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A Systematic Assessment of Blood Lead Level in Children and Associated Risk Factors in China 被引量:7
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作者 WANG Lu LI Zhen +6 位作者 HUANG Shao Xin DU Chuang WANG Hong HE Li Ping BI Yong Yi SHI Yong WANG Chun Hong 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2015年第8期616-619,共4页
In this study, we searched multiple databases for all relevant original articles (1996-2013). To investigate blood lead levels (BLL) and possible risk factors for lead exposure among children in China A total of 388 a... In this study, we searched multiple databases for all relevant original articles (1996-2013). To investigate blood lead levels (BLL) and possible risk factors for lead exposure among children in China A total of 388 articles met our inclusion criteria. The overall geometric mean (GM) BLL was 71 μg/L, and the prevalence of elevated BLL (EBLL, defined as BLL &ge;100 μg/L) was 18.48% among children. The prevalence of EBLL remained significantly higher among boys. In children less than 6 years of age, there were significantly increasing trends in both BLL and prevalence of EBLL in an age-dependent manner. The ban on leaded gasoline significantly reduced the BLL as well as EBLL prevalence; however, children whose parents had lower educational levels or were exposed to lead in the workplace had a higher EBLL prevalence. Despite its decline over time, the average BLL among children in China remains higher than the average level most recently reported in the United States. Childhood lead poisoning remains a public health problem in China. 展开更多
关键词 BLL A Systematic Assessment of blood lead level in Children and Associated Risk Factors in China
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Umbilical Cord Blood Lead Levels in Shanghai, China 被引量:4
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作者 SHEN XIAO-MING YAN CHONG-HUAI +9 位作者 GUO DI WU SHENG-MEI LI REN-QIU HUANG HONG AO LI-MING ZHOU JIAN-DE HONG ZHAO-YI XU JI-DE JIN XING-MING AND TANG JUN-MING (Division of Childhood Lead Poisoning Prevention, Shanghai Institute for Pediatric Rese 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 1997年第1期38-46,共9页
This study was designed to determine the cord blood lead (BPb) levels of babies born in one urban area of Shanghai, and to preliminarily identify the demographic, social environment and prenatal factors which have an ... This study was designed to determine the cord blood lead (BPb) levels of babies born in one urban area of Shanghai, and to preliminarily identify the demographic, social environment and prenatal factors which have an effect on the cord BPb concentrations. From August to November 1993, umbilical cord blood samples were obtained from 605 live newborns in the Yangpu Maternal and Child Hospital. 257 samples were excluded from measurement because of clotting. In 348 cord samples, the geometric mean of cord BPb levels was 9. 2μg/dl, with a 95 % confidence interval of the mean 8. 86-9. 54 (μg/dl). 142 babies (40. 8 % ) had cord BPb levels of 10μg/dl or greater. As a result of this high percentage of newborns with BPb levels equal to or greater than 10 μg/dl, we estimate that each year in the Shanghal City about 60,000 newborns are at risk for developing neuropsychological deficiencies caused by maternal lead exposure during pregnancy. To investigate the factors affecting cord blood levels, the subjects with levels greater than the 70th percentile (10. 7μg/dl) (n = 104) and less than the 3oth percentile (7. 4μg/dl) (n = 104) were selected to compare the demographic, environ ment and prenatal medical history. Increased BPb levels at birth were associated with maternal passive smoking, a family member being occupationally exposed to lead, proximity to major traffic way, household coal combustion, neighborhood coal combustion, low level of meternal occupations, and the increasing occurrence of having the high lead foodstuff pidan (preserved duck egg) during pregnancy. We conclude that prenatal lead exposure has become an impor tant health issue for young children in Shanghai 展开更多
