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短期暴露于空气污染物对中国上海睑缘炎门诊入院率的影响:一项基于医院的研究。

The effect of short-term air pollutants exposure on outpatient admission for blepharitis in Shanghai, China: a hospital-based study.

作者信息

Zhao Han, Lin Tong, Yang Yun, Feng Changming, Wang Wushuang, Gong Lan

机构信息

Department of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, No.83, Fenyang Road, Xuhui District, Shanghai, 200000, China.

Laboratory of Myopia, NHC Key Laboratory of Myopia (Fudan University), Chinese Academy of Medical Sciences, Shanghai, 200000, China.

出版信息

Environ Sci Pollut Res Int. 2023 Apr;30(16):47655-47669. doi: 10.1007/s11356-023-25605-5. Epub 2023 Feb 6.

Abstract

Blepharitis is a very common ophthalmologic disease, and few studies have examined if air pollutants contribute to the risk of blepharitis. We investigated the presence of any potential correlation between exposure to air pollution and outpatient admission for blepharitis in Shanghai, China. Data on daily outpatient admission for blepharitis were collected from January 2017 to July 2022. Air pollution and meteorological data were acquired from the Shanghai Environmental Protection Agency. Using the distributed lag non-linear model (DLNM) we investigated the relationship between air pollutants and blepharitis. Seasonal stratified analysis was carried out. In total, 10,681 blepharitis patients were recruited. In the single-pollutant model, a 10 μg/m increase in particulate matter with < 2.5 μm PM and 10 μm PM along with sulfur dioxide (SO) and 100 μg/m increase in carbon monoxide (CO) was significantly associated with outpatient visits for blepharitis. In the multi-pollutant model, a 10 μg/m increase in ozone (O) and nitrogen dioxide (NO) and a 100 μg/m increase in carbon monoxide (CO) was significantly associated with outpatient visits for blepharitis. Moreover, there was an obvious relationship between blepharitis and PM and O in the summers and blepharitis and PM, NO, and SO during the winters. Exposure to short-term air pollution increases the risk of blepharitis outpatient visits in Shanghai, China.

摘要

睑缘炎是一种非常常见的眼科疾病,很少有研究探讨空气污染物是否会增加睑缘炎的发病风险。我们调查了中国上海空气污染暴露与睑缘炎门诊就诊之间是否存在潜在关联。收集了2017年1月至2022年7月期间睑缘炎的每日门诊就诊数据。空气污染和气象数据来自上海市环境保护局。我们使用分布滞后非线性模型(DLNM)研究了空气污染物与睑缘炎之间的关系,并进行了季节性分层分析。总共招募了10681名睑缘炎患者。在单污染物模型中,直径小于2.5微米的颗粒物(PM2.5)和直径10微米的颗粒物(PM10)每增加10微克/立方米,以及二氧化硫(SO)和一氧化碳(CO)每增加100微克/立方米,均与睑缘炎门诊就诊显著相关。在多污染物模型中,臭氧(O3)和二氧化氮(NO2)每增加10微克/立方米以及一氧化碳(CO)每增加100微克/立方米与睑缘炎门诊就诊显著相关。此外,夏季睑缘炎与PM2.5和O3之间、冬季睑缘炎与PM2.5、NO2和SO之间存在明显关联。在中国上海,短期暴露于空气污染会增加睑缘炎门诊就诊风险。

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