Sińczuk-Walczak H, Szymczak M
Outpatient Clinic of Occupational Diseases, Nofer Institute of Occupational Medicine, Lódź, Poland.
Int J Occup Med Environ Health. 1997;10(4):429-40.
The work aimed at defining the pattern and frequency of rhythm disturbances in basic brain bioelectric activity in EEG recordings, routinely regarded as normal, in workers exposed to chronic carbon disulfide (CS2) poisoning, without detected symptoms of organic lesions in the nervous system. The study covered 188 viscose spinners occupationally exposed to changing concentrations of CS2 vapours whose mean annual results of measurements ranged between 10 and 35 mg/m3, and the mean individual exposure fell within the range of 9.9-41.6 mg/m3 (mean--25.8 mg/m3). The frequency of alpha rhythm was analysed in EEG recordings with exclusive or nearly exclusive alpha rhythm in two groups studied. The presence or absence of subjective symptoms was taken as a criterion for the selection of subjects. Group I was composed of 116 subjects with subjective symptoms. Group II consisted of 72 workers with neither subjective nor objective symptoms. The age in group I ranged from 26 to 65 years (mean, 48.7 years), and the duration of employed from 5 to 39 years (mean, 23.3 years). The complaints reported were of neurasthenic and polyneuropathic type. The age in group II ranged from 28 to 63 years (mean, 49.4 years), the duration of occupational exposure accounted for 8-43 years (mean, 25.6 years). The control group included 194 persons with EEG routinely regarded as normal, matched by gender, age and work shift distribution. The subjects in Group I reported most frequently the following complaints: headache (72.4%), vertigo (48.3%), increased emotional irritability (42.2%), dysmnesia (36.2%), sleep disorders (27.6%), concentration difficulties (25.9%), limb pains (36.2%) and paraesthesia (27.6%). In the groups of subjects chronically exposed to CS2, both with subjective neurological symptoms, and without subjective or objective neurological symptoms, EEG recordings, routinely regarded as normal, did not reveal constant and symmetrical frequency of alpha rhythm waves. EEC recordings in the CS2 exposed workers with subjective neurological symptoms revealed almost constant frequency (12.9%) or slightly fluctuating frequency (41.4%) in 54.3% of subjects. In 45.7% of subjects considerable fluctuation of alpha rhythm frequency at the range of 3-4 Hz was found. Frequency disturbances applied to both sides, however, they were more pronounced in the leftside leads. Statistical analysis showed, neither in Group I nor in Group II, significant relationship between the pattern of alpha rhythm frequency fluctuations, the duration of CS2 exposure and the cumulative exposure index. Substantial and asymmetric fluctuations of alpha rhythm frequency found in the exposed group of subjects with subjective symptoms were considered as subclinical disturbances in the function of the central nervous system.
这项研究旨在确定在脑电图记录中,日常被视为正常的基础脑生物电活动中节律紊乱的模式和频率。研究对象为接触慢性二硫化碳(CS2)中毒但未检测到神经系统器质性病变症状的工人。该研究涵盖了188名职业性接触浓度不断变化的CS2蒸气的粘胶纺纱工,其年平均测量结果在10至35毫克/立方米之间,个体平均接触量在9.9 - 41.6毫克/立方米范围内(平均为25.8毫克/立方米)。在研究的两组脑电图记录中,分析了以α节律为主或几乎完全为α节律时α节律的频率。选取是否存在主观症状作为受试者选择标准。第一组由116名有主观症状的受试者组成。第二组由72名既无主观症状也无客观症状的工人组成。第一组年龄在26至65岁之间(平均48.7岁),工作年限为5至39年(平均23.3年)。报告的症状为神经衰弱和多发性神经病类型。第二组年龄在28至63岁之间(平均49.4岁),职业接触年限为8至43年(平均25.6年)。对照组包括194名脑电图日常被视为正常的人员,根据性别、年龄和工作班次分布进行匹配。第一组受试者最常报告的症状如下:头痛(72.4%)、眩晕(48.3%)、情绪易激惹增加(42.2%)、记忆障碍(36.2%)、睡眠障碍(27.6%)、注意力不集中(25.9%)、肢体疼痛(36.2%)和感觉异常(27.6%)。在长期接触CS2的受试者组中,无论是有主观神经症状的,还是既无主观也无客观神经症状的,日常被视为正常的脑电图记录均未显示α节律波频率恒定且对称。有主观神经症状的CS2接触工人的脑电图记录显示,54.3%的受试者α节律频率几乎恒定(12.9%)或略有波动(41.4%)。在45.7%的受试者中发现α节律频率在3 - 4赫兹范围内有明显波动。频率紊乱双侧均有,但在左侧导联更明显。统计分析表明,无论是第一组还是第二组,α节律频率波动模式、CS2接触持续时间和累积接触指数之间均无显著关系。在有主观症状的暴露受试者组中发现的α节律频率显著且不对称波动被视为中枢神经系统功能的亚临床紊乱。