中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
12期
32-34
,共3页
高小红%林深婷%严应元%刘建安
高小紅%林深婷%嚴應元%劉建安
고소홍%림심정%엄응원%류건안
血铅%血压%孕妇
血鉛%血壓%孕婦
혈연%혈압%잉부
Blood lead%Blood pressure%Pregnant women
目的 探讨劳务女工孕期血铅水平与其血压的关系,为改善围生期工作,促进孕妇健康提供参考.方法 对2008年3月至2009年11月在深圳市宝安区妇幼保健院产前门诊建卡的劳务女工孕妇进行问卷调查、血压及血微量元素浓度测定.随机选取其中897例资料完整并在深圳居住满2年者作为研究对象,采用简相关和回归方法评价血铅与血压的关系.结果 孕妇血铅均值为(45±23)μg/L;家族史、体质量指数(BMI)、血铅浓度对血压升高有预测作用;在血铅56 μg/L分界点时,两组舒张压比较差异有统计学意义(P＜0.05);高铅组(血铅浓度≥100 μg/L)收缩压、舒张压均显著高于低铅组(P＜0.05).结论 低铅暴露是致孕妇血压升高的危险因素之一,铅对血压的影响以舒张压更为敏感.
目的 探討勞務女工孕期血鉛水平與其血壓的關繫,為改善圍生期工作,促進孕婦健康提供參攷.方法 對2008年3月至2009年11月在深圳市寶安區婦幼保健院產前門診建卡的勞務女工孕婦進行問捲調查、血壓及血微量元素濃度測定.隨機選取其中897例資料完整併在深圳居住滿2年者作為研究對象,採用簡相關和迴歸方法評價血鉛與血壓的關繫.結果 孕婦血鉛均值為(45±23)μg/L;傢族史、體質量指數(BMI)、血鉛濃度對血壓升高有預測作用;在血鉛56 μg/L分界點時,兩組舒張壓比較差異有統計學意義(P＜0.05);高鉛組(血鉛濃度≥100 μg/L)收縮壓、舒張壓均顯著高于低鉛組(P＜0.05).結論 低鉛暴露是緻孕婦血壓升高的危險因素之一,鉛對血壓的影響以舒張壓更為敏感.
목적 탐토노무녀공잉기혈연수평여기혈압적관계,위개선위생기공작,촉진잉부건강제공삼고.방법 대2008년3월지2009년11월재심수시보안구부유보건원산전문진건잡적노무녀공잉부진행문권조사、혈압급혈미량원소농도측정.수궤선취기중897례자료완정병재심수거주만2년자작위연구대상,채용간상관화회귀방법평개혈연여혈압적관계.결과 잉부혈연균치위(45±23)μg/L;가족사、체질량지수(BMI)、혈연농도대혈압승고유예측작용;재혈연56 μg/L분계점시,량조서장압비교차이유통계학의의(P＜0.05);고연조(혈연농도≥100 μg/L)수축압、서장압균현저고우저연조(P＜0.05).결론 저연폭로시치잉부혈압승고적위험인소지일,연대혈압적영향이서장압경위민감.
Objective To observe the degree of blood lead in pregant women and the influence of different levels of blood lead on blood pressure under environmental lead exposure, in order to previde basic evidences for taking the further measures. Methods A quesionnaire survey was administed, blood pressure and the serum of microelements were tested for the pregnant women who took the prenatal examinationin the Maternal and Child Care Service Centre of Baoan between March 2008 and November 2009, gathered 897 pregnant women whose materials were complete and stayed in Shenzhen more than one year as the study objects. Compare the differences between groups distributed by quartileand carried out the pair matching study. Correlation, stepwise regression analysis and T test were usedto statistic. Results The average of blood lead was (45±23)μg/L;The Bivriate correlations showed the association between blood lead and blood pressure was positive. Stepwise regression analysis indicated family history, BMI,blood lead were predictors of increasing blood pressure. After excluding the confounding factors, on the 56 μg/L the diastolic pressure(DBP) with statistical significance (P＜0.05);Blood pressure of case group was higher than that of control group with significant difference (P＜0.05). Blood calcium of case group was lower than that of control group without statistical significance (P＞0.05). Conclusions The results indicate the degree of blood lead of pregnant women in Shenzhen is low. Environmental lead exposure is one of the dangerous factors of increasing blood pressure .DBP is more sensitive to lead.
