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空气污染物暴露的对照临床研究:评估与空气质量标准相关的科学信息。

Controlled clinical studies of air pollutant exposure: evaluating scientific information in relation to air quality standards.

作者信息

Hackney J D, Linn W S

出版信息

Environ Health Perspect. 1983 Oct;52:187-91. doi: 10.1289/ehp.8352187.

DOI:10.1289/ehp.8352187
PMID:6653522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1569319/
Abstract

In controlled clinical studies, volunteers are deliberately exposed to specific air pollutants under conditions simulating ambient exposures, and health-related responses are documented. Studies of the health risks of air pollution need to be scientifically rigorous and clearly relevant to "real-world" pollution exposures. Their results should be confirmed by independent replication if they are to be used as a basis for air quality regulations. Well-designed controlled clinical studies readily meet these criteria, and complement the other methods of scientific risk assessment--animal toxicology and epidemiology. Clinical studies, toxicology, and epidemiology all have provided important information about air pollution health effects. A better understanding of the interrelationships of findings from these different fields is needed.

摘要

在对照临床研究中,志愿者在模拟环境暴露的条件下被有意暴露于特定空气污染物中,并记录与健康相关的反应。空气污染健康风险研究需要科学严谨,且与“现实世界”的污染暴露明显相关。如果要将其结果用作空气质量法规的依据,就应该通过独立重复研究加以证实。精心设计的对照临床研究很容易满足这些标准,并补充科学风险评估的其他方法——动物毒理学和流行病学。临床研究、毒理学和流行病学都提供了有关空气污染对健康影响的重要信息。需要更好地理解这些不同领域研究结果之间的相互关系。

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本文引用的文献

1
Exercise increases sulfur dioxide-induced bronchoconstriction in asthmatic subjects.运动可加剧哮喘患者二氧化硫诱发的支气管收缩。
Am Rev Respir Dis. 1981 May;123(5):486-91. doi: 10.1164/arrd.1981.123.5.486.
2
Oronasal breathing and studies of effects of air pollutants on the lungs.口鼻呼吸与空气污染物对肺部影响的研究
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An analysis of exercise as a stimulus for the production of airway obstruction.运动作为气道阻塞产生刺激因素的分析。
Lung. 1981;159(1):3-11. doi: 10.1007/BF02713890.
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Koch's postulates updated: a potentially useful application to laboratory research and policy analysis in environmental toxicology.科赫法则的更新:在环境毒理学的实验室研究与政策分析中的潜在有用应用
Am Rev Respir Dis. 1979 Jun;119(6):849-52. doi: 10.1164/arrd.1979.119.6.849.