关键词 In Umbilical Cord blood lead levels in Shanghai China
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Blood Lead Levels During Pregnancy and Its Influencing Factors in Nanjing,China
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作者 Kang-sheng Liu Jia-hu Hao +2 位作者 Juan Shi Chun-fang Dai Xi-rong Guo 《Chinese Medical Sciences Journal》 CAS CSCD 2013年第2期95-101,共7页
Objective To investigate the blood lead levels (BLLs) in the duration of pregnancy and 6-12 weeks after delivery, and analyze the influencing factors of BLLs in healthy pregnant women. Methods Pregnant women were r... Objective To investigate the blood lead levels (BLLs) in the duration of pregnancy and 6-12 weeks after delivery, and analyze the influencing factors of BLLs in healthy pregnant women. Methods Pregnant women were recruited from September 2009 to February 2010 at the prenatal clinic in Nanjing Maternity and Child Health Care Hospital. Altogether 174 healthy pregnant women without pregnant or obstetric complications or abnormal pregnancy outcomes were enrolled as the gravida group, and 120 healthy non-pregnant women as the control group. BLLs during pregnancy were determined by flame atomic absorption spectroscopy. Results BLLs in all the three pregnancy trimesters and postpartum were 59.8±24.3, 55.4±20.1, 55.9±19.7, and 67.6±17.4 μ/L, respectively, and the mean BLL in control group was 67.5±21.3 μg/L. BLLs during all the three trimesters were lower in the gravida group than in the control group (P=0.043, 0.021, and 0.028). Furthermore, occupations, nutrients supplementation, and time of house/apartment painted were associated with BLLs in pregnant women. Lead-related occupations, cosmetics use, and living in a house painted less than 1 year before are risk factors of high BLLs among pregnant women, while calcium, iron, zinc, and milk supplements are protective factors. Conclusion Supplementing calcium, iron, zinc, and milk, or avoiding contact with risk factors may help people, especially pregnant women, to reduce lead exposure. 展开更多
关键词 blood lead levels PREGNANCY lead exposure
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Association between Polymorphisms of MALAT1 and Blood Lead Levels in Lead-exposed Workers 被引量:1
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作者 QIAN Xiu Rong CHEN Lin +6 位作者 LIU Ji Ting ZHU Bao Li ZHAO Qiu Ni DING En Min WANG Bo Shen ZHANG Heng Dong XU Ming 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2018年第7期527-530,共4页
Lead,a heavy metal,which is nonessential but may be harmful to the human body,has been widely used to manufacture many products for use in the modern world.Lead-acid batteries have the advantages of low price,high saf... Lead,a heavy metal,which is nonessential but may be harmful to the human body,has been widely used to manufacture many products for use in the modern world.Lead-acid batteries have the advantages of low price,high safety,and advanced technology. 展开更多
关键词 Association between Polymorphisms of MALAT1 and blood lead levels in lead-exposed Workers BLL
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Lead Pollution Research of Resident Children around Some Industrial Park 被引量:2
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作者 Xiaozhen Liu Yue Liang Nanhong Luo 《Journal of Environmental Science and Engineering(B)》 2012年第2期277-280,共4页
