在慢性病中,家用水有和血液学毒性作用
John Danziger1, Joanna Willetts2, John Larkin2
1Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
JAMA internal medicine
|May 28, 2024
概括
常见的家庭用水暴露与晚期病患者的血液毒性有关. 这表明,即使在环境中含量低,敏感人群中也存在潜在的中毒风险.
科学领域:
- 环境健康 环境健康
- 腎臟病學 (nephrology) 是一種醫學.
- 毒理学 毒理学 毒理学
背景情况:
- 低水平的环境暴露,在美国家庭用水中很常见,对健康的影响不清楚.
- 晚期病患者特别容易受到环境毒素的影响.
研究的目的:
- 研究常见家庭用水中的含量与晚期病患者血液毒性之间的关联.
- 评估一个脆弱的患者群体中中毒的风险.
主要方法:
- 在2017-2021年间,对6404名接受透析的患者进行了横截面分析.
- 家庭用水中的度与EPA值相比进行了测量.
- 血液学结果包括红色素形成刺激剂 (ESA) 剂量和血红蛋白水平.
主要成果:
- 12%的患者有可测量的家庭用水.
- 较高的含量与增加的ESA剂量和更高的抗性指数相关.
- 在家庭含量较高的患者中观察到较低的血红蛋白度,特别是那些铁缺乏症患者.
结论:
- 美国饮用水中常见的含量可能与晚期病患者的血液毒性有关.
- 研究结果表明,由于环境中的暴露,敏感人群中存在潜在的中毒风险.
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