华南预防医学 ›› 2014, Vol. 40 ›› Issue (5): 436-439.doi: 10.13217/j.scjpm.2014.0436

• 论著 • 上一篇    下一篇

锌原卟啉作为环境铅污染人群筛查指标的可行性研究

张爱华1,董明1,陈骏籍2,崔凡1,吴邦华1,赖关朝1,潘巧裕1   

  1. 1.广东省职业病防治院,广东 广州510300;2. 北京协和医学院公共卫生学院
  • 收稿日期:2014-05-09 出版日期:2014-10-20 发布日期:2014-11-07
  • 作者简介:张爱华(1977—),女,硕士研究生,副主任技师,主要从事职业卫生检测工作

Research of zinc protoporphyrin as screening index for population exposed to environmental lead pollution

ZHANG Ai-hua1, DONG Ming1, CHEN Jun-ji2, CUI Fan1, WU Bang-hua1, LAI Guan-chao1, PANG Qiao-yu1   

  1. 1. Guangdong Prevention and Treatment Center for Occupational Diseases, Guangzhou 510300, China;2. School of Public Health, Beijing Union Medical College
  • Received:2014-05-09 Online:2014-10-20 Published:2014-11-07

摘要: 目的 探讨红细胞锌原卟啉(ZPP)应用于人群接触环境铅污染筛查指标的可行性。方法 以紫金县某电池厂附近常住居民为调查对象,采集被调查者静脉血2~3 mL,采用血液锌原卟啉测定仪测定ZPP、石墨炉原子吸收光谱法测定血铅。儿童以血铅含量≥100 μg/L、成年人以≥400 μg/L为慢性铅中毒判定标准。结果 共调查946名居民,其中1~13岁儿童174人、16~87岁成年人772人。儿童血铅含量超标率为14.9%(26/174),儿童ZPP含量中位数为0.780 μmol/L,血铅中位数为47.675 μg/L,儿童ZPP含量与血铅含量的相关关系没有统计学意义(P>0.05)。成人血铅含量超标率为9.5%(73/772),成人ZPP含量中位数为0.740 μmol/L,血铅中位数为69.572 μg/L,成人ZPP含量与血铅含量呈弱相关关系(r=0.344,P<0.05)。儿童血铅高水平组(血铅≥100 μg/L)ZPP含量与血铅含量呈较强的相关关系(r=0.530,P<0.05),儿童血铅低水平组(血铅<100 μg/L)ZPP含量与血铅含量的相关关系没有统计学意义(P>0.05)。成人血铅高水平组(血铅≥400 μg/L)和低水平组(血铅<400 μg/L)的ZPP含量与血铅含量均具有相关关系(r分别为0.566、0.142,均P<0.05)。结论 成人血铅或儿童血铅水平较高时,ZPP可以作为环境铅污染人群筛查的指标。

Abstract: Objective To explore the feasibility of applying zinc protoporphyrin (ZPP) as a screening index of exposure to environmental lead pollution. Methods Blood samples (2-3 mL) were collected from each residents living nearby a battery factory in Zijin County, Guangdong Province. Lead in blood samples was detected by graphite furnace atomic absorption spectrometer and ZPP in blood, by ZPP hematofluorometer. Blood lead levels (BLLs) ≥100 μg/L and ≥400 μg/L were taken as the diagnostic criteria of chronic lead poisoning for children and adults, respectively. Results A total of 946 residents, 174 children aged 1-13 years and 772 adults aged 16-87, were surveyed. The over standard rate of children's BLL was 14.9% (26/174), and the medians of ZPP and BLL of children were 0.780 μmol/L and 47.675 μg/L, respectively. ZPP contents in blood of children showed no correlation with their BLLs (P>0.05). The over standard rate of BLL of adults was 9.5%, and the medians of ZPP and BLL of adults were 0.740 μmol/L and 69.572 μg/L, respectively. ZPP contents in blood of adults showed a weak correlation with their BLLs (r=0.344, P<0.05). ZPP contents of children with high BLL (≥100 μg/L) correlated with their BLLs (r=0.530,P<0.05), while ZPP contents of children with low BLL (<100 μg/L) showed no correlation with their BLLs (P>0.05). ZPP contents of adults with both high BLLs (≥400 μg/L) and low BLLs (<400 μg/L) showed positive correlations with their BLLs (r=0.566 and 0.142, respectively; P<0.05 for both). Conclusion ZPP could be used as a screening index of exposure to environmental lead population for adults or children with high BLL.

中图分类号: 

  • R131