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[空气中适度污染物浓度对儿童呼吸道疾病发病率的影响]

[Effect of moderate pollutant concentrations in the air and incidence of respiratory diseases in children].

作者信息

Tatotschenko W K, Nesterenko S W

机构信息

Forschungsinstitut für Pädiatrie der Akademie der Wissenschaften, Moskau, UdSSR.

出版信息

Z Erkr Atmungsorgane. 1990;174(3):185-9.

PMID:2399744
Abstract

In an industrial region respiratory morbidity of children was studied in 3 localities with different levels of air pollution within maximal permissible concentrations (average monthly SO2 0.35 mg/m3, 0.25 mg/m3 and less than 0.15 mg/m3 and correlating concentrations of CO, NO2 and particles). It was shown that acute respiratory morbidity and prevalence of recurrent bronchitis did not correlate with SO2 level and was highest in a big city. There was however a correlation with SO2 level of bronchial asthma prevalence (3.0, 2.7 and 2.1), as well as morbidity with acute bronchitis (45.1, 23.3 and 10.6) and acute obstructive bronchitis (15.0, 5.4 and 2.4)--all figures per 1,000 children. Daily acute respiratory morbidity also did not correlate with peaks of SO2 during 3 preceding days, but acute bronchitis correlated with such peaks 2 days before (r = +0.5). Passive smoking and stove heating were significantly more frequent in families of children with respiratory complaints as compared to those without such complaints. Since these differences were more pronounced in industrial towns than in rural areas, it well may be that industrial pollutants potentiate or aggravate the effect of indoor air pollution.

摘要

在一个工业区,对三个空气污染程度不同但均在最大允许浓度范围内(月平均二氧化硫含量分别为0.35毫克/立方米、0.25毫克/立方米和低于0.15毫克/立方米,同时一氧化碳、二氧化氮和颗粒物浓度也相应不同)的地区的儿童呼吸道发病率进行了研究。结果表明,急性呼吸道发病率和复发性支气管炎的患病率与二氧化硫水平无关,在大城市中最高。然而,支气管哮喘患病率(分别为3.0、2.7和2.1)、急性支气管炎发病率(分别为45.1、23.3和10.6)以及急性阻塞性支气管炎发病率(分别为15.0、5.4和2.4)——均为每1000名儿童中的发病数——与二氧化硫水平存在相关性。每日急性呼吸道发病率也与前三天的二氧化硫峰值无关,但急性支气管炎发病率与前两天的此类峰值相关(r = +0.5)。与没有呼吸道疾病的儿童家庭相比,有呼吸道疾病的儿童家庭中被动吸烟和使用炉灶取暖的情况明显更为常见。由于这些差异在工业城镇比在农村地区更为显著,很可能工业污染物会增强或加剧室内空气污染的影响。

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