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预防医学  2026, Vol. 38 Issue (9): 958-962,962    DOI: 10.19485/j.cnki.issn2096-5087.2026.09.021
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
河南省城市污水8种抗抑郁药物污染及来源分析
张欣烨1, 赵秋艳1, 马泽乾2, 马小焱1, 吕玲双3, 张杰1, 韩志伟1
1.河南省疾病预防控制中心,河南 郑州 450016;
2.周口市疾病预防控制中心,河南 周口 466000;
3.湖南省疾病预防控制中心,湖南 长沙 410153
Pollution and source of eight antidepressants in municipal wastewater of Henan Province
ZHANG Xinye1, ZHAO Qiuyan1, MA Zeqian2, MA Xiaoyan1, LÜ Lingshuang3, ZHANG Jie1, HAN Zhiwei1
1. Henan Provincial Center for Disease Control and Prevention, Zhengzhou, Henan 450016, China;
2. Zhoukou Center for Disease Control and Prevention, Zhoukou, Henan 466000, China;
3. Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan 410153, China
全文: PDF(888 KB)  
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摘要 目的 分析河南省城市污水中8种抗抑郁药物的质量浓度、污染分布和来源,为区域水环境药物污染治理提供依据。方法 于2025年5—10月,采集河南省郑州市、洛阳市和周口市6座生活污水处理厂进水口和2所精神病专科医院污水排放口污水样品48份。采用超高效液相色谱-串联质谱法测定8种抗抑郁药物的质量浓度,内标法定量;采用主成分分析法计算方差贡献率,分析不同污染来源污水中抗抑郁药物的组分差异和来源。结果 生活污水处理厂进水口污水中8种抗抑郁药物均有检出,平均质量浓度为55.9 ng/L,以西酞普兰、舍曲林和文拉法辛为主,平均质量浓度分别为17.1、10.7和10.2 ng/L,占比为30.6%、19.1%和18.2%;文拉法辛检出率达100.0%,其他药物检出率为2.8%~83.3%。精神病专科医院污水排放口污水中8种抗抑郁药物均有检出,平均质量浓度为2 784.3 ng/L,以文拉法辛、西酞普兰为主,平均质量浓度分别为1 639.7、703.6 ng/L,占比分别为58.9%、25.3%;文拉法辛、西酞普兰检出率达100.0%,其他药物检出率为50.0%~91.7%。主成分分析结果显示,生活污水处理厂进水口污水中8种抗抑郁药物PC1的方差贡献率为62.5%,8种抗抑郁药物在PC1上均呈正载荷,其中西酞普兰、帕罗西汀和度洛西汀载荷较高。精神病专科医院污水排放口污水中8种抗抑郁药物PC1的方差贡献率为53.6%,8种抗抑郁药物在PC1上均呈负载荷,其中舍曲林、西酞普兰和文拉法辛载荷较高。结论 河南省6座生活污水处理厂进水口污水和2所精神病专科医院污水排放口污水中8种抗抑郁药物均有检出,以文拉法辛、西酞普兰为主。
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张欣烨
赵秋艳
马泽乾
马小焱
吕玲双
张杰
韩志伟
关键词 : 抗抑郁药物,  生活污水,  医院污水,  主成分分析,  超高效液相色谱-串联质谱法    
Abstract:Objective To analyze the mass concentration, pollution distribution and source of eight antidepressants in municipal wastewater in Henan Province, so as to provide evidence for the control of pharmaceutical pollution in regional water environment. Methods From May to October 2025, a total of 48 wastewater samples were collected from the inlets of six domestic wastewater treatment plants and the discharge outlets of two psychiatric specialty hospitals in Zhengzhou City, Luoyang City and Zhoukou City of Henan Province. The mass concentrations of eight antidepressants were determined by ultra-high performance liquid chromatography-tandem mass spectrometry, and quantified using the internal standard method. Principal component analysis was used to calculate the variance contribution rate, and the component differences and source of antidepressants in wastewater from different pollution sources were analyzed. Results Eight antidepressants were detected in the inlet wastewater of domestic wastewater treatment plants, with an average mass concentration of 55.9 ng/L. Citalopram, sertraline and venlafaxine were the predominant compounds, with average mass concentrations of 17.1 ng/L, 10.7 ng/L and 10.2 ng/L, accounting for 30.6%, 19.1% and 18.2%, respectively. The detection rate of venlafaxine reached 100.0%, while the detection rates of other compounds ranged from 2.8% to 83.3%. Eight antidepressants were detected in the wastewater from the sewage discharge outlets of psychiatric specialized hospitals, with an average mass concentration of 2 784.3 ng/L. Venlafaxine and citalopram were the dominant compounds, with average mass concentrations of 1 639.7 ng/L and 703.6 ng/L, accounting for 58.9% and 25.3%, respectively. The detection rates of venlafaxine and citalopram were both 100.0%, and the detection rates of the remaining compounds ranged from 50.0% to 91.7%. Principal component analysis showed that the variance contribution rate of PC1 for the eight antidepressants in the inlet wastewater of domestic wastewater treatment plants was 62.5%. All eight antidepressants had positive loadings on PC1, among which citalopram, paroxetine and duloxetine showed higher loadings. The variance contribution rate of PC1 for the eight antidepressants in the wastewater from the sewage discharge outlets of psychiatric specialized hospitals was 53.6%. All eight antidepressants had negative loadings on PC1, and sertraline, citalopram and venlafaxine had relatively high loadings. Conclusions All eight antidepressants were detected in the inlet wastewater samples from 6 domestic wastewater treatment plants and the sewage discharge outlets of 2 psychiatric specialized hospitals in Henan Province, with venlafaxine and citalopram as the predominant compounds.
Key words: antidepressant    domestic wastewater    hospital wastewater    principal component analysis    ultra-performance liquid chromatography-tandem mass spectrometry
收稿日期: 2026-06-08      修回日期: 2026-09-04     
中图分类号:  R12  
基金资助:河南省科技发展计划科技攻关项目(242102310160); 河南疾控科技攻关专项计划项目(HNCDCYC202561); 河南省医学科技攻关计划联合共建项目(LHGJ20260166)
作者简介: 张欣烨,硕士,副主任技师,主要从事环境健康危害因素监测和理化检验等工作
通信作者: 韩志伟,E-mail:cnhnhzw@163.com   
引用本文:   
张欣烨, 赵秋艳, 马泽乾, 马小焱, 吕玲双, 张杰, 韩志伟. 河南省城市污水8种抗抑郁药物污染及来源分析[J]. 预防医学, 2026, 38(9): 958-962,962.
ZHANG Xinye, ZHAO Qiuyan, MA Zeqian, MA Xiaoyan, LÜ Lingshuang, ZHANG Jie, HAN Zhiwei. Pollution and source of eight antidepressants in municipal wastewater of Henan Province. Preventive Medicine, 2026, 38(9): 958-962,962.
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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2026.09.021      或      https://www.zjyfyxzz.com/CN/Y2026/V38/I9/958
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