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王海燕, 吴金华, 应婷儿, 周庆新, 沈忠海. 胎儿期汞暴露对新生儿神经行为发育影响[J]. 中国公共卫生, 2011, 27(2): 180-182. DOI: 10.11847/zgggws2011-27-02-26
引用本文: 王海燕, 吴金华, 应婷儿, 周庆新, 沈忠海. 胎儿期汞暴露对新生儿神经行为发育影响[J]. 中国公共卫生, 2011, 27(2): 180-182. DOI: 10.11847/zgggws2011-27-02-26
WANG Hai-yan, WU Jin-hua, YING Ting-er, . Effects of maternral mercury exposure on neurobehavioral development of neonate[J]. Chinese Journal of Public Health, 2011, 27(2): 180-182. DOI: 10.11847/zgggws2011-27-02-26
Citation: WANG Hai-yan, WU Jin-hua, YING Ting-er, . Effects of maternral mercury exposure on neurobehavioral development of neonate[J]. Chinese Journal of Public Health, 2011, 27(2): 180-182. DOI: 10.11847/zgggws2011-27-02-26

胎儿期汞暴露对新生儿神经行为发育影响

Effects of maternral mercury exposure on neurobehavioral development of neonate

  • 摘要: 目的 了解浙江省舟山市胎儿期汞暴露对新生儿神经行为发育影响,为采取干预措施提供参考依据。方法 采用自行设计调查表,对2006年3月-2007年7月在舟山市妇幼保健院整群随机抽取的418名新生儿母亲进行问卷调查,并检测新生儿脐带血汞及其母亲尿汞、血汞和发汞值,评定新生儿的神经行为发育情况。结果 新生儿脐带血汞平均汞含量为(7.9±4.7)μg/L;母亲尿汞、血汞和发汞平均汞含量为(2.8±3.2)μg/L、(5.7±4.0)μg/L和(1.2±0.7)mg/kg;Spearm an相关分析结果表明,新生儿脐带血汞与母亲尿汞、发汞和血汞,母亲尿汞与发汞、血汞,母亲发汞与血汞均呈正相关关系(P<0.01);除母亲发汞外,新生儿脐带血汞、母亲尿汞和血汞均随母亲怀孕期间吃鱼次数增多而增加(P<0.01);418名新生儿神经行为发育评分平均为(38.41±1.30)分,一般评估、原始反射、被动肌张力、主动肌张力和行为能力5个维度满分率分别为96.89%、94.98%、74.64%、65.55%和49.04%;多因素非条件Lo-gistic回归分析结果表明,新生儿脐带血汞含量≥18μg/L是新生儿NBNA得分的危险因素。结论 舟山市孕妇和新生儿汞暴露与食鱼有关;新生儿脐带血汞含量较高能影响新生儿神经行为发育。

     

    Abstract: Objective To study the effects of mater nalmercury exposure during pregnancy on neurobehavioral development of neonates in Zhoushan city of Zhejiang province for implementing intervention.Methods We surveyed 418 mother-neonate pairs with random cluster sampling from March 2006 to July 2007 in Zhoushan Maternal and Children Health Hospital.The total mercury levels in maternal urine,blood,hair,and cord blood were determined.The neonatal behavioral neurological a ssessment(NBNA) was conducted among all neonates.A survey with a self-designed questionnaire was conducted to collect in formation on mercury exposure among the neonates mothers.Results The average mercury content in cord blood,maternal urine,maternal hair,and maternal blood was 7.9±4.7μg/L,2.8±3.2μg/L,1.21±0.68 mμg/kg,and 5.7±4.0μg/L,respectively.There was a significant correlation between maternal blood mercury content and cord blood mercury content(r=0.754,P < 0.01).The mercury contents in cord blood,maternal urine,and blood increased with the fish consum ption of the pregnant women(P < 0.01).Per capitaincome,fish consumption,and cord blood mercury content affected neurobehavioral development scores of the neonates.The cord blood mercury level of more than 18μg/L was a risk factor of the neonates' neurobehavioral development score.Conclusion The study suggests a correlation between mater nalmercury exposure and fish consum ption,and high level of mercury in cord blood have an mipact on neurobehavioral development of neonates.

     

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