Lead is an important toxic heavy metal among environment pollution. Some industrial parks were founded in 2005 including non-ferrous metal processing and smelting plants. In order to identify the consequence of lead p... Lead is an important toxic heavy metal among environment pollution. Some industrial parks were founded in 2005 including non-ferrous metal processing and smelting plants. In order to identify the consequence of lead pollution on children around the industry park, blood samples of neighboring children were collected and analyzed in laboratory. The results showed that the involved children have suffered serious harms from Pb pollution. Almost 75% of the children's blood lead levels (BLLs) exceeded the limit of normal blood lead. Worse still, 26.17% of them were at the level of Moderate lead poisoning. The group aged 0-7 showed more susceptibility to Pb than that aged 8-14. Only 19.05% of the children aged 0-7 were at the level of normal blood lead, compared with 45.45% in the group aged 8-14. There was no significant difference between the values of blood lead concentration for male and female or among different age groups. Some approaches, which include controlling the Pb pollution from the industry park and safeguarding the residents, esp. the children were suggested. 展开更多
关键词 lead pollution CHILDREN industrial park blood lead levels (BLLs).
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Association of Bone Turnover Levels with MTHFR Gene Polymorphisms among Pregnant Women in Wuhan, China
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作者 Shu-yun LIU Qin HUANG +8 位作者 Xue GU Bin ZHANG Wei SHEN Ping TIAN Yun ZENG Ling-zhi QIN Lin-xiang YE Ze-min NI Qi WANG 《Current Medical Science》 SCIE CAS 2018年第4期602-609,共8页
Pregnancy is a critical stimulator of bone mineral resorption. We used to find the MTHFR gene polymorphisms are related with blood lead levels among pregnant women. Pregnancy-stimulated bone turnover may be associated... Pregnancy is a critical stimulator of bone mineral resorption. We used to find the MTHFR gene polymorphisms are related with blood lead levels among pregnant women. Pregnancy-stimulated bone turnover may be associated with MTHFR gene polymorphisms too. In this article, we aimed to determine the relationship between MTHFR gene polymorphisms and bone turnover rates among the pregnant women. The participants including pregnant and non-pregnant women were selected and recruited during their routine prenatal or physical examination from July to October in 2012. A total of 1000 participants, including 250 pregnant women in the first, second, and third trimesters and 250 non-pregnant women, were enrolled in the study. Finally, after excluding 27 participants unable to provide blood samples, 973 eligible participants (i.e., 234, 249, and 248 pregnant women in the first, second, and third trimesters, respectively, and 242 non-pregnant women) were included in the research. The MTHFR gene 1298CC homozygote carriers were more susceptible to yield higher plasma homocysteine levels than the 1298AA/AC carriers, with standardized coefficients of 0.086 (P〈0.05) and 0.104 (P〈0.01) of all the participants and the pregnant women, respectively. The MTHFR gene 1793AA homozygote carriers more likely showed higher plasma osteocalcin levels (standardized β=0.091, P〈0.01) than the 1793GG/GA carriers among all the subjects. Plasma homocysteine levels were positively correlated with blood lead levels among the participants and the pregnant women with standardized coefficients of 0.320 (P〈0.01) and 0.179 (P〈0.01), respectively. Plasma osteocalcin levels were positively associated with blood lead levels among pregnant and non-pregnant women with standardized coefficients of 0.084 (P〈0.05) and 0.125 (P〈0.01), respectively. In conclusion, homocysteine and osteocalcin contents in plasma are associated with the MTHFR gene A1298C polymorphism and blood lead levels among pregnant women. The MTHFR gene A1298C polymorphism-related homocysteine is a possible risk factor for increased blood lead levels among Chinese women. 展开更多
