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[宁波市鄞州区颗粒物与冠心病每日住院就诊情况的时间序列分析]

[Time-series analysis of particulate matter and daily hospital visits for coronary heart disease in Yinzhou district, Ningbo area].

作者信息

Ye Zhenhua, Zheng Peiwen, Shen Peng, Zhang Zhenyu, Lu Huaichu, Jin Mingjuan, Lin Hongbo, Wang Jianbing, Chen Kun

机构信息

Department of Epidemiology, School of Public Health, Zhejiang University, Hangzhou 310058, China; Air Pollution and Health Research Center of Zhejiang University, Hangzhou 310058, China.

Center for Disease Control and Prevention of Yinzhou District, Ningbo 315100, China.

出版信息

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2016 May 25;45(6):607-613. doi: 10.3785/j.issn.1008-9292.2016.11.08.

Abstract

To explore the association between particulate matter (PM) and daily hospital visits of coronary heart diseases in Ningbo. Daily data of hospital visits from January 2014 to June 2015 (516 days in total) were obtained from the Yinzhou Health Information System in Ningbo. Daily air pollution data for PM and meteorological data were collected from the database of Ningbo Environmental Monitoring Center and Ningbo Meteorological Bureau. Time-series analysis by quasi-Poisson generalized additive model was used to examine the association between air pollution and hospital visits for coronary heart diseases by adjustment of long-term trends, seasonal patterns and meteorological variables (temperature, humidity), and day of week. An increase of an IQR of PM accounted for 1.98% (95%:-0.59%-4.63%) increase of hospital visits for coronary heart diseases. The associations between PM and hospital visits for coronary heart diseases among female and the elderly (≥75 years) were stronger (=2.70%,95% :0.01%-5.47%; =3.35%, 95% 0.12%-6.69%). The effects of PM attenuated after adjustment for PM PM had short-term effects on daily hospital visits for coronary heart diseases in Ningbo, and such association was stronger among female and the elderly.

摘要

为探究宁波市颗粒物(PM)与冠心病每日住院人次之间的关联。从宁波市鄞州健康信息系统获取了2014年1月至2015年6月(共516天)的每日住院数据。从宁波市环境监测中心数据库和宁波市气象局收集了PM的每日空气污染数据及气象数据。采用准泊松广义相加模型进行时间序列分析,通过调整长期趋势、季节模式、气象变量(温度、湿度)和星期几来检验空气污染与冠心病住院人次之间的关联。PM的四分位间距每增加一个单位,冠心病住院人次增加1.98%(95%置信区间:-0.59% - 4.63%)。女性和老年人(≥75岁)中PM与冠心病住院人次之间的关联更强(分别为2.70%,95%置信区间:0.01% - 5.47%;3.35%,95%置信区间:0.12% - 6.69%)。调整PM 后,PM的影响减弱。PM对宁波市冠心病每日住院人次有短期影响,且这种关联在女性和老年人中更强。

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Acute effect of ambient air pollution on heart failure in Guangzhou, China.中国广州环境空气污染对心力衰竭的急性影响。
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