华南预防医学 ›› 2014, Vol. 40 ›› Issue (4): 338-342.doi: 10.13217/j.scjpm.2014.0338

• 环境与健康 • 上一篇    下一篇

广州市男性吸烟对其肺功能及体内多环芳烃代谢物的影响

刘涛1,2,朱炳辉3,许瑛华3,张建鹏3,张伟坚4,杨春5,肖建鹏1,2,罗圆1,2,何志辉1,2,曾韦霖1,2,胡梦珏1,2   

  1. 1.广东省疾病预防控制中心 广东省公共卫生研究院,广东 广州 511430;2.环境与健康广东省“十二五”医学重点学科;3.广东省疾病预防控制中心;4.增城市疾病预防控制中心;5.广州市黄埔区疾病预防控制中心
  • 收稿日期:2014-01-09 出版日期:2014-08-20 发布日期:2014-08-11
  • 通讯作者: 马文军 E-mail:mwj68@vip.tom.com
  • 作者简介:刘涛(1982—),男,博士研究生,副主任医师,主要从事环境流行病学研究
  • 基金资助:
    广东省医学科研基金项目(C2012030)

Effects of smoking on pulmonary function and urinary concentrations of polycyclic aromatic hydrocarbon metabolites among male adults in Guangzhou

LIU Tao1,2, ZHU Bing-hui3, XU Ying-hua3, ZHANG Jian-peng3, ZHANG Wei-jian4, YANG Chun5, XIAO Jian-peng1,2, LUO Yuan1,2, HE Zhi-hui1,2, ZENG Wei-lin1,2, HU Meng-jue1,2, LIN Hua-liang1,2, YANG Xing-fen3, ZHANG Yong-hui3, MA Wen-jun1,2   

  1. 1. Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China; 2. The 12th Five-year Key Medical Discipine in Guangdong Province Environment and Health; 3. Guangdong Provincial Center for Disease Control and Prevention; 4. Center for Disease Control and Prevention in Zengcheng; 5. Center for Disease Control and Prevention in Huangpu District Guangzhou
  • Received:2014-01-09 Online:2014-08-20 Published:2014-08-11

摘要: 目的 了解广州市男性居民吸烟对其肺功能以及体内多环芳烃代谢物水平的影响。方法 2012年7月采用系统抽样方法在广州市黄埔区和增城市各抽取1个社区中45岁以上的男性常住居民作为研究对象,资料收集包括问卷调查、晨尿中10种羟基多环芳烃浓度检测和肺功能检测。采用协方差和多重线性回归分析吸烟、肺功能以及尿液中羟基多环芳烃浓度之间的关系。结果 本次研究共纳入142名研究对象,平均年龄为(61.30±9.73)岁,其中吸烟者94人(66.20%)。协方差分析控制混杂因素后发现吸烟者肺功能指标1秒率(F=6.84)、用力呼气中段流量(F=5.52)和最大通气量(F=4.54)低于不吸烟者,且尿液中1-羟基萘(F=10.21)、2-羟基萘(F=8.74)和2-+3-羟基芴(F=4.11)浓度高于不吸烟者(P<0.05或P<0.01)。2-羟基菲、3-羟基菲、4-羟基菲、1-羟基芘与峰流速呈负相关(β=-6.34、-6.39、-5.44、-5.03),2-羟基萘与用力呼气中段流量呈负相关(β=-5.91),1-羟基萘、2-羟基萘与最大通气量呈负相关(β=-2.85、-3.11),均P<0.05。结论 广州地区男性居民吸烟可降低肺功能并增加多环芳烃的内暴露水平,体内多环芳烃增加与肺功能下降存在相关关系。

Abstract: Objective To investigate the effects of smoking on pulmonary function and urinary concentrations of polycyclic aromatic hydrocarbon (PAH) metabolites among male adults in Guangzhou.Methods A systematic sampling method was employed to select male adults in Huangpu District and Zengcheng during July 2012. All subjects were aged 45 years and over, lived in the location more than half year, and interviewed with the questionnaire. Ten OH-PAHs in urine and pulmonary functions were tested. Covariance and multiple linear regression analyses were employed to test relationships between smoking, pulmonary functions and OH-PAH concentrations.Results A total of 142 male adults were recruited whose average age was (61.30±9.73) years. Ninety four of them were smokers (66.20%). The covariance analyses revealed that the FEV1/FVC (F=6.84), FEF25-75 (F=5.52) and MVV (F=4.54) were lower in smokers than those in none-smokers (P<0.05 for all). Smokers had higher concentrations of urinary 1-OHNa (F=10.21), 2-OHNa(F=8.74)and 2-+3-OHFlu (F=4.11) than none-smokers (P<0.05 or P<0.01). Furthermore, 2-OHPhe (β=-6.34), 3-OHPhe (β=-6.39), 4-OHPhe (β=-5.44), and 1-OHP (β=-5.03) had negative relationships with PEF (P<0.05 for all); 2-OHNa had negative relationship with FEF25-75 (β=-5.91, P<0.05); 1-OHNa (β=-2.85) and 2-OHNa (β=-3.11) had significantly negative relationships with MVV (P<0.05 for all). Conclusion Smoking could reduce pulmonary functions of male adults in Guangzhou and increase their internal exposure to PAHs. The internal increase in PAHs was related to the declined pulmonary functions.

中图分类号: 

  • R163.2