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[儿童白血病的病例对照研究]

[A case-control study of childhood leukemia].

作者信息

Lu J C, Shi L Y

机构信息

Guangzhou Medical College.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 1996 Aug;17(4):229-32.

PMID:9387589
Abstract

A 1:1 matched case-control study was conducted to investigate the etiological factors of childhood leukemia. It was found that there were five risk factors: (1) children living in the environmental pollution area, OR (95% CI) = 2.84 (1.14-7.10); (2) exposure to extreme low frequency electronmagnetic field (ELF), OR (95% CI) = 2.01 (1.18-3.42); (3) history of postnatal X-ray exposure, OR (95% CI) = 4.53 (1.68-12.21); (4) history of taking chloramphenicol, OR (95% CI) = 3.60 (1.62-8.01); (5) history of taking, antipyretic or analgesic drugs, OR (95% CI) = 1.93 (1.09-3.42). A protective factor was also discovered. Mothers often eating fish, pork and other meat foods, OR (95% CI) = 0.33 (0.18-0.59). The analysis of the population attributable risk showed that 91% of the childhood leukemia cases might attribute to these five risk factors. The interaction among these etiological factors was estimated. Results showed that there was a positive interaction between the X-ray exposure and chloramphenicol on additive model, the relative excess risk due to interaction (RERI) of childhood leukemia was 3.04.

摘要

开展了一项1:1配对病例对照研究以调查儿童白血病的病因。发现有五个危险因素:(1)生活在环境污染区的儿童,比值比(95%置信区间)=2.84(1.14 - 7.10);(2)暴露于极低频电磁场(ELF),比值比(95%置信区间)=2.01(1.18 - 3.42);(3)出生后有X射线暴露史,比值比(95%置信区间)=4.53(1.68 - 12.21);(4)有服用氯霉素史,比值比(95%置信区间)=3.60(1.62 - 8.01);(5)有服用退烧药或镇痛药史,比值比(95%置信区间)=1.93(1.09 - 3.42)。还发现了一个保护因素。母亲经常食用鱼、猪肉和其他肉类食物,比值比(95%置信区间)=0.33(0.18 - 0.59)。人群归因风险分析表明,91%的儿童白血病病例可能归因于这五个危险因素。对这些病因之间的相互作用进行了评估。结果表明,在相加模型下,X射线暴露和氯霉素之间存在正相互作用,儿童白血病的相互作用所致相对超额危险度(RERI)为3.04。

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