연 취급 근로자들의 혈색소치의 변동

Hemoglobin Concentration in Female Workers of Occupational Exposure to Lead

연 폭로에 의한 조혈기능의 장해정도를 파악하고 연중독 환자를 조기에 발견하기 위하여 1985년 8월부터 1년간 경상북도 구미공단내 5개 산업장의 연취급 여성근로자 284명과 대조군 123명을 대상으로 혈중 연량콰 혈색소량을 측정하여 얻은 성적을 분석한 결과 다음과 같다. 연 취급 근로자의 평균연령은 $20.3{\pm}2.9$세이었고 대조군의 평균연령은 $21.1{\pm}3.5$세이었으며, 연작업자의 평균 근속기간은 $26.46{\pm}19.26$개월이었다. 연 취급 근로자의 평한 혈중연량은 $30.11{\pm}6.61{\mu}g/100ml$이었고 대조군의 경우 $21.86{\pm}3.75{\mu}g/100ml$로 두군 모두 정상범외내였으나, 폭로군이 대조군에 비해 유의하게 (P<0.01) 높았다. 연 취급 근로자의 평균 혈색소량은 $14.00{\pm}0.57g/100ml$이었고 대조군의 경우 $14.03{\pm}0.64g/100ml$로 정상치를 나타내었다. 혈색소치 12g/100ml이하는 한사람도 없었으며, 12.0~13.0g/100ml경우는 연 취급근로자에서 4.5%로 나타났다. 혈중 연량과 빈혈과의 용량-반응관계, 연령 및 근속기간과 혈중연량 및 혈색소치와의 사이에 유의한 상관관계를 관찰할 수 없었다. 이상의 성적으로 보아 작업장의 연 허용기준치를 넘지 않으면 장기간 근무하여도 연 중독의 피해가 없는 것으로 판단되기 때문에 작업장의 위생공학적인 환경관리가 무엇보다도 중요하다고 본다.

This study was conducted to evaluate the effects of lead on the incidence of anemia and to find cases with lead poisoning early among female workers who have been exposed to lead occupationally, for one year from August, 1985. The level of blood lead and hemoglobin concentration were observed for 284 female lead workers and 123 female non-lead workers of industries in the Gumi industrial complex in Kyungpook Province. The average age was $20.3{\pm}2.9$years and $21.1{\pm}3.5$ years in lead workers and non-lead workers, respectively. The average working duration was $26.46{\pm}19.26$ months in lead workers. The mean value of blood lead was $30.11{\pm}6.61{\mu}g/100ml$ and $21.86{\pm}3.75{\mu}g/100ml$ in lead workers and non-lead workers, respectively. There were significant differences between two groups. The mean value of hemoglobin concentration was $14.00{\pm}0.57g/100ml$ and $14.03{\pm}0.64g/100ml$ in lead workers and non-lead workers, respectively. Anemia cases were not observed at Hb concentration below 12g/100ml. The percentages of lead workers at Hb concentration ranged 12.0~13.0g/100ml were 4.5%. There was no dose-response relationship between blood lead level and the incidence of anemia. There were no remarkable differences between age and blood lead level as well as Hb concentration, and between working duration and the level of blood lead and hemoglobin.