关键词 pregnant women bone turnover levels blood lead levels MTHFR gene polymorphism
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Evaluation of the Effectiveness of Hygenall<sup>©</sup>Leadoff<sup>TM</sup>Foaming Soap in Reducing Lead on Workers’ Hands and the Uptake of Lead on Bridge Painting Projects
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作者 Kevin Guth Marie Bourgeois +1 位作者 Giffe Johnson Raymond Harbison 《Occupational Diseases and Environmental Medicine》 2020年第4期123-134,共12页
Although considerable research has been conducted regarding airborne lead exposures during lead paint removal, little data has been collected measuring the lead concentration on workers’ hands in the construction ind... Although considerable research has been conducted regarding airborne lead exposures during lead paint removal, little data has been collected measuring the lead concentration on workers’ hands in the construction industry. As a result, there are gaps in our understanding of the effectiveness of a standard work practice control (handwashing) in the prevention and control of elevated blood lead levels (BLLs) in the workplace. The primary objective of this study was to assess if a National Institute for Occupational Safety and Health (NIOSH) formulation intended to remove lead from skin (Hygenall<sup><span style="white-space:nowrap;">&#169; </span></sup>Leadoff<sup>TM</sup> Foaming Soap) is more effective than a commonly used soap in the industrial painting industry (Zep Cherry Bomb Soap) in reducing the concentration of lead on workers’ hands after exposure. A secondary aim was to assess if using Leadoff<sup>TM</sup> Foaming Soap during handwashing reduces worker uptake of lead on bridge painting projects. We evaluated hand wipe, air sample and blood lead level data collected by two industrial bridge painting contractors. Airborne exposures ranged from 350 μg/m<sup>3</sup> to 19,700 μg/m<sup>3</sup>. The geometric mean lead concentration remaining on workers’ hands after using Zep Cherry Bomb Soap was 77 μg per hand wipe compared with 61 μg per hand wipe after use of Leadoff<sup>TM</sup> Foaming Soap for all work classifications. The geometric lead concentration on workers’ hands decreased by 16 μg/hand wipe for all work classifications combined after using Leadoff<sup>TM</sup> Foaming Soap—a decrease of 21%. The use of Hygenall Leadoff<sup>TM</sup> Foaming Soap reduced the maximum lead concentration on workers’ hands by 85%. The geometric mean BLL for all work classifications was 12.1 μg/dl before the use of Leadoff<sup>TM</sup>. After two months of airborne exposure and use of Leadoff<sup>TM</sup> Foaming Soap at breaks and at the end of the workday, the geometric mean BLL for all work classifications increased to 18.1 μg/dl. Worker BLLs increased despite the reduction in the concentration of lead measured on workers’ hands—most likely a result of ineffective inhalation exposure controls. We found that the Leadoff<sup>TM</sup> Foaming Soap was more effective in removing lead from workers’ hands than Zep Cherry Bomb. 展开更多
关键词 Dermal Exposure blood lead level Bridge Painting HANDWASHING
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Lead poisoning due to geophagia: The consumption of miniature pottery 被引量:2
