Akyıl Mustafa, Tezel Çağatay, Evman Serdar, Tokgöz Akyıl Fatma, Vayvada Mustafa, Bayram Serkan, Ocakcıoğlu İlhan, Baysungur Volkan, Yalçınkaya İrfan
Department of Thoracic Surgery, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey.
Department of Chest Diseases, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jul 3;26(3):436-440. doi: 10.5606/tgkdc.dergisi.2018.15494. eCollection 2018 Jul.
This study aims to investigate the relationship between meteorological changes and the development of primary spontaneous pneumothorax.
Medical records of 1,097 patients ( 975 males, 122 females; mean age 23.5±4.2 years; range, 17 to 32 years) admitted to our hospital with a diagnosis of primary spontaneous pneumothorax between January 2010 and January 2014 were evaluated retrospectively. Daily mean values for air temperature, wind speed, humidity rate and atmospheric pressure values obtained from the local meteorological observatory were recorded. The four-year study period was separated into two groups as days with at least one primary spontaneous pneumothorax development (group 1) and days without any primary spontaneous pneumothorax development (group 2).
Within the study period of a total of 1,461 days, 1,097 cases were recorded in 759 days during which primary spontaneous pneumothorax was observed. Eighty-nine percent of the patients were male. There was no significant difference between the groups in terms of mean air temperature, humidity rate, and wind speed. Atmospheric pressure was significantly lower in group 1 (p<0.001). Decrease in atmospheric pressure with respect to the previous day increased the risk of primary spontaneous pneumothorax development significantly (p<0.001).
In our study, low atmospheric pressure and significant pressure decreases showed a strong correlation with primary spontaneous pneumothorax. Temperature, wind speed, and humidity values did not influence primary spontaneous pneumothorax development.
本研究旨在调查气象变化与原发性自发性气胸发病之间的关系。
回顾性评估2010年1月至2014年1月期间我院收治的1097例诊断为原发性自发性气胸的患者（975例男性，122例女性；平均年龄23.5±4.2岁；范围17至32岁）的病历。记录从当地气象观测站获取的每日平均气温、风速、湿度率和大气压力值。将四年的研究期分为两组，即至少有一例原发性自发性气胸发病的日子（第1组）和无任何原发性自发性气胸发病的日子（第2组）。
在总共1461天的研究期内，759天记录了1097例原发性自发性气胸病例。89%的患者为男性。两组在平均气温、湿度率和风速方面无显著差异。第1组的大气压力显著较低（p<0.001）。相对于前一天大气压力的降低显著增加了原发性自发性气胸发病的风险（p<0.001）。
在我们的研究中，低大气压力和显著的压力降低与原发性自发性气胸密切相关。温度、风速和湿度值不影响原发性自发性气胸的发病。
