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山东大学学报 (医学版) ›› 2018, Vol. 56 ›› Issue (11): 111-115.doi: 10.6040/j.issn.1671-7554.0.2018.780

• • 上一篇    

青岛人群孕期多环芳烃暴露对婴幼儿发育的影响

崔静1,孙治涛1,谢萌2,张倩3,王炳玲1,高汝钦1   

  1. 1.青岛市疾病预防控制中心, 青岛市预防医学研究院, 山东 青岛 266033;2.山东省疾病预防控制中心计划免疫所, 山东 济南 250014;3.青岛市黄岛区妇幼保健计划生育服务一中心, 山东 青岛 266000
  • 发布日期:2022-09-27
  • 通讯作者: 王炳玲. E-mail:binglingw@yeah.com
  • 基金资助:
    国家自然科学基金面上项目(81372955);中国疾控妇幼保健中心合生元母婴营养与健康研究基金(2017FYH008);山东省医药卫生科技发展计划(2016WS0309);青岛市医疗卫生优秀人才培养项目(2017-2019)

Effects of polycyclic aromatic hydrocarbons exposure during pregnancy on the development of infant in Qingdao City, China

CUI Jing1, SUN Zhitao1, XIE Meng2, ZHANG Qian3, WANG Bingling1, GAO Ruqin1   

  1. 1. Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, Shandong, China;
    2. Division of Expanded Immunization Program, Shandong Center for Disease Control and Prevention, Jinan 250014, Shandong, China;
    3. Maternal and Child Health Care of Family Planning Service Center of Huangdao District, Qingdao 266000, Shandong, China
  • Published:2022-09-27

摘要: 目的 采用出生队列研究设计,探讨青岛人群孕期多环芳烃(PAHs)暴露水平对6月、12月龄婴幼儿发育的影响。 方法 选择2014年1~12月间出生的348例婴幼儿作为研究对象进行脐带血PAH-DNA加合物测定,使用盖泽尔发育诊断量表测定婴幼儿6月、12月龄的发育商(DQ),Spearman相关检验分析PAH-DNA加合物与6月、12月龄DQs的相关性,线性回归模型分析PAH-DNA加合物对12月龄DQs的影响。 结果 研究对象的PAH-DNA加合物的检出率为52.4%,6月龄五个功能区的DQs得分在66~118间,12月龄的在72~156间。Spearman相关性分析结果显示,检出的PAH-DNA加合物水平与12月龄的大动作行为(r=-0.188)、精细动作行为(r=-0.196)、个人社交行为(r=-0.180)均呈负相关关系,且差异有统计学意义(P<0.05)。在调整了幼儿性别、孕妇年龄、出生体质量、母亲文化水平后,检出的PAH-DNA加合物与12月龄幼儿的适应性行为、大动作行为、精细动作行为、语言行为、个人社交行为呈负相关(P<0.05)。 结论 孕期PAHs暴露可能对12月龄儿童发育产生不利影响,故降低孕期PAHs暴露水平对婴幼儿早期发育损伤具有一定的预防作用。

关键词: 多环芳烃, 神经发育, 婴幼儿, 多环芳烃-DNA加合物

Abstract: Objective To explore the effects of polycyclic aromatic hydrocarbons(PAHs)exposure during pregnancy on the development of infants aged 6 and 12 months in a birth cohort in Qingdao City. Methods A total of 348 infants born during Jan. and Dec. 2014 were enrolled in this analysis. PAH-DNA adduct of umbilical cord blood was determined, and development quotients(DQs)were measured at the ages of 6 and 12 months with Gesell Development Inventory. The correlation between PAH-DNA adduct and DQs at the ages of 6 and 12 months was assessed with Spearman correlation analysis. The effects of PAH-DNA adduct on the DQs at the age of 12 months was evaluated with linear regression models. Results The detection rate of PAH-DAN adduct was 52.4%. The DQs of 5 functional areas ranged from 66 to 118 at the age of 6 months, and ranged from 72 to 156 at the age of 12 months. Spearman correlation 山 东 大 学 学 报 (医 学 版)56卷11期 -崔静,等.青岛人群孕期多环芳烃暴露对婴幼儿发育的影响 \=-analysis showed that the PAH-DNA adduct levels were negatively correlated with the DQs of gross motor(r=0.188), fine motor(r=0.196), and personal social behavior(r=0.180)at the age of 12 months, and the differences were statistically significant(P<0.05). After the gender of infants, age of pregnant woman, birth weight, and educational levels of pregnant woman were adjusted, the PAH-DNA adduct levels were negatively correlated with the DQs of adaptive, gross motor, fine motor, language, and personal social behavior at the age of 12 months(P<0.05). Conclusion PAHs exposure during pregnancy may have adverse effects on the development of 12-month-old infants. Reducing PAHs exposure has certain preventive effects on the early developmental damage in infants.

Key words: Polycyclic aromatic hydrocarbons, Neurodevelopment, Infant, PAH-DNA adduct

中图分类号: 

  • R114
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