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作者 Ashley Phipps Heather Fels +1 位作者 Mackenzie S. Burns Shawn L. Gerstenberger 《Open Journal of Pediatrics》 2012年第1期60-66,共7页
Geophagia (the pica of pottery, clay, earth, or dirt) is practiced before and during pregnancy in several countries, including Mexico, Turkey, Australia, and some African countries, and has been linked with cultural f... Geophagia (the pica of pottery, clay, earth, or dirt) is practiced before and during pregnancy in several countries, including Mexico, Turkey, Australia, and some African countries, and has been linked with cultural fertility beliefs and the satisfaction of cravings. Unfortunately, consumption of contaminated pottery can represent a source of lead exposure. Concerns regarding ingested pottery are two-fold;first, that people consuming these pots might be exposed to high concentrations of lead, and, second, that ingestion of these pots by pregnant women could result in elevated in utero lead exposure for the fetus. Very few published articles exist on this topic. In an effort to investigate “pot eating”, this study aims to summarize published case studies on lead poisonings resulting from consumption of contaminated pottery. Additionally, several pottery items that are sold for the purpose of consumption were located and analyzed. This paper investigates the risk that “pot eating” poses by reviewing the literature, examining case studies, and analyzing the availability and lead concentration of edible pottery. Preliminary research indicates that although it is not common, “pot eating” can represent a high-risk lead exposure for pregnant women and their fetuses. 展开更多
关键词 PICA Geophagia POTTERY lead In Utero blood lead levels Metals Systematic Review
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Evaluation of Lead Exposure by Hand Wipes: A Review of the Effectiveness of Personal Hygiene on Industrial Sites 被引量:1
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作者 Kevin Guth Marie Bourgeois +1 位作者 Giffe Johnson Raymond Harbison 《Occupational Diseases and Environmental Medicine》 2019年第4期135-143,共9页
To evaluate the effectiveness of personal hygiene (handwashing) amongst workers at industrial sites to remove lead from their hands, a retrospective analysis of hand wipe samples was conducted using data collected by ... To evaluate the effectiveness of personal hygiene (handwashing) amongst workers at industrial sites to remove lead from their hands, a retrospective analysis of hand wipe samples was conducted using data collected by two contractors from two bridge painting projects for total lead using method ASTM E-1979-17/EPA SW846 7000B. Exposures resulted from the removal of lead-based paint from the structure and trace elements of lead found in the abrasive blast media. In total, six work tasks were evaluated and sixty unique hand wipe samples were evaluated. Thirty samples were collected during the worker’s lunch break, after they had reportedly washed their hands with a further 30 collected at the end of the workday following the same protocol. To be included in this evaluation, the contractors were required to follow NIOSH Method 9105 (Lead in Dust Wipes-Dermal Surfaces) with subsequent analysis of samples for total lead by an American Industrial Hygiene Association (AIHA) accredited laboratory. All 60 samples contained detectable lead. The lead exposures ranged from 19.5 μg to 3420 μg. The geometric mean for the samples collected was 337 μg. These results indicate that current personal hygiene practices at the evaluated sites are not effective at removing lead from worker’s hands during and after the workday. They also suggest that the residual lead measured on the workers’ hands, at the end of the shift, is likely contributing to the elevated blood lead levels in this population. 展开更多
