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中国兰州环境气象因素与急性中耳炎就诊人次的相关性研究

Study on the correlation between ambient environment-meteorological factors and the number of visits of acute otitis media, Lanzhou, China.

作者信息

Tian Haiyue, Xu Baicheng, Wang Xinlan, Wang Jinyan, Zhong Cuiping

机构信息

Department of Otolaryngology Head and Neck Surgery, The 940th Hospital of the Joint Logistics Support Unit of the Chinese PLA, 333 Binhenan Road, Qilihe District, Lanzhou, Gansu Province, 730050, China.

Department of OtolaryngologyeHead and Neck Surgery, Second Affiliated Hospital of Lanzhou University, No. 82, Cuiyingmen, Chengguan District, Lanzhou, Gansu Province, 730030, China.

出版信息

J Otol. 2020 Sep;15(3):86-94. doi: 10.1016/j.joto.2020.01.002. Epub 2020 Jan 31.

Abstract

UNLABELLED

To investigate the correlation between environmental-meteorological factors and daily visits for acute otitis media (AOM) in Lanzhou, China.

METHODS

Data were collected in 2014-2016 by the Departments of Otolaryngology-Head and Neck Surgery at two hospitals in Lanzhou. Relevant information, including age, sex and visiting time, was collected. Environmental data included air quality index, PM10, PM2.5, O, CO, NO and SO, and meteorological data included daily average temperature (T, °C), daily mean atmospheric pressure (AP, hPa), daily average relative humidity (RH, %) and daily mean wind speed (W, m/s). The SPSS22.0 software was used to generate Spearman correlation coefficients in descriptive statistical analysis, and the R3.5.0 software was used to calculate relative risk (RR) and to obtain exposure-response curves. The relationship between meteorological-environmental parameters and daily AOM visits was summarized.

RESULTS

Correlations were identified between daily AOM visits and CO, O, SO, CO, NO, PM2.5 and PM10 levels. NO, SO, CO, AP, RH and T levels significantly correlated with daily AOM visits with a lag exposure-response pattern. The effects of CO, NO, SO and AP on daily AOM visits were significantly stronger compared to other factors (P < 0.01). O, W, T and RH were negatively correlated with daily AOM visits. The highest RR lagged by 3-4 days.

CONCLUSIONS

The number of daily AOM visits appeared to be correlated with short-term exposure to mixed air pollutants and meteorological factors from 2014 through 2016 in Lanzhou.

摘要

未标注

为研究中国兰州环境气象因素与急性中耳炎(AOM)每日就诊量之间的相关性。

方法

2014年至2016年期间,兰州两家医院的耳鼻咽喉头颈外科收集了相关数据。收集了包括年龄、性别和就诊时间在内的相关信息。环境数据包括空气质量指数、PM10、PM2.5、O₃、CO、NO₂和SO₂,气象数据包括日平均气温(T,℃)、日平均气压(AP,hPa)、日平均相对湿度(RH,%)和日平均风速(W,m/s)。在描述性统计分析中使用SPSS22.0软件生成Spearman相关系数,使用R3.5.0软件计算相对风险(RR)并获得暴露-反应曲线。总结了气象环境参数与每日AOM就诊量之间的关系。

结果

发现每日AOM就诊量与CO、O₃、SO₂、CO、NO₂、PM2.5和PM10水平之间存在相关性。NO₂、SO₂、CO、AP、RH和T水平与每日AOM就诊量显著相关,呈现滞后暴露-反应模式。与其他因素相比,CO、NO₂、SO₂和AP对每日AOM就诊量的影响显著更强(P < 0.01)。O₃、W、T和RH与每日AOM就诊量呈负相关。最高RR滞后3 - 4天。

结论

2014年至2016年期间,兰州每日AOM就诊量似乎与短期暴露于混合空气污染物和气象因素有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11e6/7451727/772d863c8d1d/gr1.jpg

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