Chia S E, Ong C N, Tsakok M F, Ho A
Department of Community, Occupational & Family Medicine, National University of Singapore, Republic of Singapore.
Reprod Toxicol. 1996 Jul-Aug;10(4):295-9. doi: 10.1016/0890-6238(96)00058-5.
The objective of this study was to examine the effects of TCE on spermatogenesis among a group of workers with varying degrees of exposure to TCE in an electronics factory. A total of 124 workers participated in the study for which 85 were included in the study based on the selection criteria. Semen analysis included volume, sperm density, sperm viability, motility, and morphology. Each worker also had urine collected and analyzed for trichloroacetic acid (TCA) on the day (end of work week) the semen was given. Personal monitoring for environmental TCE exposure was conducted for 12 workers. The mean environmental TCE level was 29.6 ppm (range 9 to 131) and the mean urine TCA was 22.4 mg/g creatinine (range 0.8 to 136.4). The majority of the workers had normal sperm volume (71.8%), density (88.2%), and motility (64.7%). However, the subjects had a low percentage of normal sperm morphology. There were no significant differences in the mean sperm parameters among the "high exposure" (urine TCA > or = 25 mg/g creatinine) and "low exposure" (urine TCA < 25 mg/g creatinine) groups except for sperm density. Prevalence rate ratios of hyperzoospermia were higher with increasing urine TCA levels compared to the "low exposure" group (even after adjusting for marital status of the subjects), suggesting a dose-response relationship.
本研究的目的是在一家电子厂中,调查不同程度接触三氯乙烯(TCE)的一组工人中,TCE对精子发生的影响。共有124名工人参与了本研究,根据选择标准,其中85名被纳入研究。精液分析包括精液量、精子密度、精子活力、精子运动能力和精子形态。每位工人在提供精液当天(工作周结束时)还需收集尿液,并分析其中的三氯乙酸(TCA)含量。对12名工人进行了环境TCE暴露的个人监测。环境TCE的平均水平为29.6 ppm(范围为9至131),尿液TCA的平均含量为22.4 mg/g肌酐(范围为0.8至136.4)。大多数工人的精液量(71.8%)、密度(88.2%)和运动能力(64.7%)正常。然而,受试者的正常精子形态比例较低。除精子密度外,“高暴露”组(尿液TCA≥25 mg/g肌酐)和“低暴露”组(尿液TCA<25 mg/g肌酐)的平均精子参数无显著差异。与“低暴露”组相比,随着尿液TCA水平升高,精子过多症的患病率比值更高(即使在对受试者的婚姻状况进行调整之后),表明存在剂量反应关系。