产前细颗粒物（PM）暴露与妊娠结局 - 波兰足月妊娠分析。
Prenatal Fine Particulate Matter (PM) Exposure and Pregnancy Outcomes-Analysis of Term Pregnancies in Poland.
机构信息
Department of Oncologic Gynecology and Obstetrics, Centre of Postgraduate Medical Education, 231 Czerniakowska St., 00-416 Warsaw, Poland.
Faculty of Health Sciences, State University of Applied Sciences, 16 Kaszubska St., 62-800 Kalisz, Poland.
出版信息
Int J Environ Res Public Health. 2020 Aug 11;17(16):5820. doi: 10.3390/ijerph17165820.
Abstract
Air pollution is currently one of the greatest threats to global health. Polish cities are among the most heavily polluted in Europe. Due to air pollution 43,100 people die prematurely in Poland every year. However, these data do not take into account the health consequences of air pollution for unborn children. Thus, the aim of this study was to evaluate the effects of the fine particulate matter air pollution (less than 2.5 μm in diameter) on pregnancy outcomes. An analysis of pregnant women and their children was made using a questionnaire survey from a nationwide study conducted in 2017. Questionnaires from 1095 pregnant women and data from their medical records were collected. An analysis of air pollution in Poland was conducted using the air quality database maintained by the Chief Inspectorate for Environmental Protection in Poland. A higher concentration of PM was associated with a decrease in birth weight and a higher risk of low birthweight (i.e., <2500 g). We also observed lower APGAR scores. Thus, all possible efforts to reduce air pollution are critically needed.
摘要
空气污染目前是全球健康的最大威胁之一。波兰城市是欧洲污染最严重的城市之一。由于空气污染，波兰每年有 43100 人过早死亡。然而，这些数据并没有考虑到空气污染对未出生婴儿的健康后果。因此，本研究的目的是评估细颗粒物空气污染（直径小于 2.5μm）对妊娠结局的影响。使用 2017 年进行的一项全国性研究的问卷调查对孕妇及其子女进行了分析。收集了 1095 名孕妇的问卷和她们的医疗记录数据。利用波兰环境保护总局维护的空气质量数据库对波兰的空气污染进行了分析。PM 浓度较高与出生体重下降和低出生体重（即<2500 克）的风险增加有关。我们还观察到较低的阿普加评分。因此，迫切需要尽一切可能努力减少空气污染。
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