幼儿园环境中铅含量对儿童血铅值的影响

目的探讨幼儿园环境是否对儿童铅暴露产生影响。方法采集、测定幼儿园环境样品中铅含量,同时采集、测定儿童的手尘铅和血铅浓度,分析环境铅和血铅的相关关系。铅测定方法为原子吸收法。结果19所幼儿园室内地面尘、脱落漆皮。室内降尘、室外地面尘、土壤和自来水铅含量的几何均数分别为86．5μg/m2、235.5μg/g、445．9μg/g、172．4μg/m2、70．1μg/g及12.5μg／L。儿童双手尘铅的平均值为3．4μg。相关分析结果提示血铅与室外地面尘铅、儿童手尘铅呈正相关。多因素分析显示手尘铅被引入血铅的回归方程,而且其标准化回归系数最大,达0.3842,其偏回归系数为0．2018。结论幼儿园的环境卫生状况直接影响着儿童铅的摄入水平。因此有必要对儿童进行健康教育,使其养成勤洗手的卫生习惯,克服吮吸手指的不良行为。

Effects of environmental lead exposure in kindergartens on children's blood lead level

OBJECTIVE: To determine if kindergartens' environmental status can influence children's lead exposure. METHODS: Environmental specimens, such as floor dust, peeled-off paint chip, soil and drinking water, as well as children's hand dust and blood samples, were collected and measured for their lead levels in 19 kindergartens, to analyze the relationship between children's blood lead levels and their environmental lead exposure. RESULTS: Geometric means of lead concentrations in indoor floor dust, peeled-off paint chip, dust fallout, outdoor floor dust, soil and drinking water were 86.5 microg/m(2), 235.5 microg/g, 445.9 microg/g, 172.4 microg/m(2), 70.1 microg/g and 12.5 microg/L, respectively. Lead level on children's hands averaged 3.4 microg at both hands. Blood lead levels in children correlated positively with the lead concentrations of outdoor floor dust and their hand dust, with correlation coefficients of 0.5186 and 0.2206, respectively. Multiple regression analysis showed that hand dust lead level in children entered the regression model with a largest standardized partial regression coefficient of 0.3842 and a coefficient of determination of 0.673 for the full equation with F = 6.52 and P < 0.01. CONCLUSION: Status of environmental health in kindergartens plays an important role in children's lead exposure. It is necessary to offer health education for children and make them wash their hands often and overcome unhealthy behavior of sucking their fingers.