居住在山区铀尾矿附近的人皮肤的年龄相关变化特征

A.A. Isupova
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引用次数: 0

摘要

这项工作涉及低剂量辐射对皮肤状况的长期影响(超过50年)的问题。研究了长期进入体内环境的放射性核素对居住在山区铀尾矿附近的人皮肤发生年龄相关变化的作用。对355名吉尔吉斯斯坦土著人民进行了调查。其中,62人(17.5%)根据排除标准退出研究。样本包括293人。主要组包括75人,其中女性45人(60%),男性30人(40%),平均年龄38.7±14.7 (95% CI 35.3-42.1)岁。对照组218人,其中男性99人(45.4%),女性119人(54.6%)。年龄从17岁到77岁不等。临床研究按照普遍接受的方法进行。使用Heine Delta 20皮肤镜(K-256.27.376, Heine Optotechnik,德国)对皮肤肿瘤进行鉴别诊断。采用PASW Statistics 21.0 (SPSS Inc., IBM, Chicago, USA)进行统计学分析。为了评估风险因素的影响,计算归因风险、风险比和潜在危害指数(NNT),并计算每个变量的95%置信区间。通过对临床和流行病学数据进行统计分析,可以确定一些老年症状,以评估风险因素对与年龄有关的皮肤变化的影响。与对照组相比,年龄相关皮肤变化的额外风险从37+/-2.82% (95% CI 31.5-42.5%)到63.2+/-2.81 (95% CI 57.7- 68.7%)不等。老年柱头对危险因素的敏感程度是不同的。同时,风险因素的相对贡献可以通过与有条件的“清洁”生活区的居民相比,生活在放射性废物处置区内的人出现老年症状的频率的严重程度来评估。
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Features of age-related changes in the skin in people living near uranium tailings in mountains
The work touches upon the issue of long-term influence (more than 50 years) of low doses of ra-diation on the condition of the skin. The role of long-term incoming radionuclides into the internal environment of the body on the development of age-related changes in the skin in people living near uranium tailings in mountainous conditions has been studied. 355 indigenous people of Kyrgyzstan were examined. Of these, 62 (17.5%) people were withdrawn from the study according to the exclusion criteria. The sample consisted of 293 people. The main group consisted of 75 people, including 45 (60%) women and 30 (40%) men, mean age 38.7+/-14.7 (95% CI 35.3-42.1) years. The control group consisted of 218 people, of which 99 (45.4%) were men and 119 (54.6%) were women. Age range from 17 to 77 years. Clinical studies were carried out according to the generally accepted methodology. Differential diagnosis of skin neoplasms was carried out using a Heine Delta 20 dermatoscope (K-256.27.376, Heine Optotechnik, Germany). Statistical analysis was performed using PASW Statistics 21.0 (SPSS Inc., IBM, Chicago, USA). To assess the effect of a risk factor, the attributable risk, risk ratio, and potential harm index (NNT) were cal-culated, and a 95% confidence interval was calculated for each variable. Statistical analysis of clinical and epidemiological data made it possible to identify a number of geriatric signs to as-sess the influence of a risk factor on age-related changes in the skin. The additional risk of age-related skin changes varies from 37+/-2.82% (95% CI 31.5-42.5%) to 63.2+/-2.81 (95% CI 57.7-68.7 %) compared with the control group. The degree of sensitivity of geriatric stigmas to the risk factor is different. At the same time, the relative contribution of the risk factor can be assessed by the severity of the frequency of occurrence of geriatric signs in people living in the zone of radioac-tive waste disposal in comparison with residents of conditionally "clean" living areas.
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