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[有机氯化合物:母婴血药浓度、母乳及母婴参数之间的相关性。韦尔瓦省的研究]

[Organochlorine compounds: correlation between maternal and infantile blood levels, maternal milk and maternal-infantile parameters. Study in the province of Huelva].

作者信息

Martínez Montero E, Romanos Lezcano A, Praena Crespo M, Repetto Jiménez M, Martínez Ruiz D

机构信息

Servicio de Pediatría, Hospital Infanta Elena, Huelva.

出版信息

An Esp Pediatr. 1993 Jun;38(6):493-8.

PMID:8368676
Abstract

In our study of the levels of organochlorine compounds (OCC), several factors were taken into account. In the mother, age, diet, place of residency, profession, the number of previous breast-fed children and alcohol and tobacco intake. We then studied the effect of the OCC passed through the placenta. Here, we checked the length of gestation, the birth weight, the cephalic perimeter measurement, the possible neurological alterations such as hypotonie and hyporreflexie and the possible clinical repercussions of the OCC. The OCC studied were, DDT, hexachlorobenzene (HCB), hexachlorocyclohexanes (HCH) and isomers alpha, beta and gamma or lindane, dieldrin, heptachloro epoxide (HE) and polychlorobiphenyl compounds (PCB). The samples studies included, blood for the mother and umbilical cord during the delivery, blood from the babies at the ages of one and three months, and the mother's milk (n = 30) and formula milk (n = 20) one and three months after birth. The analytical study was made at the National Institute o Toxicology in Seville with the following methods, gas chromatography, electron capture detector and mass spectrometry. The statistical analysis was based on the Kruskal-Wallis, Shapiro Wilks, Levene, Pooled and Separate tests. We have found that older mothers and those who consumed more fatty meat and blue fish had statistically significant higher levels of OCC. There were also differences depending on the place of residency. The newborn babies with a greater birth-weight and cephalic perimeter measurements also had higher levels of OCC. In these babies, we also found clinical symptoms such as hypotonie and hyporreflexie.

摘要

在我们对有机氯化合物(OCC)水平的研究中,考虑了几个因素。对于母亲,包括年龄、饮食、居住地点、职业、之前母乳喂养孩子的数量以及酒精和烟草摄入量。然后我们研究了通过胎盘传递的OCC的影响。在此,我们检查了妊娠期长度、出生体重、头围测量值、可能的神经学改变,如肌张力减退和反射减弱,以及OCC可能产生的临床影响。所研究的OCC包括滴滴涕(DDT)、六氯苯(HCB)、六氯环己烷(HCH)及其α、β和γ异构体或林丹、狄氏剂、七氯环氧化物(HE)和多氯联苯化合物(PCB)。所研究的样本包括:母亲分娩时的血液和脐带血、婴儿1个月和3个月大时的血液,以及出生后1个月和3个月时的母乳(n = 30)和配方奶(n = 20)。分析研究在塞维利亚的国家毒理学研究所采用以下方法进行:气相色谱法、电子捕获检测器和质谱分析法。统计分析基于克鲁斯卡尔 - 沃利斯检验、夏皮罗 - 威尔克检验、莱文检验、合并检验和单独检验。我们发现,年龄较大的母亲以及食用较多肥肉和青鱼的母亲,其OCC水平在统计学上显著较高。根据居住地点也存在差异。出生体重和头围测量值较大的新生儿OCC水平也较高。在这些婴儿中,我们还发现了诸如肌张力减退和反射减弱等临床症状。

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