Department of Thoracic Surgery, Fukuoka University, School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Surg Today. 2011 Oct;41(10):1380-4. doi: 10.1007/s00595-010-4482-y.
There has been speculation that weather changes correlate with the incidence of spontaneous pneumothorax, although this has not been verified. Moreover, there are no significant data available on the meteoropathic pneumothorax in Asia. The aim of this study was to investigate the possible correlation and to compare our results to those of the United States and Europe.
From January 2000 to December 2009, 317 spontaneous pneumothorax cases with clear dates of onset were treated in our institution. Using the meteorological data of Fukuoka, Japan, the days with and without an occurrence of pneumothorax were statistically compared in terms of atmospheric pressure, the amount of precipitation, temperature, humidity, hours of sunshine, and occurrence of a typhoon and lightning.
Multivariate analysis revealed that a decrease in the hours of sunshine, an increase in mean temperatures 2 days before the incidence, and the days following a day with lightning were all significantly correlated with the occurrence of pneumothorax (P = 0.2 days before the incidence, and the days following a day with lightning were all significantly correlated with the occurrence of pneumothorax (P = 0.0083, 0.0032, 0.0351, respectively). However, typhoons, as an "unusual" weather condition, did not influence the incidence of pneumothorax (P = 0.983).
Our results show strong similarities with reports from European countries despite the different climates. We conclude that the occurrence of pneumothorax appears to correlate with some weather conditions in Japan.
有人推测天气变化与自发性气胸的发病率有关,但这尚未得到证实。此外,亚洲尚无关于气象性气胸的重要数据。本研究旨在探讨其可能的相关性,并将我们的结果与美国和欧洲的结果进行比较。
从 2000 年 1 月至 2009 年 12 月,我院共收治 317 例自发性气胸患者,其发病日期明确。利用日本福冈市的气象资料,统计比较气胸发生日和无气胸发生日的大气压、降水量、温度、湿度、日照时数、台风和闪电的发生情况。
多变量分析显示,日照时数减少、发病前 2 天平均气温升高以及有闪电的日子后的日子均与气胸的发生显著相关(P=0.0083、0.0032、0.0351,分别)。然而,台风作为一种“异常”天气条件,并不影响气胸的发病率(P=0.983)。
尽管气候不同,但我们的结果与欧洲国家的报告有很强的相似性。我们得出结论,气胸的发生似乎与日本的某些天气条件有关。