职业暴露农药喷洒者血清甲状腺激素和生殖激素水平的变化

Nimra Naveed, Uswa Javed, B. Fatima, Usama Atiq, Shaaf Ahmad, Kaleem Maqsood, M. A. Iqbal, N. Roohi
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摘要

背景:农药含有内分泌干扰化学物质,有可能干扰正常的甲状腺和生殖激素轴。本研究的目的是评估职业暴露农药喷洒者血清三碘甲状腺原氨酸(T3)、四碘甲状腺原氨酸(T4)、促甲状腺激素(TSH)和睾酮水平与对照组的变化。方法:在巴基斯坦旁遮普省南部Layyah区采集农药喷洒员血液样本50例。健康对照样本(n=25)来自拉合尔旁遮普大学。ELISA法测定血清T3、T4、TSH、睾酮水平。所得资料采用unpaired Student“t”检验,P < 0.05。采用graphpad prism 6.0版软件进行统计解译。结果:与对照组相比,喷雾剂组T3和T4明显降低(P < 0.0001),而TSH水平显著升高(P = 0.005)。此外,与对照组相比,农药喷雾器中睾酮水平显著降低(P < 0.001)。结论:农药是诱导T3、T4、TSH和睾酮分泌失衡的有力来源。因此,建议农药喷雾器使用戴口罩等预防措施,并选择更安全的方案,以避免直接接触内分泌干扰化学物质的危险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Alterations in serum Thyroid and Reproductive hormone levels in occupationally exposed pesticides sprayers
Background: Pesticides contain endocrine disrupting chemicals that have potential to perturb the normal thyroid and reproductive hormone axis. The aim of present study was to estimate the variations in serum tri-iodothyronine (T3) tetra-iodothyronine (T4) thyroid stimulating hormone (TSH) and testosterone levels in occupationally exposed pesticide sprayers in comparison to controls. Methods: For this purpose, blood samples of (n=50) pesticide sprayers were collected from District Layyah, south Punjab, Pakistan. Whereas, samples (n=25) of healthy control subjects were obtained from University of the Punjab, Lahore. Levels of T3, T4, TSH and testosterone in the serum were estimated by ELISA technique. The data obtained was analyzed by applying Un-paired Student “t” test at with significance level of P < 0.05. Graph pad prism version 6.0 software was utilized for statistical interpretation. Results: Pronounced (P < 0.0001) decrease of both T3 and T4, whereas, a significant increase in TSH (P = 0.005) level was evidenced in pesticide sprayers as compared to controls. Moreover, a significant decrease (P < 0.001) was noted in the level of testosterone in pesticide sprayers as compared to controls. Conclusion: Pertinently, the pesticides are a potent source of inducing imbalances in T3, T4, TSH, and testosterone secretion. Pesticide sprayers are, therefore, recommended to use prophylactic measures like wearing face masks and opt safer protocols in order to avoid direct hazardous exposure to endocrine disrupting chemicals.
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