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題名:果農的農藥暴露與神經系統的變化探討
書刊名:中華公共衛生雜誌
作者:林明松周淑媛郭乃文賴明亮郭育良 引用關係
出版日期:1995
卷期:14:5
頁次:頁392-399
主題關鍵詞:農業神經疾病農藥AgriculturalPesticideNeurological
原始連結:連回原系統網址new window
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  • 點閱點閱:17
     在農業從業人員中農藥暴露是已知的健康危害之一,而一般果農在使用時又常混 合多種以上不同之農藥,且噴灑時通常無適當防護措施,簡單棉質或紗布口罩及長袖衣物之 防護常不足以保護其健康,農忙時噴灑次數頻繁,常有中毒事件發生,因此針對其暴霞做危 害調查有其意義所在。本研究以臺南縣楠西鄉果農為對象,探討果農農業從業人員長期農藥 暴露對神經系統功能的影響。從 80 年 12 月至 81 年 4 月期間共收集到研究對象 205 人 ,經過濾排除會導致神經病變之危險因子, 計有暴露組果農 109 名和對照組居民 38 人合 計 147 名符合研究條件進入分析。 以問卷及農藥使用手冊調查其使用的農藥種類及每公頃 用藥有成份量劑量並做神經理學和神經電生理學檢查,由多變數迴歸分析結果顯示在果農尺 感覺神經遠端電位振幅及腓腸感覺神經遠端電位振幅上有明顯振幅降低現象出現,其原因可 能因長期受到農藥暴露所引起的輕度慢性神經病變。至於這些病變的臨床意義如何,尚須進 一步研究以探討。
     Exposure to pesticides is known as a health hazard to agricultural workers. Fruit farmers frequently applied combinations of pesticides without adequate work practice, protective equipment and clothing during the operation. We studied the fruit farmers' occupational exposure and neurological effects in Nan-Si town in Tainan County. Questionnarie was used to obtain information of general health, pesticide use, work practice, and the use of protective equipment and clothing. Physical examination was performed for assessing more apparent neurological abonormalities. Nerve conduction velocity, proximal and distal latencies, F-wave latency, and amplitude of evoked potential were measured using a Neurostar MS-92B Complete Clinical EMG System. A total of 109 farmers who had been exposed to pesticides and 38 control subjects from the same town who had nerver applied pesticides participated in the investigation. The fruit farmers used more than a hundred brand names of pesticides, including those reported to cause delayed peripheral neuropathy. during mixing and application of pesticides, and harvesting the fruits, protective equipment or clothing was not used adequately. In the sensory nerve studies, the exposed group had reduced distal amplitude in ulnar and sural nerves compared with the controls. We conlcude that fruit farmers had work exposure to many kinds of pesticides and had changes in peripheral nervous system compared with the controls by nerve conduction studies.
期刊論文
1.陳榮基(19780400)。中國人運動神經傳導速度的正常值。臺灣醫學會雜誌,77(4),394-401。  延伸查詢new window
2.Jager, K. W.、Robert, D. V.、Wilson, A.(1970)。Neuromuscslar function in pesticidee workers。Brit J. Indust Med.,27,1273-1278。  new window
3.Chang, Y. C.(1991)。An electrohysiological follow up of Patients with n-hexane polyneuropathy。Br J. Ind. Med.,48,12-17。  new window
4.Huang, C. C.、Chu, N. S.、Cheng, S. Y.、Shin, T. S.(1989)。Biphasic recovery in n-hexane polyneuropathy。Acta Neurol Scand,80,610-615。  new window
5.Grieshop, J. I.(1989)。Agricultural pesticide accidents and prevention in Ecuador。Accident A nalysis and Prevention,21(4),394-398。  new window
6.Howard, J. K.、Sabapathy, N. N.、Whitehead, P. A.(1981)。A study of the health of Malaysian plantation workers with particular reference to paraquat spraymen。Brit J. Indust Med.,38(2),110-116。  new window
7.Igbedioh, S. O.(1991)。Effects of agricultural pesticides on humans, animals, and higher plants in developing countries。Arch Environ Health,46(4),218-224。  new window
8.Ruijten, M. W.、Salle, H. J. A.、Verberk, M. M.、Smink, M.(1994)。Effect of chronic mixed pesticide exposure on peripheral and autonomic nerve function。Arch Environ Health,49(3),188-195。  new window
9.Wang, J. D.、Chang, Y. C.、Kao, K. P.、Huang, C. C.、Lin, C. C.、Yeh, W. Y.(1986)。An outbreak of n-hexane in duced polyneuropathy among press printing workers in Taipei。Am J. Ind. Med.,10,111-228。  new window
會議論文
1.Chen, S. S.、Chen, T. J.、Chiang, H. C.、Huang, J. J.(1993)。Toxic neurological disease in Taiwan。The International Conference on Peripheral Nerve Toxicity,67-71。  new window
學位論文
1.Henriksen, J. D.(1956)。Conduction velocity of motor nerves in normal subjects and patients with neuromuscular disorders(博士論文)。Mayo Foundation Graduate School of the University of Minnesota。  new window
圖書
1.朱復禮(1991)。臨床神經醫學。臺北:合記。  延伸查詢new window
2.台灣省政府農林廳(1991)。台灣農業年報。  延伸查詢new window
3.王榮德(1990)。農藥危害之預防‧公害與疾病。台北:健康世界雜誌社。  延伸查詢new window
4.Hammer, K.、Wilbourn, A. J.(1982)。Nerve Conduction Studies。台北:華榮圖書有限公司。  延伸查詢new window
5.Cohen, H. L.、Brumlik, J.(1968)。A Manual of Electr neuromyography。New York:Haper & Row。  new window
6.陳榮基(1982)。臨床神經學。台北:華榮圖書有限公司。  延伸查詢new window
圖書論文
1.Estnn, W. J.、Parry, G. J.(1990)。Neurotoxicology。Occupational Medicine。Norwalk:Appleton & Lange。  new window
 
 
 
 
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