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刘德华, 甄宏, 刘建安, 邢玉梅, 胡春英. 不同血铅水平时小学生神经行为的差异[J]. 中国公共卫生, 1999, 15(11): 1025-1027.
引用本文: 刘德华, 甄宏, 刘建安, 邢玉梅, 胡春英. 不同血铅水平时小学生神经行为的差异[J]. 中国公共卫生, 1999, 15(11): 1025-1027.
Liu Dehua, . Blood lead lvevls and children's neurobehavior 、Hyperactivity[J]. Chinese Journal of Public Health, 1999, 15(11): 1025-1027.
Citation: Liu Dehua, . Blood lead lvevls and children's neurobehavior 、Hyperactivity[J]. Chinese Journal of Public Health, 1999, 15(11): 1025-1027.

不同血铅水平时小学生神经行为的差异

Blood lead lvevls and children's neurobehavior 、Hyperactivity

  • 摘要: 用原子吸收法测定372 名小学生的血铅(pbB),同时测定红细胞游离原卟啉( FEP) 、血中5羟色胺(5HT) 、多巴胺( DA) 和去甲肾上腺素( NE) ;采用 WHO 提供的神经行为核心测试组合测定神经行为;Conners 量表测多动。共20 项指标,分别以血铅5 、10 、15 、25μg/dl 为界划分成高铅组与低铅组,比较各指标差异。结果表明:10μg/dl 及以上界值的两组间皆有8~11 项差异无显著(P< 0-05 或< 0-01),以5μg/dl 为界两组间各指标差异无显著性。而血铅低于10μg/dl 、FEP≥50μg/dl时最大反应时延长( P< 0-05),视觉记忆缩短(P < 0-05),因而,pbB≥10μg/dl 者或BPb < 10μg/dl、FEP≥50μg/dl 的小学生应做为防治干预的重点人群。

     

    Abstract: The effcts folow-lead exposure on neurobehavior and hyperactivity in 360 inner-city school children were assessed by measuring he blood lead (PbB), air lead level and FEP、serotonin (5-HT)、dopamine (DA)、no radrenaline (NE)in whole blood.180 children living near abusy road are exposed to lead and 180 are as controls.All were given a neurobehavioral core test battery (WHO recommended neurobehavioral test battery, NCTB).Hyperactivity was quantified by using Co nner's teacher and parent's questio nnaire.As compared with the control group, the exposed group showed sig nificantly higher air-lead level 、blood-lead level、FEP and lower 5-HT level.The children with blood lead level≥10g/ dl were 59.17 %(66.67% in the ex posed group and 57.67% in the control group).Analy sis of the children's neurobehavio ral test performance showed the elevated lead levels (PbB ≥10μg/dl)were.associa ted w ith deficits in visualmo tor functioning 、visual-perceptual capacity and mood states.Hyperactivity was significantly increased with elevated bloo d lead lev els in the children.The children with PbB <10μg/ dl、FEP ≥ 50μg/ dl had deficit in visualmemory and attention.Thus, w e suggest the blood lead be 10μg/ dl as the definitio n of the children lead toxicity.THe children with PbB <10μg/ dl, FEP≥50μg/dl should also be prevented from lead to xicity.

     

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