浓度分别为114、97和92 ppm,因此处于德意志联邦共和国(FRG)当前100 ppm的职业接触限值范围内。对于生物监测,在轮班后样本中测定血液中的苯乙烯(S-B)、尿中的扁桃酸(MA)以及苯乙醛酸(PGA)。四个不同采样时间点MA的中位数分别为816、1660、1101和1224 mg/g肌酐,PGA的中位数分别为200、273、342和336 mg/g肌酐。这些水平低于当前MA(2000 mg/l)和MA + PGA(2500 mg/l)的“生物耐受值(BAT值)”。S-B浓度范围为0.05 mg/l至3.26 mg/l,平均值为0.92和0.70 mg/l。运动和感觉神经纤维(尺神经和/或正中神经)的神经传导速度(NCV)在接触苯乙烯的工人和年龄匹配的对照人员之间没有显著差异。相关性分析没有显示出“剂量-效应关系”的迹象。此外,随访测定显示NCV没有显著变化。(摘要截断于250字)

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