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山东大学学报 (医学版) ›› 2018, Vol. 56 ›› Issue (11): 61-67.doi: 10.6040/j.issn.1671-7554.0.2017.1060

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2014~2016年济南市空气污染严重地区大气颗粒物对社区人群门诊就诊量的急性效应分析

满金宇1,崔亮亮2,韩联宇3,于坤坤2,吴兴彬3,岳克三3,周敬文2   

  1. 1.山东大学公共卫生学院流行病学系, 山东 济南 250012;2.济南市疾病预防控制中心环境健康所, 山东 济南 250021;3.济南市历城区疾病预防控制中心公共卫生科, 山东 济南 250199
  • 发布日期:2022-09-27
  • 通讯作者: 周敬文. E-mail:zhoujingwen666@sina.com
  • 基金资助:
    山东省医药卫生科技发展计划(2015WS0435)

Acute effects of ambient particulate matter on local residents’ hospital visits in a heavy air polluted area of Jinan City during 2014-2016

MAN Jinyu1, CUI Liangliang2, HAN Lianyu3, YU Kunkun2, WU Xingbin3, YUE Kesan3, ZHOU Jingwen2   

  1. 1. Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Environmental Health, Jinan Center for Disease Control and Prevention, Jinan 250021, Shandong, China;
    3. Department of Public Health, Jinan Licheng District Center for Disease Control and Prevention, Jinan 250199, Shandong, China
  • Published:2022-09-27

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摘要： 目的 评估济南市空气污染严重区域大气颗粒物对社区人群内科门诊就诊的急性效应。 方法 收集2014年1月1日至2016年12月31日济南市空气污染严重区域某综合医院逐日内科门诊就诊个案记录、空气污染物浓度及气象信息,并进行描述性分析。采用广义线性模型定量评估逐日PM2.5及PM10浓度与社区人群门诊就诊量之间的相关关系,并分性别、分年龄段(<65岁和≥65岁)、分系统疾病(呼吸系统疾病和循环系统疾病)进行相关性分析。 结果 PM2.5、PM10浓度每升高10 μg/m3,当日内科门诊量分别增加0.28%(95%CI:0.05%~0.50%)、0.15%(95%CI:0.02%~0.28%);循环系统疾病门诊量分别增加0.40%(95%CI:0.01%~0.80%)、0.25%(95%CI:0.02%~0.47%)。男性及≥65岁人群是敏感人群。 结论 济南市空气污染严重区域大气颗粒物对社区人群内科门诊量以及不同性别、不同年龄段、循环系统疾病人群存在急性效应,且男性及≥65岁人群敏感。

关键词: 空气污染, 大气颗粒物, 内科门诊, 时间序列分析, 广义线性模型

Abstract: Objective To investigate the short-term effects of PM2.5 and PM10 on residents’ hospital visits in a certain area of Jinan City with heavy air pollution. Methods The daily outpatients in a general hospital, daily air pollution and meteorological data in a certain area of Jinan with heavy air pollution from January 1, 2014 to December 31, 2016 were collected for descriptive analysis. Appling generalized linear model, we analyzed the relationship of PM2.5/PM10 to total outpatients’ visits, respiratory diseases and circulatory diseases outpatients’ visits to community residents. We also analyzed the relationship of particulate matters to some subpopulations, including males, females, and two age groups(<65 and ≥65). Results We found a 0.28%(95%CI: 0.05%-0.50%)increase in total outpatients’ visits with a 10 μg/m3 increase in PM2.5 concentrations on the same day, and a 0.15%(95%CI: 0.02%-0.28%)increase with a 10 μg/m3 increase in PM10 concentrations. A 0.40%(95%CI: 0.01%-0.80%)increase in circulatory disease outpatients’ visits was found with a 10 μg/m3 increase in PM2.5 concentrations on the same day, and a 0.25%(95%CI:0.02%- 山 东 大 学 学 报 (医 学 版)56卷11期 -满金宇,等. 2014~2016年济南市空气污染严重地区大气颗粒物对社区人群门诊就诊量的急性效应分析 \=-0.47%)increase with a 10 μg/m3 increase in PM10 concentrations. A vulnerable effect was observed in the elderly population(≥65 years)and in males. Conclusion PM2.5 and PM10 have posed a considerable risk to residents’ hospital visiting in a certain area of Jinan City with heavy air pollution. The elderly population(≥ 65 years)and males were more vulnerable.

Key words: Air pollution, Particulate matter, Hospital visits, Time series analysis, Generalized linear model

中图分类号: 

  • R181.3+4
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