农药职业暴露对农民心血管系统影响的比较研究

M. Sunitha, S. J. Bhoopala, S. Bondade
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引用次数: 0

摘要

背景:农业是一个非常复杂的职业,在提高生产力的同时也给社区带来了巨大的损失,因为它对人类健康、植物和动物的生命产生了不良影响。大量使用农药等农用化学品可能对心血管系统产生不良影响。目的:研究农药暴露对农民心电图的影响,并与未接触农药的正常人群进行比较。材料与方法:记录农药暴露后表面健康的男性农民与正常未暴露年龄相匹配的男性对照者12导联心电图,分析心率、PR间期、QTC间期、QRS轴、ST、T波变化等参数,并进行比较。结果:本研究报告了农药暴露农民与未暴露对照组相比,心率显著增加,QTC间隔延长,ST波和T波非特异性变化。结论:目前的研究表明,有必要尽早检测这些心电图变化,以便在施用农药时采取预防措施,预防未来心血管疾病的风险。某种形式的持续心脏监测似乎是可取的。可以建议农民放弃使用有毒的化学肥料和农药,选择有机肥料,以避免接触有害的影响。
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Effect of Occupational Exposure to Pesticides on Cardiovascular System among Farmers: A Comparative Study
Background: Agriculturea very complex occupation, apart from increasing productivity also brings huge loss to community in terms of its ill effects on human health,plant and animal life. Adverse effects on cardiovascular system is likely to occur due to aggressive use of agrochemicals such as pesticides. Objectives: To Study Changes in ECG due to pesticide exposure among farmers and to Compare these ECG Changes in those farmers with that of normal non-exposed subjects. Materials and Method: A 12 lead ECG was recorded in apparenty healthy male farmers exposed to pesticides and normal non exposed age matched male control subjects and analysed for parameters such as heart rate, PR interval, QTC interval, QRS axis, ST and T wave changes and compared. Results: This study reports significantly increased heart rate, prolonged QTC interval and non-specific ST and T wave changes among pesticide exposed farmers compared to non-exposed control subjects. Conclusion: The current study concludes that there is a need to detect these ECG changes as early as possible so that future risk of cardiovascular disease can be prevented by adapting precautionary measures during application of pesticides. Some form of continuous cardiac monitoring seems advisable. Farmers can be advised to quit toxic chemical fertilizers & pesticides and opt Organic ones to be safe from the hazardous implications of exposure.
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