ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-056 预防医学研究 2025, 1(06): 69-72

基于2668样本分析苯系物暴露情况与外周血细胞计数的相关性

海安市疾病预防控制中心

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摘要

目的 本研究旨在对苯系物暴露情况与外周血细胞计数进行相关性分析。方法 本研究选取2022年1月至2022年12月海安市接触苯系物的职业人群参加职业健康检查的健康检查数据进行研究,将其按照暴露于苯、甲苯、二甲苯、苯乙烯4种物质的种类数分为两组,暴露两种以上的作为研究组(n=1 334),暴露两组及两组以下的作为对照组(n=1 334)。采用t检验或卡方检验对苯系物暴露对各细胞计数的影响进行组间比较,采用GraphPad Prism 8对数据进行受试者工作特征曲线(ROC)分析,采用Spearman相关性分析法对苯系物的暴露与各细胞计数水平的相关性进行分析。结果 研究组的单核细胞计数、白细胞计数、中性粒细胞计数较对照组显著降低,淋巴细胞计数显著增高,差异有统计学意义(P<0.001)。单核细胞数(r=-0.69)、白细胞数(r=-0.95)、中性粒细胞数(r=-0.86)与苯系物的暴露水平呈负相关,淋巴细胞数(r=0.63)与苯系物暴露水平呈正相关。单核细胞计数ROC曲线下面积(AUC)为0.647;白细胞计数的AUC为0.871;中性粒细胞计数的AUC为0.917;淋巴细胞计数的AUC为0.785。结论 苯系物暴露会降低单核细胞计数、白细胞计数及中性粒细胞计数水平,而诱导淋巴细胞计数水平升高。

Abstract

Objective This study aims to analyze the correlation between exposure to benzene series substances and peripheral blood cell counts. Methods This study selected the occupational health examination data of the occupational population exposed to benzene series substances in Haian City from January 2022 to December 2022 for research. They were divided into two groups according to the number of types of substances exposed to, namely benzene, toluene, xylene and styrene. Those exposed to more than two types were classified as the study group(n=1 334), and those exposed to two types or less were classified as the control group(n=1 334). The t-test or chi-square test was used to compare the effects of benzene series exposure on the counts of each cell between groups. Receiver operating characteristic curve(ROC) analysis was performed on the data using GraphPad Prism 8. The Spearman correlation analysis method was used to analyze the correlation between the exposure to benzene series substances and the count levels of each cell. Results The monocyte count, white blood cell count and neutrophil count in the study group were significantly lower than those in the control group, while the lymphocyte count was significantly higher. The differences were statistically significant(P<0.001). The number of monocytes(r=-0.69), the number of white blood cells(r=-0.95), and the number of neutrophils(r=-0.86) were negatively correlated with the exposure level of benzene series, while the number of lymphocytes(r=0.63) was positively correlated with the exposure level of benzene series. The area under the ROC curve of monocyte count(AUC) was 0.647. The AUC of white blood cell count was 0.871. The AUC of neutrophil count was 0.917. The AUC of lymphocyte count was 0.785. Conclusion Exposure to benzene series substances can reduce the levels of monocyte count, white blood cell count and neutrophil count, while inducing an increase in lymphocyte count.

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[1]嵇晓玲.基于2668样本分析苯系物暴露情况与外周血细胞计数的相关性[J].疾病预防与控制,2025,1(06):69-72.