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气象因素和空气污染对韩国釜山健康保险索赔数据中突发性感觉神经性听力损失的影响

Effects of meteorological factor and air pollution on sudden sensorineural hearing loss using the health claims data in Busan, Republic of Korea.

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University College of Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.

Department of Statistics, Pukyong National University, Busan, Republic of Korea.

出版信息

Am J Otolaryngol. 2019 May-Jun;40(3):393-399. doi: 10.1016/j.amjoto.2019.02.010. Epub 2019 Feb 18.

Abstract

PURPOSE

Specific meteorological factors, including air pollution in the form of particulate matter (PM), affect the development of otologic disease and have adverse effects on the cardiovascular and respiratory systems. This study investigated relationships between the development of sudden sensorineural hearing loss(SSNHL) and meteorological factor with air pollution including PM.

MATERIALS AND METHODS

The daily patient number in 2015 admitted to the hospital with SSNHL were extracted from the Health Insurance Review and Assessment Service Bigdata in Busan. The meteorological factors and air pollution data of Busan area were obtained from meteorological stations in Busan. The relationship between the number of hospitalizations and the climatic factors was checked.

RESULTS

SSNHL patient group showed more common in women, and the highest rates were observed in patients in their 50s. The daily mean patient numbers were 2.27. The number of SSNHL patients in spring was statistically significantly higher than that in summer. The mean daily PM10 and PM2.5 concentrations were 48.0 and 29.4 μg/m, respectively. The mean wind speed, maximum wind speed and daily atmospheric pressure range was weakly positively associated with SSNHL patient number. There were weak negative correlations between maximum PM2.5 and SSNHL admissions. The mean temperature and wind chill index showed non-significantly negative relationships with SSNHL admissions.

CONCLUSIONS

In Busan area, statistically significant weak relationships were detected between the daily numbers of patients admitted to the hospital with SSNHL and meteorological data, including PM level. Further investigation of these associations is required.

摘要

目的

特定的气象因素,包括以颗粒物(PM)形式存在的空气污染,会影响耳科疾病的发展,并对心血管和呼吸系统产生不利影响。本研究调查了突发性聋(SSNHL)的发展与气象因素和包括 PM 在内的空气污染之间的关系。

材料和方法

从釜山健康保险审查和评估服务大数据中提取了 2015 年因 SSNHL 住院的每日患者人数。从釜山气象站获得了釜山地区的气象因素和空气污染数据。检查了住院人数与气候因素之间的关系。

结果

SSNHL 患者组中女性更为常见,发病率最高的是 50 多岁的患者。每日平均患者人数为 2.27。SSNHL 患者春季的人数明显高于夏季。PM10 和 PM2.5 的日平均浓度分别为 48.0 和 29.4μg/m。平均风速、最大风速和每日大气压范围与 SSNHL 患者人数呈弱正相关。最大 PM2.5 与 SSNHL 入院人数呈弱负相关。平均温度和风寒指数与 SSNHL 入院人数呈非显著负相关。

结论

在釜山地区,检测到与气象数据(包括 PM 水平)相关的每日 SSNHL 住院患者人数之间存在统计学上的弱相关关系。需要进一步调查这些关联。

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