SOLVENT EXPOSURE, ALCOHOL-CONSUMPTION AND LIVER-INJURY IN WORKERS MANUFACTURING PAINT

SOLVENT EXPOSURE, ALCOHOL-CONSUMPTION AND LIVER-INJURY IN WORKERS MANUFACTURING PAINT
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DOI:
10.5271/sjweh.1478
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发表时间:
1993-08-01
影响因子:
6.3
通讯作者:
MYERS, J
MYERS, J
中科院分区:
医学2区
文献类型:
--
作者:
REES, D;SODERLUND, N;MYERS, J

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在89名南非油漆制造商中检查了肝酶活性,这些油漆制造商目前暴露于相当低水平的有机溶剂混合物中。然而,对许多人来说,接触的时间很长。58名工人(65%)至少有一种酶值高于参考上限。46%的工人γ谷氨酰转移酶(gammaGT)活性升高,52%的工人天冬氨酸转氨酶(ASAT)活性升高。在高和低溶剂暴露工人之间的比较中,γ GT和ASAT值在最暴露组中较高(例如,γ GT平均值为108对69 U。l-1,P>0.05)。调整酒精消耗和体重指数的混杂因素,消除了暴露引起的差异。得出的结论是,所使用的肝损伤指标并未证明溶剂引起的肝损伤,但过量饮酒是一个重要因素。
Liver enzyme activity was examined in 89 South African paint makers currently exposed to a mixture of organic solvents at fairly low levels. However, the duration of exposure was substantial for many. Fifty-eight workers (65%) had at least one enzyme value above the upper reference limit. Gamma glutamyl transferase (gammaGT) activity was elevated in 46% of the workers and aspartate aminotransferase (ASAT) in 52%. In a comparison between workers with high and low solvent exposure, the gammaGT and ASAT values were higher in the most exposed group (eg, gammaGT mean 108 versus 69 U . l-1, P>0.05). Adjustment for confounding by alcohol consumption and body mass index eliminated the differences due to exposure. It was concluded that the measures of liver injury used did not demonstrate solvent-induced hepatic damage but that excessive alcohol consumption was an important factor.