关键词 OSHA lead Exposure Assessment PAINTER blood lead level Prevention and Control Industrial CONTRACTOR
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A more scientific blood lead reference value urgently needs to be updated in China:From a national and international insight
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作者 Xiaoli Duan Suzhen Cao +5 位作者 Jiacheng Guan Ligang Hu Chengye Sun Chonghuai Yan Xiaoli Zhao Fengchang Wu 《Eco-Environment & Health》 2025年第1期5-9,共5页
Although blood lead levels(BLLs)in children have significantly decreased compared to two decades ago,incidents of lead poisoning and elevated BLLs among children continue to occur frequently.This trend suggests that C... Although blood lead levels(BLLs)in children have significantly decreased compared to two decades ago,incidents of lead poisoning and elevated BLLs among children continue to occur frequently.This trend suggests that China's current hygienic regulations are not sufficiently effective in managing children's lead exposure.This study analyzed the revision processes of blood lead reference values(BLRVs)in children from various countries,the current BLLs and their changing trends in China,potential sources of lead pollution and exposure,the requirements for managing and protecting children's health,as well as the national measures and strategies for lead emission management and control.The study also explored the necessity and urgency of updating China's BLRVs in children.Based on the specific conditions in China,a proposed BLRV of 50μg/L was deemed more reasonable and was suggested for implementation,with the potential to yield substantial economic benefits through improved IQ outcomes should the updated BLRV be adopted. 展开更多
关键词 blood lead level blood lead reference value UPDATE lead exposure CHILDREN
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急性胸痛患者中代谢综合征与血铅的相关性研究
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作者 李振华 孙张辰南 +4 位作者 冯翠萍 王涛 闫贤良 程宇彤 孙涛 《心肺血管病杂志》 2025年第11期1160-1164,1177,共6页
目的:探讨急性胸痛患者血铅水平与代谢综合征(metabolic syndrome,MS)的关联性。方法:回顾性纳入2021年10月至2022年9月间,首都医科大学附属北京安贞医院心血管内科收治的445例急性胸痛患者,根据是否合并MS分为METS组和NMETS组。采用三... 目的:探讨急性胸痛患者血铅水平与代谢综合征(metabolic syndrome,MS)的关联性。方法:回顾性纳入2021年10月至2022年9月间,首都医科大学附属北京安贞医院心血管内科收治的445例急性胸痛患者,根据是否合并MS分为METS组和NMETS组。采用三分位数法将血铅水平分为T1~T3组,比较三组间MS差异,绘制血铅水平预测MS的受试者工作特征(ROC)曲线。作三分位数分组血铅与MS的二元Logistic回归分析及血铅与MS组分的限制性立方样条(restricted cubic spline,RCS)回归分析。结果:METS组血铅水平显著高于NMETS组[(37.4±17.1)vs.(33.2±16.6)μg/L,P<0.05]。ROC曲线显示血铅与MS的AUC=0.84。二元Logistic回归分析显示T3组MS患病风险较T1组显著升高(OR=1.73,95%CI:1.08~2.77,P<0.05)。RCS回归分析显示血铅与入院收缩压、TG及HbA1c存在非线性正相关。结论:急性胸痛患者血铅水平升高与MS患病风险增加显著相关。 展开更多
关键词 胸痛 代谢综合征 血铅 高血压 冠心病 脑卒中
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铅暴露工人心律失常及其危险因素研究
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作者 龚雅君 胡佩霞 +2 位作者 张王剑 农骐郢 黄永顺 《职业卫生与应急救援》 2025年第3期310-315,394,共7页
目的评估职业铅暴露与其他职业因素的交互作用对工人心律失常的影响,识别潜在的危险因素,保护铅暴露工人的职业健康。方法以广东省2021年重点职业病监测中2943名职业铅暴露工人为研究对象,采集其人口学特征和体检数据,进行横断面研究。... 目的评估职业铅暴露与其他职业因素的交互作用对工人心律失常的影响,识别潜在的危险因素,保护铅暴露工人的职业健康。方法以广东省2021年重点职业病监测中2943名职业铅暴露工人为研究对象,采集其人口学特征和体检数据,进行横断面研究。采用混合效应logistic回归模型评估铅暴露对心律失常的影响,进一步进行交互作用分析和亚组分析,探索潜在的易感人群。结果研究对象血铅水平范围为(14.14~582.23)μg/L,血铅水平异常915人(占30.09%),患有心律失常392人,患病率为13.32%。男性、小型企业、私营经济企业、制造业企业的工人,年龄>37岁、工龄>36个月、接触粉尘、接触噪声以及有心律失常的工人人数在血铅水平异常组的占比更高,差异均有统计学意义(P<0.05)。混合效应logistic回归分析结果显示:控制其他混杂因素后,血铅水平每升高1个四分位数间距(IQR),工人患心律失常的风险增加40.6%(OR=1.406,P<0.001)。亚组分析结果显示:血铅水平每升高1个IQR,无粉尘暴露工人心律失常的风险增加43.9%(OR=1.439,P<0.001);无硫酸及三氧化硫暴露的工人患心律失常的风险增加46.2%(OR=1.462,P<0.001),非噪声暴露的工人患心律失常的风险增加37.5%(OR=1.375,P<0.001)。在私营企业工作的工人中,血铅水平每升高1个IQR,心律失常患病风险增加41.3%(OR=1.413,P<0.001);在外商投资企业工作的工人中,血铅水平每升高1个IQR,心律失常患病风险增加82.8%(OR=1.828,P<0.001)。结论血铅水平与工人心律失常患病风险之间存在正向关联,且这种关联受经济类型及其他职业病危害因素影响。 展开更多
