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中国南方某城市干热或湿冷天气与尿石症住院风险的关联分析

Association analysis of dry heat or wet cold weather and the risk of urolithiasis hospitalization in a southern Chinese city.

作者信息

Li Yanlu, Duan Xubiao, Wan Shichen, Wang Xiaoning, Hao Yanbin

机构信息

Department of Epidemiology and Health Statistics, School of Public Health and Health Management, Gannan Medical University, Ganzhou, 341000, Jiangxi, China.

Department of Urology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, 341000, Jiangxi, China.

出版信息

Sci Rep. 2025 Jan 11;15(1):1651. doi: 10.1038/s41598-025-86262-x.

Abstract

To analyze the relationship between hot or cold, and wet or dry interacting weather, and urolithiasis-related hospitalizations. Distributed lag nonlinear model for time series design was used to build exposure-response curves for the association of daily mean temperature and relative humidity with urolithiasis-related hospitalizations. Cut-off values were determined for temperature, humidity, and dichotomous categories to define heat-cold and wet-dry meteorological conditions. Based on a total of 38,184 urolithiasis-related hospitalizations from 2018 to 2019 in Ganzhou as a large prefecture-level city in southern China, dry-heat weather during the hot season (May to September) increased the risk of urolithiasis-related hospitalizations (relative risk [RR]: 1.17, 95% confidence interval [CI]: 1.02, 1.35), with the most pronounced effects in those aged 21-40 years and male. Wet-cold weather in the cold season (December to February) increased the risk of urolithiasis-related hospitalizations in the total population (RR: 1.58, 95% CI: 1.20, 2.07). The effect was significant in the 21-60 years old age and both genders groups. Both dry-heat weather in the hot season and wet-cold weather in the cold season could trigger urolithiasis.

摘要

分析炎热或寒冷、潮湿或干燥交互天气与尿石症相关住院之间的关系。采用时间序列设计的分布滞后非线性模型来构建日平均温度和相对湿度与尿石症相关住院关联的暴露-反应曲线。确定温度、湿度及二分法分类的临界值,以定义寒热和干湿气象条件。基于中国南方一个大型地级市赣州2018年至2019年共38184例尿石症相关住院病例,炎热季节(5月至9月)的干热天气增加了尿石症相关住院风险(相对风险[RR]:1.17,95%置信区间[CI]:1.02,1.35),对21至40岁人群及男性影响最为显著。寒冷季节(12月至2月)的湿冷天气增加了总人口中尿石症相关住院风险(RR:1.58,95%CI:1.20,2.07)。在21至60岁年龄组及男女两组中该影响均显著。炎热季节的干热天气和寒冷季节的湿冷天气均可引发尿石症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb2/11723938/badadc579a20/41598_2025_86262_Fig1_HTML.jpg

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