长期接触有机磷农药对甲状腺功能影响的评价

Mohammad amin Rashidi, H. A. Mahabadi, A. Khavanin
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引用次数: 6

摘要

背景:有机磷化合物被认为是最常见的杀虫剂之一。有机磷毒物的主要作用机制包括抑制胆碱酯酶。有机磷毒物通过影响下丘脑-垂体-甲状腺轴的不同部位导致甲状腺激素受损。本研究的目的是确定长期接触有机磷农药对甲状腺功能的影响。方法:采用横断面描述性分析方法,以某生产OP工厂的男性工人为暴露组,以普查法选择同一工厂的行政部门人员为对照组。根据赫尔辛基宣言,采集静脉血5 ml, CLIA法测定TT3、TT4、FT3、FT4、TSH激素活性,比色法测定血清胆碱酯酶(CHE)活性。结果:经t检验,暴露组与对照组的激素和酶活性平均值无显著差异(p < 0.05)。暴露组TT3、TT4、FT3、FT4激素和CHE酶的活性低于对照组,TSH的活性高于对照组。Pearson相关检验显示,各激素活性与CHE酶的相关性均不显著(p < 0.05)。结论:在本研究中,在生产OP的工厂工作的工人没有患甲状腺疾病。此外,OP对CHE酶活性没有明显影响。
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Evaluation of the effects of chronic exposure to organophosphorus pesticides on thyroid function
Background: Organophosphorus (OP) compounds are considered among the most common insecticides. The major mechanism of organophosphorus toxicants includes inhibiting cholinesterase enzyme. organophosphorus toxicants cause impaired thyroid hormones through affecting different parts of the hypothalamus-pituitary-thyroid axis. The aim of this study is to determine the effects of chronic exposure to organophosphorus pesticides on thyroid function. Methods: The present descriptive-analytical study was conducted cross-sectionally on male workers employed in a factory producing OP as the exposure group as well as the personnel of the administrative department of the same factory as the control group chosen through census method. According to Helsinki declaration, 5 ml of venous blood was collected, and the activity of TT3, TT4, FT3, FT4, and TSH hormones was measured through CLIA method, while the activity of serum cholinesterase enzyme (CHE) was measured through colorimetry. Results: T-test indicated that there was no significant difference in the mean of activity of hormones and enzyme studied between exposure and control groups (p>0.05). Nevertheless, the activity of TT3, TT4, FT3, FT4 hormones, and CHE enzyme was lower in the exposure group, while that of TSH was higher than in the control group. Pearson correlation test indicated that there was no significant correlation between the activity of all studied hormones and CHE enzyme (p>0.05). Conclusions: In the present study, the workers employed in the factory producing OP did not suffer thyroid disorders. Further, OP did not have a considerable effect on the activity of CHE enzyme.
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期刊介绍: Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.
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