关键词 铅暴露 心律失常 血铅水平 危险因素 交互作用 亚组分析
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职业性铅暴露人群血铅水平与肝肾功能指标的相关研究
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作者 何俊秋 刘晓东 +6 位作者 王会宁 阎腾龙 孔祥钰 白洁 刘敏芳 马超 徐明 《标记免疫分析与临床》 2025年第8期1587-1591,共5页
目的分析职业性铅暴露人群中血铅水平,探讨血铅水平与肝、肾功能指标的联系,为《职业健康监护技术规范》GBZ188-2014铅作业工人在岗和离岗选检项目的纳入提供参考。方法选取来我院参加职业体检的接触铅烟的248名工人为接触组,同时选取... 目的分析职业性铅暴露人群中血铅水平,探讨血铅水平与肝、肾功能指标的联系,为《职业健康监护技术规范》GBZ188-2014铅作业工人在岗和离岗选检项目的纳入提供参考。方法选取来我院参加职业体检的接触铅烟的248名工人为接触组,同时选取性别、年龄、生活方式相匹配的不接触铅的工人134名,采用原子吸收光度计法测定两组人群工作场所空气中铅烟浓度;分别用电感耦合等离子体质谱法和全自动生化分析仪检测两组人群的血铅水平和8项肝肾功能指标;用统计软件进行数据分析并记录结果。结果铅接触组工作场所空气中的铅烟浓度、血铅水平明显高于对照组,两个指标在两组间均有统计学差异(P<0.05);接触组工人血清中的天门冬氨酸氨基转移酶(AST)、尿素(BUN)、肌酐(CR)、尿酸(UA)、白蛋白(ALB)水平分别是30.50±9.28U/L、5.38±1.46mmol/L、77.68±18.01μmol/L、386.76±84.29μmol/L、46.80±2.39g/L,对照组上述5项指标分别为23.80±7.28U/L、4.59±1.07mmol/L、68.60±13.26μmol/L、350.05±79.83μmol/L、55.70±5.88g/L,经独立样本t检验分析,两组间指标差异均有统计学意义(P<0.05);血铅水平与AST、BUN、CR、UA存在正相关关系且具有统计学意义,相关系数r分别为0.214、0.191、0.365、0.404;与ALB相关性不强,相关系数r为0.017;结论职业性铅暴露可引起作业工人AST、BUN、CR、UA指标变化;建议将AST、BUN、CR、UA指标纳入《职业健康监护技术规范》GBZ188-2014铅作业工人在岗和离岗选检项目。 展开更多
关键词 职业性铅暴露 血铅水平 肝功能 肾功能
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基于人体血铅指标的区域土壤环境铅基准值 被引量:40
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作者 张红振 骆永明 +3 位作者 章海波 宋静 夏家淇 赵其国 《环境科学》 CAS CSCD 北大核心 2009年第10期3036-3042,共7页
由于铅对儿童的强烈神经毒性且土壤铅已经成为儿童铅暴露的主要来源,土壤环境铅基准一般基于儿童血铅含量的方法制定.收集国内现有资料,总结并确定出符合我国实际的关键参数取值范围,其中空气、饮水中铅含量分别在0.12~1.0μg.m-3、2... 由于铅对儿童的强烈神经毒性且土壤铅已经成为儿童铅暴露的主要来源,土壤环境铅基准一般基于儿童血铅含量的方法制定.收集国内现有资料,总结并确定出符合我国实际的关键参数取值范围,其中空气、饮水中铅含量分别在0.12~1.0μg.m-3、2~10μg·L^-1之间;0~6岁儿童饮食暴露途径铅摄入量约10~25μg·d^-1;育龄妇女血铅几何均值4.79μg·dL^-1,标准差1.48.采用国际上认可度较高的综合暴露吸收生物动力学模型(IEUBK)和成人血铅模型(ALM),计算我国居住用地和工业/商业用地土壤环境铅基准值分别为282 mg·kg^-1和627 mg·kg^-1,略低于英美等国.参数敏感性分析表明,我国儿童平均铅暴露量明显高于发达国家且暴露场景与欧美发达国家有明显不同.我国亟需开展环境铅暴露与儿童血铅含量相互关系研究,制定基于血铅指标的铅污染土壤风险评估方法导则. 展开更多
关键词 铅污染 土壤环境基准 儿童 血铅 居住用地 工业/商业用地
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中国儿童血铅水平及变化趋势研究 被引量:32
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作者 张金良 何康敏 +1 位作者 王舜钦 伍燕珍 《环境与健康杂志》 CAS CSCD 北大核心 2009年第5期393-398,共6页
目的描述近年我国儿童血铅水平、分布特征及变化情况,为制定环境铅污染控制措施,保护儿童健康提供科学依据。方法通过计算机检索中国生物医学文献数据库和中国全文期刊数据库及相关文献追溯等途径,收集国内2004至2007年8月公开发表的200... 目的描述近年我国儿童血铅水平、分布特征及变化情况,为制定环境铅污染控制措施,保护儿童健康提供科学依据。方法通过计算机检索中国生物医学文献数据库和中国全文期刊数据库及相关文献追溯等途径,收集国内2004至2007年8月公开发表的2001年以后采样调查的关于儿童血铅水平研究的论文,选用原子吸收分光光度法(石墨炉及其它原子吸收分光光度法)或者电感耦合等离子体质谱法,有严格的质量控制且样本量大于100的文献进行综合分析,并与2004年研究结果(1995至2003年文献报道儿童血铅水平)进行比较。结果35篇文献纳入研究,血液样品采集时间为2001至2007年,总样本量为100 922人。分析结果显示,我国儿童血铅平均值为80.7μg/L(范围:45.5~165.3μg/L),23.9%(范围:3.2%~80.7%)的儿童血铅值≥100μg/L,明显低于1995至2003年儿童血铅研究结果。本次入选文献涉及全国24个省、市、自治区,其中4个省(甘肃、贵州、山西、广东)儿童血铅平均值≥100μg/L;与1995至2003年间的研究结果相比,4个省(湖南、广东、甘肃、江西)儿童血铅均值及铅中毒率相比以前均有升高,其他省市自治区则明显降低;居住于工业区的儿童血铅水平高于市区和郊区儿童,郊区儿童高于市区,且差异均具有统计学意义(P<0.001);男女儿童血铅平均值分别为79.3和76.9μg/L,铅中毒率分别为22.5%和19.6%,男女儿童间的差异具有统计学意义(P<0.001),男女儿童血铅值和铅中毒率较1995至2003年的结果均有明显降低;0~6岁儿童血铅均值和铅中毒率随年龄增加而升高。结论自2000年7月1日我国全面禁止使用含铅汽油后,我国儿童血铅水平随时间呈下降趋势,但仍显著高于发达国家水平,提示控制环境铅污染,降低我国儿童血铅水平将是一项长期任务。 展开更多
关键词 金属 儿童 血铅 铅中毒
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4385例儿童血铅水平调查研究与临床分析 被引量:42
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作者 金春华 杨慕兰 +7 位作者 王贺茹 宋文红 常会波 吴建新 李媛媛 樊朝阳 侯冬青 张霆 《北京医学》 CAS 2005年第3期155-158,共4页
目的调查保健门诊儿童血铅水平以及铅中毒状况。方法采用阳极溶出伏安(ASV)法,检测4385例1个月~18岁儿童的血铅水平,并比较不同年龄组男、女童的血铅水平及其季节特点和临床特征。结果本组儿童血铅水平为(55.9±7.5)μg/L,男、女... 目的调查保健门诊儿童血铅水平以及铅中毒状况。方法采用阳极溶出伏安(ASV)法,检测4385例1个月~18岁儿童的血铅水平,并比较不同年龄组男、女童的血铅水平及其季节特点和临床特征。结果本组儿童血铅水平为(55.9±7.5)μg/L,男、女童血铅水平分别为(59.1±7.4)μg/L、(50.5±7.4)μg/L。血铅水平≥100μg/L者695例,占15.8%,其中男童506例,检出率18.0%;女童189例,检出率11.9%,两者比较P<0.001。不同年龄组儿童铅水平升高和铅中毒检出率随着年龄增长而增加,其铅中毒程度有明显差别,轻度铅中毒与年龄呈正相关(线性回归系数B=9.348389E-03),中度和重度铅中毒与年龄呈负相关(线性回归系数B=-9.348432E-03)。1岁以内中和重度铅中毒者占45.5%;儿童血铅水平、铅中毒率有明显的季节特点[CHI(M-EXT)=8.982P总<0.001],夏秋季节铅水平和铅中毒检出率显著增高。结论男童铅中毒检出率高于女童。儿童铅水平和铅中毒检出率随年龄增长而增加,但铅中毒程度与年龄呈负相关。夏秋季血铅水平高于冬春季。 展开更多
