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气象因素对肺结核发病率的影响:基于中医五运六气理论的15年回顾性研究

Effect of meteorological factors on incidence of tuberculosis: A 15-year retrospective study based on Chinese medicine theory of five circuits and six qi.

作者信息

Zhang Xuan, Hao Yu, Fei Zhan-yang, He Juan

机构信息

School of Basic Medicial Science, Beijing University of Chinese Medicine, Beijing, 100029, China.

出版信息

Chin J Integr Med. 2015 Oct;21(10):751-8. doi: 10.1007/s11655-015-2319-7. Epub 2015 Nov 3.

Abstract

OBJECTIVE

To analyze the correlations between the incidence of tuberculosis and meteorological factors over the same period and previous periods including 1, 2 and 3 years ago, defined according to the Chinese medicine theory of five circuits (Wu Yun) and six qi, to establish medical-meteorological forecast models for the Beijing area of China.

METHODS

Data regarding the incidence of tuberculosis between 1990 and 2004 were obtained from the Beijing Center for Disease Control and Prevention, and the data regarding the meteorological factors (including daily average temperatures, wind speeds, precipitations, relative humidities, vapor pressures and low cloud covers) between 1987 and 2004 were collected from the Beijing Meteorological Observatory and analyzed. Descriptive statistics and a back-propagation artificial neural network were adopted to analyze the data.

RESULTS

There were significant correlations between the incidence of tuberculosis and the meteorological factors in the corresponding year and previous years. Among these correlations, wind speed was the factor with the strongest influence on tuberculosis (the standardized significance was 100%). Additionally, all prediction models would successfully established, suggesting the use of a collection of meteorological factors spanning from three years ago to the present is superior to the use of single data.

CONCLUSIONS

The incidence of tuberculosis in Beijing area is correlated to meteorological factors in the current year and previous years, which verifies the practicality of the theory of five circuits and six qi.

摘要

目的

根据中医五运六气理论,分析同期及包括1年、2年和3年前的前期肺结核发病率与气象因素之间的相关性,建立中国北京地区的医学气象预测模型。

方法

从北京市疾病预防控制中心获取1990年至2004年肺结核发病率数据,并从北京气象观测站收集1987年至2004年气象因素(包括日平均气温、风速、降水量、相对湿度、水汽压和低云量)数据并进行分析。采用描述性统计和反向传播人工神经网络对数据进行分析。

结果

肺结核发病率与当年及前几年的气象因素之间存在显著相关性。在这些相关性中,风速是对肺结核影响最强的因素(标准化显著性为100%)。此外,所有预测模型均成功建立,表明使用从三年前到现在的一系列气象因素优于使用单一数据。

结论

北京地区肺结核发病率与当年及前几年的气象因素相关,验证了五运六气理论的实用性。

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