2004年长沙市城区部分0～6岁儿童血红蛋白与血铅水平检测分析  

An Analysis of Hemachrome Chroma and Blood Lead Levels Among Children Aged 0 to 6 Years Old in Changsha City in 2004

作　　者：黄广文[1] 马敏[1] 张建华[1] 吴虹[1] 杨葵[1] 

机构地区：[1]湖南省妇幼保健院,湖南长沙410008

出　　处：《预防医学论坛》2008年第8期719-720,722,共3页Preventive Medicine Tribune

摘　　要：[目的]了解长沙市城区部分0～6岁儿童血铅水平与血红蛋白（Hb）浓度的关系。[方法]2004年6月，在长沙市城区开福区、芙蓉区抽取1172名0～6岁儿童，测定末梢血中血铅水平与Hb浓度。[结果]检测1172人，检出铅中毒87例，检出率为7.42％；检出贫血19例，检出率为1.62％。儿童Hb浓度为（124.47±7．66）g／L，血铅水平为（59．17±30．08）μg／L，二者的相关系数（r）=-0．046（P〉0．05）。Hb浓度（g／L）为〈110、110～、120～、130～、140～各组，Hb浓度与血铅水的r值分别为-0.400、-0．008、-0.076、-0．088、-0.153，只有120～129g／L组的相关有统计学意义（P〈0．05），其他各组二者的相关均无统计学意义（P〉0.05）。铅中毒儿童发生贫血的0R值为5．86，贫血儿童发生铅中毒的0R值为0．19。[结论]长沙市城区部分0～6岁儿童Hb浓度与血铅水平不存在相关关系；铅中毒者发生贫血的0R值为5.86，贫血者发生铅中毒的0R值为0．19。[Objective]To explore the relation of the hemachrome chroma and the blood lead level among children aged 0 to 6 years old in changsha city. [Methods]In June, 2004,1 172 children aged 0 to 6 years old were randomly selected from Kaifu and Furong districts in Changsha,and all children＇s blood lead levels and hemachrome chroma were be mensurated. [Results]Among 1 172 children,lead poisoning （blood lead levels≥100 μg/L） were 87, prevalence of lead poisoning was 7.4% ,and anemia were 19 ,prevalence of anemia was 1.62%. Average of the hemachrome chroma was（124. 47±7.66） g/ L,and blood lead levels was（59.17 ± 30.08） μg /L, was minus correlation（ r =-0. 046）. Among children, hemachrome chroma were be classed 〈 110,110-, 120-, 130-and 140-group, and the coefficient of correlation with different hemachrome chroma and blood lead levels were -0. 400 ,-0. 008 ,-0. 076 ,-0. 088 and -0. 153. Only hemachrome chroma was 120- 129 g/ L, the coefficient of correlation was significantly different（ P〈0.05） ,and others were no different （ P〉0.05）. The OR , child of lead poisoning occurring anemia,was 5.86 ,and Child of anemia occurring lead poisoning, was 0. 19. [Conclusion] Hemachrome chroma and blood lead levels was no correlation among children aged 0 to 6 years old at Changsha city. The OR ,child of lead poisoning occurring anemia,was 5.86 ,and child of anemia occurring lead poisoning,was 0. 19.

关 键 词：儿童 血红蛋白 血铅水平 贫血 铅中毒 相关分析 

分 类 号：R446.1[医药卫生—诊断学]