关键词 血铅水平 铅中毒 检出率 女童 儿童 男童 年龄增长 负相关 线性回归
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中国15城市0~6岁儿童铅中毒影响因素的研究 被引量:53
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作者 樊朝阳 戴耀华 +2 位作者 谢晓桦 张帅明 谈藏文 《中国儿童保健杂志》 CAS 2006年第4期361-363,共3页
[目的]通过调查中国15个中心城市0~6岁儿童铅中毒的影响因素,为制定防止环境铅污染,保护儿童健康政策提供科学依据.[方法]采用分层整群随机抽样的方法在全国15个中心城市中采集0~6岁儿童末梢血17 141份,采用原子吸收光谱法测定血铅水... [目的]通过调查中国15个中心城市0~6岁儿童铅中毒的影响因素,为制定防止环境铅污染,保护儿童健康政策提供科学依据.[方法]采用分层整群随机抽样的方法在全国15个中心城市中采集0~6岁儿童末梢血17 141份,采用原子吸收光谱法测定血铅水平.同时进行问卷调查.采用多元回归分析方法进行结果分析.[结果]中国城市儿童血铅总体均值为59.52μg/L,10.45%的儿童血铅水平≥100μg/L(1μmol/L=0.00 483μg/L).多元回归分析表明:儿童生活居住环境、父母的状况以及儿童生活或卫生习惯、饮食以及营养状况影响儿童血铅水平.[结论]儿童生活居住环境、父母的教育状况以及儿童生活或卫生习惯、饮食以及营养状况会影响儿童的血铅水平.应制定相关法规,降低环境铅水平,大力进行健康教育,合理营养. 展开更多
关键词 铅中毒 影响因素 儿童
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使用无铅汽油后广州市儿童血铅水平的影响因素 被引量:9
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作者 林国桢 陈清 +7 位作者 彭荣飞 吴家刚 梁超英 朱桂好 陈穗梅 林琳 林蓉 杜琳 《环境与健康杂志》 CAS CSCD 北大核心 2007年第12期960-963,共4页
目的了解使用无铅汽油后影响儿童血铅水平的可能因素,为采取新的儿童铅中毒控制措施提供依据。方法于2006年10月—2007年8月按分层随机抽样方法抽取广州市市中心区、城郊区和郊县各1个有代表性的区(县)级市,共选择12所幼儿园和12所小学... 目的了解使用无铅汽油后影响儿童血铅水平的可能因素,为采取新的儿童铅中毒控制措施提供依据。方法于2006年10月—2007年8月按分层随机抽样方法抽取广州市市中心区、城郊区和郊县各1个有代表性的区(县)级市,共选择12所幼儿园和12所小学,选取2373名2至12岁自愿抽血检测的儿童为调查对象,每名儿童抽取静脉血3~5ml,用0.1%TritonX-100和0.1%HNO3对血样稀释20倍后直接以电感耦合等离子-质谱法(ICP-MS)测定血铅。用包括儿童基本情况、家居情况、家庭烹调及儿童饮食情况、儿童生活及卫生习惯情况四大内容34个可能导致儿童血铅水平增高的危险因素的调查问卷进行调查,并对高血铅儿童进行家访。结果2373名儿童血铅几何均值为58.28μg/L,男童血铅均值(61.11μg/L)高于女童(55.37μg/L)差异有统计学意义(t=8.671,P=0.000)。高血铅60人,占2.53%,其中男童36人,占2.90%;女童24人,占2.09%,差异无统计学意义(χ2=1.594,P=0.207)。城乡结合部的白云区血铅均值为60.33μg/L,明显高于市中心的荔湾区(58.09μg/L)和农村的增城(56.72μg/L),差异有统计学意义(F=9.273,P=0.000)。进行多元线性回归分析显示,父亲文化程度低、家居住房面积小、家居较敞开、儿童少洗手和常吸吮手指等是儿童血铅高的危险因素。结论使用无铅汽油后,城郊儿童血铅水平较高,家庭环境和个人卫生是影响儿童血铅水平主要因素。 展开更多
关键词 儿童 血铅 影响因素 汽油
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重金属重点防控区儿童血铅水平及其对神经行为功能的影响 被引量:9
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作者 季佳佳 余淑苑 +6 位作者 刘国红 张慧敏 蓝涛 刘桂华 孙群露 林奕芝 彭朝琼 《环境与健康杂志》 CAS 北大核心 2015年第6期521-524,共4页
目的探讨某国家级重金属污染重点防控区儿童血铅水平及其对神经行为功能的影响。方法 2012年7月,在某重金属重点防护区域(n=203)和非污染区(n=218)各选择1所小学作为研究现场,采用分层抽样方法选择两所学校三~五年级学生,进行问卷... 目的探讨某国家级重金属污染重点防控区儿童血铅水平及其对神经行为功能的影响。方法 2012年7月,在某重金属重点防护区域(n=203)和非污染区(n=218)各选择1所小学作为研究现场,采用分层抽样方法选择两所学校三~五年级学生,进行问卷调查、智力测验和神经行为测验,并采集静脉血,以电感耦合等离子体质谱法测定全血中铅的浓度。结果儿童血铅浓度范围为6.99~145.20μg/L,污染区和对照区儿童血铅中位数分别为30.30和25.66μg/L,污染区高于对照区,差异具有统计学意义(P〈0.01);多重线性回归分析结果表明,儿童性别、父亲文化程度、在重金属重点防控区生活对儿童血铅有显著影响:男童血铅水平高于女童;父亲文化水平越高,其子女血铅水平越低;在重金属重点防控区生活的儿童血铅水平较高;污染区儿童5项神经行为测试得分均低于对照区,差异具有统计学意义(P〈0.05);随着儿童静脉血铅浓度的增加,儿童智商和神经行为测试得分呈下降趋势,儿童智商(rs=-0.116,P〈0.05)和神经行为测试中划消数字得分(rs=-0.141,P〈0.05)与血铅呈负相关关系。结论该重金属重点防护区域儿童铅负荷水平略高于一般地区,长期低水平铅暴露可能影响儿童智力和神经行为功能。 展开更多
关键词 血铅 神经行为功能 智商 儿童
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某冶炼厂拆迁场地土壤重金属污染健康风险评价 被引量:30
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作者 莫小荣 吴烈善 +1 位作者 邓书庭 陆春吉 《生态毒理学报》 CAS CSCD 北大核心 2015年第4期235-243,共9页
按照环保部最新颁布实施的污染场地风险评估技术导则(HJ 25.3—2014),选取Cu、Pb、Zn、Cd、Cr、As 6种重金属元素为主要污染物,结合Pearson相关分析及克里金差值法,对某冶炼厂拆迁场地土壤进行健康风险评价。结果表明:拆迁场地土壤中重... 按照环保部最新颁布实施的污染场地风险评估技术导则(HJ 25.3—2014),选取Cu、Pb、Zn、Cd、Cr、As 6种重金属元素为主要污染物,结合Pearson相关分析及克里金差值法,对某冶炼厂拆迁场地土壤进行健康风险评价。结果表明:拆迁场地土壤中重金属污染集中于生产区及堆放场,污染程度为生产区≈堆放场>生活区,6种重金属平均值低于《展览会用地土壤环境质量评价标准》B级(HJ 350—2007),Pb、Zn、Cd平均值高于广西省和中国土壤元素背景值;相关分析表明Cu分别与Pb、Zn、Cr、As,Pb-Cr、Pb-As及Zn-Cd存在极显著正相关关系;健康风险评价结果表明生活区土壤中6种重金属对人体健康不会产生不良或危害效应;生产区和堆放场土壤中Cr存在致癌风险,As存在致癌风险和非致癌危害。成人血铅模型(ALM)计算得出生活区、生产区及堆放场中成人血铅浓度值分别为4.98μg·d L-1、5.04μg·d L-1、5.03μg·d L-1,低于成人血铅浓度风险评价的基准值5.8μg·d L-1,且Pb的平均值低于国内外居住用地土壤铅环境基准值。 展开更多
关键词 重金属 冶炼 拆迁场地 健康风险评价 血铅模型
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