Buchancová J, Vrlík M, Knizková M, Mesko D, Holko L
Klinika pracovného lekárstva Martinskej fakultnej nemocnice a Jeseniovej Lekárskej fakulty Univerzity Komenského v Martine, Slovakia.
Bratisl Lek Listy. 1993 Jul;94(7):373-85.
A long-term exposure to metals poses the question of whether the impaired health condition is caused exclusively by the quantitatively dominant exposure metal. In 67 workers exposed to ferrochromium alloys on average 12.5 +/- 1.09 years (mean +/- SE), the subgroups of ferrochromium workers and operators of dust removing equipment, average Cr values in urine were 0.233 +/- 0.032 mumol.l-1 (mean +/- SE). In the control group (K) the average Cr values were 0.034 +/- 0.004 mumol.l-1 of urine (mean +/- SE). The levels of plasmatic Fe were assessed photometrically; the levels of Fe, As, Cd, Pb, Mn and Zn in hair, urine and blood were assessed by atom-absorption spectrophotometry (Varian). The results were compared with the control group not significantly different in age (t-test). All the values were correlated with age, years of exposure and the number of cigarettes smoked during life. The values of the single selected metals in furnace workers and operators of dust removing devices were not higher than the limits set for the groups of workers exposed to metals. But compared to the original biological background, there was observed a significant Cd increase (hair, blood, urine) year by year. Average values of As, Pb, Fe, and Mn in hair of the exposed workers were also higher compared to the group K. As and Mn values in hair were increasing up with the years of exposure (r = 0.465, p < 0.05; r = 0.580, p < 0.001). No expected higher values of plasmatic Fe were found. Zn values in hair were falling down with the years of exposure as well as with age, in all groups including the group K. The authors discuss the possible causes of the quantitative changes in the selected metals in connection with professional exposure and non-professional effects (especially smoking). Higher cancer incidence of the organs affected has not been observed so far in the study plant. (Tab. 2, Fig. 8, Ref. 41.)
长期接触金属引发了一个问题,即健康状况受损是否完全由数量上占主导的接触金属所致。在67名平均接触铬铁合金12.5±1.09年(均值±标准误)的工人中,铬铁工人亚组和除尘设备操作人员的尿中铬平均含量为0.233±0.032μmol·L⁻¹(均值±标准误)。对照组(K)尿中铬平均含量为0.034±0.004μmol·L⁻¹(均值±标准误)。采用光度法评估血浆铁水平;采用原子吸收分光光度法(瓦里安公司)评估头发、尿液和血液中的铁、砷、镉、铅、锰和锌水平。将结果与年龄无显著差异的对照组进行比较(t检验)。所有数值均与年龄、接触年限和一生中吸烟数量相关。炉前工人和除尘设备操作人员中单一选定金属的数值不高于为接触金属的工人群体设定的限值。但与原始生物背景相比,观察到镉含量逐年显著增加(头发、血液、尿液)。与K组相比,接触工人头发中的砷、铅、铁和锰的平均值也更高。头发中的砷和锰含量随接触年限增加(r = 0.465,p < 0.05;r = 0.580,p < 0.001)。未发现预期的较高血浆铁值。在包括K组在内的所有组中,头发中的锌含量随接触年限和年龄下降。作者讨论了与职业接触和非职业影响(尤其是吸烟)相关的选定金属定量变化的可能原因。在研究工厂中,目前尚未观察到受影响器官的癌症发病率升高。(表2,图8,参考文献41)