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麻醉师和儿科医生面临的生殖与健康职业危害。

Occupational hazards to reproduction and health in anaesthetists and paediatricians.

作者信息

Rosenberg P H, Vänttinen H

出版信息

Acta Anaesthesiol Scand. 1978;22(3):202-7. doi: 10.1111/aas.1978.22.3.202.

Abstract

A mail questionnaire was sent to Finnish anaesthetists and paediatricians to evaluate the risks of reproductive, teratogenic and health complications related to the professions. The incidence of diagnosed spontaneous miscarriages in anaesthetists' families was 10.2% of all pregnancies and it was 13.2% in paediatricians' families. Smoking seemed to increase markedly the incidence of spontaneous miscarriages, which was 22.9% in smoking female anaesthetists and 17.2% in smoking female paediatricians. The gestation times in cases of both full-term pregnancies and miscarriages were shorter in the anaesthetist group than those in the paediatrician group. Congenital abnormalities appeared at an equal rate in both anaesthetist and paediatrician groups, but strikingly, there were nine musculoskeletal abnormalities in the anaesthetists' children compared to no such defects in paediatricians' children. Serious diseases occurred at low frequencies, but three cases of hepatic jaundice and three cases of viral myocarditis in anaesthetists indicate possible infectious hazards to health in anaesthetic work. Different infectious diseases to the respiratory and urinary tracts were commonest among paediatricians. Cancer was not reported in the anaesthetist group. The study does not indicate that gas pollution in operating rooms is harmful to the personnel.

摘要

向芬兰麻醉师和儿科医生发送了一份邮件调查问卷,以评估与职业相关的生殖、致畸和健康并发症风险。麻醉师家庭中诊断出的自然流产发生率占所有妊娠的10.2%,儿科医生家庭中为13.2%。吸烟似乎显著增加了自然流产的发生率,吸烟的女性麻醉师中自然流产发生率为22.9%,吸烟的女性儿科医生中为17.2%。麻醉师组足月妊娠和流产病例的妊娠期均短于儿科医生组。麻醉师组和儿科医生组先天性异常的发生率相同,但引人注目的是,麻醉师的孩子中有9例肌肉骨骼异常,而儿科医生的孩子中没有此类缺陷。严重疾病的发生率较低,但麻醉师中有3例肝黄疸和3例病毒性心肌炎,表明麻醉工作可能对健康存在感染风险。呼吸道和泌尿道的不同传染病在儿科医生中最为常见。麻醉师组未报告癌症病例。该研究未表明手术室中的气体污染对工作人员有害。

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