首页|某铅蓄电池厂工人铅暴露生物标志和同位素指纹特征的研究

某铅蓄电池厂工人铅暴露生物标志和同位素指纹特征的研究

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目的 探讨铅暴露工人血铅、血锌原卟啉(zinc protoporphyrin,ZPP)、尿铅、尿δ-氨基-γ-酮戊酸(δ-aminolevulinic acid,δ-ALA)水平以及铅稳定同位素的指纹特征,分析它们之间的相关性,为铅稳定同位素示踪研究和应用提供基础.方法 2021年6-12月,以某市某铅蓄电池厂的40名存在铅暴露的在岗工人为研究对象,采用问卷调查的形式记录其工龄、吸烟、饮酒等相关情况,测定工人血铅、尿铅、铅暴露相关生物标志的水平,以及血、尿、环境(工作场所降尘)和水等样本中铅同位素比值(lead isotope ratio,LIR)(207/206Pb、208/206Pb、204/206Pb),并进行统计学分析.结果 调查对象血铅56.0~757.6 μg/L,平均(300.0±159.8)µg/L,异常率为5.0%;尿铅2.5~235.3 μg/L,平均(40.1±45.2)µg/L,异常率为 7.5%;ZPP 水平为 0.13~7.35 µmol/L,平均(1.78±1.86)μmol/L,异常率为 17.5%;尿δ-ALA水平为0.71~7.46 mg/L,平均(2.78±1.70)mg/L,异常率为7.5%.Pearson相关性分析结果显示,总体血铅与血ZPP、尿铅与尿δ-ALA、血铅与尿8-ALA均为正相关关系(r=0.536、0.728、0.511,P<0.01).不同工龄的工人血铅及血ZPP水平的差异有统计学意义(P<0.05),均表现为1~4年工龄的工人较高;不饮酒的工人血ZPP水平高于饮酒者(P<0.05).铅暴露工人尿液的208/206Pb、20/206Pb均高于血液(P<0.01).该厂自来水的208/206Pb、207/206Pb低于血液、尿液(P<0.01);工作场所降尘的208/206Pb低于铅暴露工人血液(P<0.01),207/206Pb、208/206Pb均低于铅暴露工人尿液(P<0.01).铅暴露工人血207/206pb、208/206Pb与血铅水平为负相关关系(r=-0.562、-0.673,P<0.01),血208/206Pb与尿8-ALA水平为负相关关系(r=-0.416,P<0.01);尿207/206Pb、208/206Pb与尿铅水平为负相关关系(r=-0.613,P<0.01;r=-0.331,P<0.05),尿207/206Pb与血ZPP水平为负相关关系(r=-0.636,P<0.01).结论 血铅与血ZPP和尿8-ALA具有较好的相关性,与环境中铅同位素比值具有较好的一致性.铅暴露工人血液、尿液中铅同位素比值的差异提示铅在进入人体后可能存在"分馏"现象.
Study on exposure and early effect biomarkers and isotope fingerprint characteristics of lead-exposed workers in a battery factory
Objective To investigate the levels of blood lead and zinc protoporphyrin(ZPP),urine lead and δ-aminolevulinic acid(δ-ALA),and the fingerprint characteristics of stable lead isotopes among workers exposed to lead,and to analyze their correlations to provide a foundation for studies and applications of lead stable isotope tracing.Methods Taking 40 lead-exposed workers in a lead-acid battery factory in a city as the research object,the relevant conditions such as working age,smoking,drinking,etc.were recorded by a questionnaire.The levels of blood lead,urine lead,and biomarkers associated with lead exposure were measured,as were the lead isotope ratio(LIR)(207/206Pb,208/206Pb,204/206Pb)in blood,urine,environmental samples(workplace dustfall),and water,and statistical analysis was carried out.Results The blood lead level of the subjects was 56.0-757.6 µg/L,with an average of(300.0±159.8)µg/L,and the abnormality rate of 5.0%;the urine lead level was 2.5-235.3 μg/L,with an average of(40.1±45.2)µg/L,and an abnormality rate of 7.5%;the blood ZPP level was 0.13-7.35 μmol/L,with an average of(1.78±1.86)μmol/L,and an abnormality rate of 17.5%;the urine 8-ALA level was 0.71-7.46 mg/L,with an average of(2.78±1.70)mg/L,and an abnormality rate of 7.5%.Pearson correlation analysis showed positive correlations between overall blood lead and blood ZPP,urine lead and urine 8-ALA,and blood lead and urine 8-ALA(r=0.536,0.728,0.511,P<0.01).Significant statistical differences were found in blood lead and blood ZPP levels among workers with different employment times(P<0.05),with the higher levels observed in workers with employment times of 1-4 years;non-drinking workers had higher blood ZPP levels than drinking workers(P<0.05).Workers exposed to lead had higher levels of 208/206Pb and 207/206Pb in their urine than in their blood(P<0.01).The tap water from the plant showed lower levels of 208/206Pb and 207/206Pb compared to blood and urine(P<0.01);the workplace dustfall had a lower level of 208/206Pb compared to blood(P<0.01),and both 207/206Pb and 208/206Pb were lower than those in urine(P<0.01).There was a negative correlation between blood 207/206Pb,208/206Pb and blood lead levels(r=-0.562,-0.673,P<0.01)and between blood 208/206Pb and urine 8-ALA levels(r=-0.416,P<0.01).Urine 207/206Pb and 208/206Pb also showed a negative correlation with urine lead levels(r=-0.613,P<0.01;r=-0.331,P<0.05),and urine 206/206Pb had a negative correlation with blood ZPP levels(r=-0.636,P<0.01).Conclusions Blood lead levels correlated well with blood ZPP and urine 8-ALA and were consistent with LIR in the environment.The difference in LIR in blood and urine indicated that lead may have"fractionation"after entering the human body.

blood leadurine leadblood zinc protoporphyrinurine δ-aminolevulinic acidlead isotope ratio

蔡洁燕、郭嘉明、何易楠、龙传永、王致、梁嘉斌

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广州市第十二人民医院(广州市职业病防治院),广东 广州 510620

广州医科大学职业与环境卫生研究所,广东广州 511436

英德市慢性病防治医院(英德市职业病防治所),广东 英德 513000

血铅 尿铅 血锌原卟啉 尿δ-氨基-γ-酮戊酸 铅同位素比值

广州市科技计划项目广州市科技计划项目广州市科学技术局重点研发计划项目广州市校(院)企联合资助专题(广州市职业环境与健康重点实验室)

2022010108162023A03J05012022060100612023A03J0502

2024

职业卫生与应急救援
上海市职业安全健康研究院,上海市化工职业病防治院

职业卫生与应急救援

CSTPCD
影响因子:0.515
ISSN:1007-1326
年,卷(期):2024.42(3)