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风力发电场对健康的影响。

Health impact of wind farms.

作者信息

Kurpas Donata, Mroczek Bozena, Karakiewicz Beata, Kassolik Krzysztof, Andrzejewski Waldemar

机构信息

Family Medicine Department, Wroclaw Medical University, Poland; Public Higher Medical Professional School in Opole, Poland.

出版信息

Ann Agric Environ Med. 2013;20(3):595-604.

Abstract

INTRODUCTION AND OBJECTIVE

Wind power is employed worldwide as an alternative source of energy. At the same time, however, the health effects of wind turbines have become a matter of discussion. The purpose of this study is a critical review of available reports providing arguments both for and against the construction of wind farms. The authors also attempt to propose recommendations in accordance with the Evidence-Based Medicine (EBM) guidelines. In the case of exposure to wind farms, a randomized controlled trial (RCT) is impossible. To obtain the highest-level recommendations, analysis of case-control studies or cohort studies with control groups should be performed. Preferably, it should include geostatistical analysis conducted with the use of variograms and the kriging technique. Combinations of key words were entered into the Thomson Reuters Web of Knowledge (SM) and the Internet search engine Google. SHORT DESCRIPTION OF STATE OF THE ART: The nuisance caused by wind turbines is stereotypically linked with the noise that they produce. Nevertheless, the visual aspect of wind farms, opinions about them, and sensitivity to sound seem to be of the greater importance. To date, the direct correlations between the vicinity of modern wind farms, the noise that wind turbines make, and possible consequences to health have not been described in peer reviewed articles. Health effects are more probably associated with some environmental factors leading to annoyance or frustration. All types of studies share the same conclusion: wind turbines can provoke annoyance. As with any project involving changes in the local environment, a certain level of irritation among the population can be expected. There are elected officials and government representatives who should decide what level of social annoyance is acceptable, and whether wind power advantages outweigh its potential drawbacks. The influence of wind turbines on human emotional and physical health is a relatively new field of research. Further analyses of these issues are justified, especially because none of the studies published in peer-reviewed journals so far meet the criteria for cohort or case-control studies.

SUMMARY

Due to methodology, currently available research results do not allow for higher than C-level recommendations. In the case of wind farms, the ideal types of research would be: a retrospective observation of a particular group of residents before and after the wind farm construction, case-control studies or cohort studies with control groups matched in respect of socioeconomic factors, predisposition for chronic diseases, exposure to environmental risk factors, and only one variable which would differentiate cases from controls--the distance between place of residence and a wind farm.

摘要

引言与目的

风力发电在全球范围内被用作一种替代能源。然而,与此同时,风力涡轮机对健康的影响已成为一个讨论的话题。本研究的目的是对现有报告进行批判性综述,这些报告为风力发电场的建设提供了支持和反对的论据。作者还试图根据循证医学(EBM)指南提出建议。在接触风力发电场的情况下,随机对照试验(RCT)是不可能的。为了获得最高级别的建议,应进行病例对照研究或有对照组的队列研究分析。最好,这应包括使用变异函数和克里金技术进行的地质统计分析。将关键词组合输入汤森路透知识网络(SM)和互联网搜索引擎谷歌。

现有技术水平简述

风力涡轮机造成的滋扰通常与它们产生的噪音有关。然而,风力发电场的视觉方面、人们对它们的看法以及对声音的敏感度似乎更为重要。迄今为止,同行评审文章中尚未描述现代风力发电场附近、风力涡轮机产生的噪音与对健康可能产生的后果之间的直接关联。健康影响更可能与一些导致烦恼或沮丧的环境因素有关。所有类型的研究都有相同的结论:风力涡轮机可能会引发烦恼。与任何涉及当地环境变化的项目一样,可以预期会在人群中引起一定程度的恼怒。有民选官员和政府代表应决定社会可接受的恼怒程度,以及风力发电的优势是否超过其潜在弊端。风力涡轮机对人类情绪和身体健康的影响是一个相对较新的研究领域。对这些问题进行进一步分析是合理的,特别是因为迄今为止在同行评审期刊上发表的研究均未符合队列研究或病例对照研究的标准。

总结

由于方法学原因,目前可得的研究结果不允许做出高于C级的建议。对于风力发电场,理想的研究类型应为:对特定居民群体在风力发电场建设前后的回顾性观察、病例对照研究或有对照组的队列研究,对照组在社会经济因素、慢性病易感性、接触环境风险因素方面进行匹配,且只有一个变量可区分病例与对照——居住地与风力发电场之间的距离。

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