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昼夜温差对中国兰州过敏性鼻炎患者门诊就诊的影响。

Diurnal temperature range impacts on outpatients department visits for allergic rhinitis in Lanzhou, China.

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, The First Hospital of Lanzhou University, Lanzhou, 730000, Gansu, China.

The First Clinical Medical School of Lanzhou University, Lanzhou, 730000, Gansu, China.

出版信息

Int Arch Occup Environ Health. 2023 May;96(4):587-595. doi: 10.1007/s00420-023-01951-2. Epub 2023 Jan 9.

Abstract

OBJECTIVE

This study aims to investigate the association between the diurnal temperature range (DTR) and allergic rhinitis (AR) outpatient visits in Lanzhou, China, utilizing more than 7 years of participant surveys.

METHODS

Our study used the distributed lag non-linear model (DLNM) aimed to evaluate the association between DTR and AR outpatient visits. We also performed subgroup analyses in order to find susceptible populations by gender and age groups.

RESULTS

In 2013-2019, DTR in Lanzhou demonstrates a non-linear correlation with outpatient visits for AR, which is S-shaped. In addition, when DTR was located in the 0.9-5.3 °C and 12-20 °C compared with 12 °C, the risk of outpatient visits for AR increased. Moreover, males appeared to be more vulnerable to the DTR effect than females, the risk of children visits exceeded both the adult and the elderly groups at the higher DTR.

CONCLUSION

Our study adds to the evidence that DTR is a possible risk factor for outpatient visits for AR; therefore, the public health sector and medical staff should take DTR into account when it comes to preventing AR onset.

摘要

目的

本研究旨在利用超过 7 年的参与者调查,探讨中国兰州日温差(DTR)与变应性鼻炎(AR)门诊就诊次数之间的关系。

方法

我们的研究使用了分布滞后非线性模型(DLNM)来评估 DTR 与 AR 门诊就诊次数之间的关联。我们还进行了亚组分析,以确定按性别和年龄组划分的易感人群。

结果

2013 年至 2019 年,兰州的 DTR 与 AR 门诊就诊次数呈非线性相关,呈 S 形。此外,当 DTR 分别位于 0.9-5.3°C 和 12-20°C 与 12°C 相比时,AR 门诊就诊的风险增加。此外,男性比女性更容易受到 DTR 影响,在较高的 DTR 下,儿童就诊的风险超过了成年和老年人群。

结论

本研究进一步证明 DTR 可能是 AR 门诊就诊的一个风险因素;因此,公共卫生部门和医务人员在预防 AR 发病时应考虑 DTR。

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