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影响印度儿童和青少年过敏性眼病的环境与空气污染因素

Environmental and Air Pollution Factors Affecting Allergic Eye Disease in Children and Adolescents in India.

作者信息

Das Anthony Vipin, Basu Sayan

机构信息

Department of eyeSmart EMR & AEye, L V Prasad Eye Institute, Hyderabad 500034, India.

The Cornea Institute, L V Prasad Eye Institute, Hyderabad 500034, India.

出版信息

Int J Environ Res Public Health. 2021 May 24;18(11):5611. doi: 10.3390/ijerph18115611.

Abstract

The aim of this study was to describe the correlation between the meteorological and air pollution parameters with the temporal pattern of presentation of recent onset allergic eye disease (AED). This cross-sectional hospital-based study included new patients (≤21 years of age) presenting between January 2016 and August 2018 from the district of Hyderabad with a clinical diagnosis of AED and an acute exacerbation of recent onset of symptoms of less than 3 months duration. Correlation analysis was performed with the local environmental rainfall, temperature, humidity, windspeed, and air pollution. Of the 25,354 new patients hailing from the district of Hyderabad, 2494 (9.84%) patients were diagnosed with AED, of which 1062 (4.19%) patients had recent onset of symptoms. The mean monthly prevalence in this cohort was 4.13%, and the month of May (6.09%) showed the highest levels. The environmental parameters of humidity (r = 0.83/ = < 0.0001) and rainfall (r = 0.41/ = 0.0232) showed significant negative correlation, while temperature (r = 0.43/ = 0.0206) and ground-level ozone (r = 0.41/ = 0.0005) showed significant positive correlation with the temporal pattern of AED in the population. An increase in rainfall and humidity was associated with a lower prevalence, and an increase of temperature and ground-level ozone was associated with a higher prevalence of AED cases during the year among children and adolescents.

摘要

本研究的目的是描述气象和空气污染参数与近期发作的变应性眼病(AED)发病时间模式之间的相关性。这项基于医院的横断面研究纳入了2016年1月至2018年8月期间来自海得拉巴地区的新患者(年龄≤21岁),这些患者临床诊断为AED且近期症状急性加重,病程小于3个月。对当地环境降雨、温度、湿度、风速和空气污染进行了相关性分析。在来自海得拉巴地区的25354名新患者中,2494名(9.84%)患者被诊断为AED,其中1062名(4.19%)患者近期出现症状。该队列中的月平均患病率为4.13%,5月份(6.09%)患病率最高。湿度(r = 0.83/ P < 0.0001)和降雨(r = 0.41/ P = 0.0232)的环境参数显示出显著的负相关,而温度(r = 0.43/ P = 0.0206)和地面臭氧(r = 0.41/ P = 0.0005)与人群中AED的发病时间模式显示出显著的正相关。降雨和湿度增加与患病率降低相关,而温度和地面臭氧增加与儿童和青少年一年中AED病例的较高患病率相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a1/8197339/61b07963d8c2/ijerph-18-05611-g001.jpg

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