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探讨对苯二甲酸(TPA)作业人群尿液离子水平的变化。方法留取224名TPA作业工人和114名对照组工人当日工前工后尿样。对尿pH、Na+、Cl-、Ca2+、NH4+、PO43-和SO42-进行测定分析。结果接触组尿Na+、Cl-、Ca2+和SO42-离子浓度显著高于对照组(P<001),同时NH4+与尿TPA负荷存在明显的剂量依赖关系;指标聚类分析表明,尿TPA水平与尿NH4+水平相关系数最大(r=02405,P<001),提示TPA可能是导致尿NH4+离子排泄增加的原因。结论由于NH4+长期排泄过多,会导致机体负氮平衡,因此似可以尿NH4+作为接触TPA的早期生物学监测指标。
To investigate the changes of urine ion level in TPA workers. Methods Totally 224 TPA workers and 114 control workers were enrolled in this study. Urine pH, Na +, Cl-, Ca2 +, NH4 +, PO43- and SO42- were measured and analyzed. Results The concentrations of Na +, Cl-, Ca2 + and SO42- in the urine of the exposed group were significantly higher than those of the control group (P <001), and there was a significant dose-dependent relationship between the NH4 + and the urinary TPA load. The index clustering analysis showed that the urinary TPA level And urine NH4 + level had the highest correlation coefficient (r = 0.2405, P <0.01), suggesting that TPA may cause urinary NH4 + ion excretion increased. CONCLUSIONS: Excessive long-term excretion of NH4 + results in a negative balance of nitrogen in the organism, so it seems that urine NH4 + can be used as an early biological indicator of exposure to TPA.