[Relationship between internal lead exposure and psychologic performance after occupational medicine interventions].

H Dotzauer, H Wall
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Abstract

In order to investigate the influence of hygienic measures (mobilisation yield of lead in urine by CaEDTA, part-time work) on psychological performance 23 lead exposed workers have been psychodiagnostically investigated twice along with biological monitoring (blood lead level, erythrocyte protoporphyrine). In the pre-post comparison 4 of the 6 performance ranges measured showed distinct performance improvements, which could be shown to be statistically significant for group comparisons and in most individual cases. Parameters sensitive to changes were in the motor-sensory choice reaction, concentration and memory while subjective estimations of well-being exhibited no changes. Also after discussing methodological questions (influence of age, test repetition) the changes are interpreted in the direction of a possible reversibility of neurotoxic effects as a consequence of hygienic interventions.

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[内部铅暴露与职业医学干预后心理表现的关系]。
为了调查卫生措施(CaEDTA尿铅动员量、兼职工作)对心理表现的影响,对23名铅暴露工人进行了两次心理诊断调查,并进行了生物监测(血铅水平、红细胞原卟啉)。在前后比较中,测量的6个绩效范围中有4个显示出明显的绩效改善,这在群体比较和大多数个别情况下都具有统计学意义。对运动-感觉选择、反应、注意力和记忆敏感,而对幸福感的主观评价没有变化。此外,在讨论了方法学问题(年龄的影响、重复测试)之后,这些变化被解释为卫生干预可能导致神经毒性效应的可逆性。
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