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镉砷接触工人肾功能损伤研究
引用本文:洪峰,金泰廙,卢国栋,殷征宇. 镉砷接触工人肾功能损伤研究[J]. 中华劳动卫生职业病杂志, 2003, 21(6): 432-436
作者姓名:洪峰  金泰廙  卢国栋  殷征宇
作者单位:200032,上海,复旦大学公共卫生学院劳动卫生教研室
基金项目:欧共体INCO DC项目基金资助项目 (ERB3 5 14PL9714 3 0 )
摘    要:目的 探讨镉、砷对作业工人肾功能的联合作用。方法 以我国中南某厂镉、砷作业工人 114名为本研究的职业接触对象。以尿镉 (UCd)、尿砷 (UAs)作为接触标志物 ,尿 β2 微球蛋白(Uβ2 MG)、尿白蛋白 (UALB)、尿N 乙酰 β D 氨基葡萄糖苷酶 (UNAG)作为镉、砷致肾小管和肾小球损害的效应标志物。结果 UCd、UAs水平与Uβ2 MG、UALB、UNAG水平间均为正相关 ,具有明显的剂量-效应关系 (P <0 .0 5 ,P <0 .0 1)。结论 镉、砷对作业工人肾脏功能的联合作用主要表现为相加作用。

关 键 词:镉砷 接触工人 肾功能损伤 职业接触
修稿时间:2002-12-09

Renal dysfunction in workers exposed to arsenic and cadmium
HONG Feng,JIN Tai-yi,LU Guo-dong,YIN Zheng-yu. Renal dysfunction in workers exposed to arsenic and cadmium[J]. Chinese journal of industrial hygiene and occupational diseases, 2003, 21(6): 432-436
Authors:HONG Feng  JIN Tai-yi  LU Guo-dong  YIN Zheng-yu
Affiliation:Department of Occupational Health & Toxicology, School of Public Health, Fudan University, Shanghai 200032, China.
Abstract:OBJECTIVE: To examine the nephrotoxicity induced caused by combined effect of arsenic and cadmium in exposed workers. METHODS: Urinary cadmium and arsenic were used as the exposure biomarkers of cadmium and arsenic. Urinary beta2-microglobulin (Ubeta2-MG), albumin (UALB) and N-acetyl-beta-D-glucosaminidase (UNAG) were measured as the effective biomarkers of tubular and glomerular dysfunction induced by cadmium and arsenic. RESULTS: The combination of cadmium and arsenic induced more severe renal injury than that caused by either of the chemicals given alone. There were positive correlations and significant dose-effect among the concentrations of urinary cadmium, arsenic and levels of Ubeta2-MG, UALB, UNAG (P<0.05, P<0.01). CONCLUSION: Cadmium combined with arsenic may have additive effect on renal dysfunction in workers exposed to arsenic and cadmium.
Keywords:Cadmium  Arsenic
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