Röllin H B, Theodorou P, Cantrell A C
National Centre for Occupational Health, Johannesburg, South Africa.
Occup Environ Med. 1996 Jun;53(6):417-21. doi: 10.1136/oem.53.6.417.
The study attempts to define biological indicators of aluminium uptake and excretion in workers exposed to airborne aluminium compounds in a primary aluminium smelter. Also, this study defines the total and respirable aluminium dust fractions in two different potrooms, and correlates their concentrations with biological indicators in this group of workers.
Air was sampled at defined work sites. Non-destructive and conventional techniques were used to find total and respirable aluminium content of the dust. Blood and urine was collected from 84 volunteers employed at various work stations throughout the smelter and from two different cohorts of controls matched for sex, age, and socioeconomic status. Aluminium in serum samples and urine specimens was measured by flameless atomic absorption with a PE 4100 ZL spectrometer.
The correlation of aluminium concentrations in serum and urine samples with the degree of exposure was assessed for three arbitrary exposure categories; low (0.036 mg Al/m3), medium (0.35 mg Al/m3) and high (1.47 mg Al/m3) as found in different areas of the smelter. At medium and high exposure, the ratio of respirable to total aluminium in the dust samples varied significantly. At high exposure, serum aluminium, although significantly raised, was still within the normal range of an unexposed population. The workers with low exposure excreted aluminium in urine at levels significantly higher than the controls, but still within the normal range of the population. However, potroom workers with medium and high exposure had significantly higher urinary aluminium than the normal range.
It is concluded that only urinary aluminium constitutes a practical index of occupational exposure at or above 0.35 mg Al/m3, and that the respirable fraction of the dust may play a major role in the biological response to exposure to aluminium in a smelter environment.
本研究试图确定在原铝冶炼厂中接触空气中铝化合物的工人铝摄取和排泄的生物学指标。此外,本研究还确定了两个不同电解车间中铝尘的总量和可吸入部分,并将它们的浓度与该组工人的生物学指标相关联。
在规定的工作地点采集空气样本。使用无损和传统技术测定粉尘中铝的总量和可吸入量。从冶炼厂各个工作站的84名志愿者以及两组性别、年龄和社会经济地位相匹配的对照人群中采集血液和尿液。血清样本和尿液标本中的铝通过配备PE 4100 ZL光谱仪的无火焰原子吸收法进行测量。
针对冶炼厂不同区域发现的三种任意暴露类别(低暴露:0.036 mg Al/m³;中暴露:0.35 mg Al/m³;高暴露:1.47 mg Al/m³),评估了血清和尿液样本中铝浓度与暴露程度的相关性。在中暴露和高暴露时,粉尘样本中可吸入铝与总铝的比例有显著差异。在高暴露时,血清铝虽显著升高,但仍在未暴露人群的正常范围内。低暴露工人尿液中铝的排泄量显著高于对照组,但仍在人群正常范围内。然而,中暴露和高暴露的电解车间工人尿液中的铝含量显著高于正常范围。
得出的结论是,只有尿铝构成了职业暴露水平在0.35 mg Al/m³及以上的实用指标,并且粉尘的可吸入部分可能在冶炼厂环境中对铝暴露的生物学反应中起主要作用。