银汞合金对口腔内科医务人员肾功能指标的影响  

Impact of Maercury Amalgam on Renal Function of Professionals in Dental Clinics

作　　者：徐培成[1] 许缃[2] 朱霖[1] 薛毅凯[1] 叶细标[2] 傅华[2] 

机构地区：[1]上海市徐汇区牙病防治所 [2]复旦大学公共卫生学院预防医学系,上海200032

出　　处：《复旦学报（医学版）》2004年第3期277-279,共3页Fudan University Journal of Medical Sciences

摘　　要：目的　探讨银汞合金对口腔内科医务人员肾功能指标的影响。方法　以有银汞合金接触史的口腔内科医务人员为暴露组 ,同地区综合医院中无汞、银汞合金接触史的医务人员为对照组 ;选择尿汞浓度、尿白蛋白、β2 微球蛋白、NAG为指标 ,观察各指标在慢性汞接触中的差异。结果　两组的尿汞浓度和尿白蛋白无显著性差异 ;暴露组尿中 β2 微球蛋白和NAG的排泄量显著高于对照组 ,但都未超过正常值上限。结论　银汞合金对口腔内科医务人员的肾功能指标无明显影响 。Purpose: To research the renal function changes of professionals in dental clinics who exposed to mercury amalgam. Methods: We randomly selected 124 desnitists and nurses from 7 dental clinics as exposure group, and 78 physicians free of exposure to mercury from other hospitals in the same area as control group. We then examined the level of urine mercury, U-ALB, β2-MG and NAG of the two groups. Results: We failed to found stastistically significant differences of urine mercury and U-ALB between the two groups. Urine β2-MG and ANG were bleow the reference value in both groups, although they were higher in the exposure group than in the control group. Conclusions: Mercury amalgam does not constitue a health risk to profesisionals in dental clinics. However, exposure to volatile free mercury in dental clinics should be controlled to eliminate occupational risk.

关 键 词：银汞合金 口腔内科 医务人员 肾功能 

分 类 号：R135[医药卫生—劳动卫生] R995[医药卫生—公共卫生与预防医学]