山东大学学报 (医学版) ›› 2018, Vol. 56 ›› Issue (11): 34-41.doi: 10.6040/j.issn.1671-7554.0.2017.1214
• • 上一篇
崔亮亮1,2,张萌3,于坤坤1,姜超3,阮师漫1
CUI Liangliang1,2, ZHANG Meng3, YU Kunkun1, JIANG Chao3, RUAN Shiman1
摘要: 目的 分析济南市大气重点污染物(PM2.5、SO2和NO2)对居民应急呼叫事件的急性影响。 方法 描述性分析2016年济南市逐日应急呼叫信息、大气污染物、气象指标。采用Quasi-Poisson回归的广义线性模型(GLM)定量评估污染物与居民应急呼叫量的关联强度。以污染物浓度每升高10 μg/m3,居民应急呼叫风险采用超额危险度(ER)及95%置信区间(95%CI)表示。探讨性别(男和女)、年龄(<65岁和≥65岁)的脆弱性。 结果 2016年济南市居民应急呼叫事件总量为43 966人次,日均120人次/d(80~183人次/d)。PM2.5、SO2、NO2浓度每升高10 μg/m3,居民应急呼叫量分别增加0.46%(95%CI:0.12%~0.79%)、1.25%(95%CI:0.36%~2.14%)、1.35%(95%CI:0.53%~2.17%),且最大效应值均出现在当天。3种污染物对男性的影响较女性明显,对不同年龄组人群的影响效应模式不同。 结论 济南市大气中PM2.5、SO2、NO2均对居民应急呼叫事件存在急性影响,且存在性别和年龄效应差异性。
中图分类号:
[1] World Health Organization. WHO releases country estimates on air pollution exposure and health impact[R]. Geneva: WHO, 2016. [2] World Health Organization. Ambient air pollution: a global assessment of exposure and burden of disease[R]. Geneva: WHO, 2016. [3] 崔亮亮, 李新伟, 张扬, 等. 2013年1月山东省济南市灰霾期间急性呼吸系统危重症状的研究分析[J]. 疾病监测, 2014, 29(11): 852-856. CUI Liangliang, LI Xinwei, ZHANG Yang, et al. Impact of dust haze on acute and severe respiratory symptoms in Jinan, Shandong, January 2013[J]. Disease Surveillance, 2014, 29(11): 852-856. [4] 崔亮亮, 周敬文, 张军, 等. 灰霾期间常见一般和危重症状的急性效应分析[J]. 环境与健康杂志, 2014, 31(7): 600-603. CUI Liangliang, ZHOU Jingwen, ZHANG Jun, et al. Analysis of acute symptoms in common and critically ill patients during haze event[J]. Journal of Environment and Health, 2014, 31(7): 600-603. [5] 崔亮亮, 李新伟, 耿兴义, 等. 2013年济南市大气PM2.5污染及雾霾事件对儿童门诊量影响的时间序列分析[J]. 环境与健康杂志, 2015, 32(6): 489-493. CUI Liangliang, LI Xinwei, GENG Xingyi, et al. Effects of PM2.5 and haze event on hospital visiting of children in Jinan, 2013: a time series analysis[J]. Journal of Environment and Health, 2015, 32(6): 489-493. [6] 谷少华, 贾红英, 李萌萌, 等. 济南市空气污染对呼吸系统疾病门诊量的影响[J]. 环境与健康杂志, 2015, 32(2): 95-98. GU Shaohua, JIA Hongying, LI Mengmeng, et al. Effects of air pollution on hospital visits for respiratory diseases in Jinan city[J]. Journal of Environment and Health, 2015, 32(2): 95-98. [7] Cui LL, Zhang J, Zhang J, et al. Acute respiratory and cardiovascular health effects of an air pollution event, January 2013, Jinan, China[J]. Public Health. 2016, 131: 99-102. doi: 10.1016/j.puhe.2015.11.003. [8] Liu P, Wang X, Fan J, et al. Effects of air pollution on hospital emergency room visits for respiratory diseases: urban-suburban differences in eastern China[J]. Int J Environ Res Public Health, 2016, 13(3): E341. doi: 10.3390/ijerph13030341. [9] Lv C, Wang X, Pang N, et al. The impact of airborne particulate matter on pediatric hospital admissions for pneumonia among children in Jinan, China: A case-crossover study[J]. J Air Waste Manag Assoc, 2017, 67(6): 669-676. [10] Burnett RT, Stieb D, Brook JR, et a1. Associations between short—term changes in Nitrogen Dioxide and Mortality in Canadian cities[J]. Archives Environ Health Intem J, 2004, 59(5): 228-236. [11] Katsouyanni K, Samet JM, Anderson HR, et al. Air pollution and health: a European and North American approach(APHENA)[J]. Res Rep Health Eff Inst, 2009, 142(142): 5-90. [12] Verbeke T. Generalized additive models: an introduction with R by S. N. Wood[J]. Journal of the Royal Statistical Society: Series A(Statistics in Society), 2007, 170: 262. doi:10.1111/j.1467-985X.2006.00455_15.x. [13] Hurvich CM, Simonoff JS, Tsai CL. Smoothing parameter selection in nonparametric regression using an improved Akaike infomation criterion[J]. J Royal Statistical Society Series B Statistical Method ol, 1998, 60(2): 271-293. [14] 张莹, 宁贵财, 康延臻, 等. 北京市大气污染物与呼吸系统疾病入院人数的时间序列[J]. 兰州大学学报(自科版), 2015, 51(1): 87-92. ZHANG Ying, NING Guicai, KANG Yanzhen, et al. Time-series analysis of the association between outdoor air pollution and emergency room admissions for respiratory diseases in Beijing City[J]. Journal of Lanzhou University(Natural Sciences), 2015, 51(1): 87-92. [15] Manfred N, Hanns M, Daniel R. Acute and sub-acute effects of urban air pollution on cardiopulmonary emergencies and mortality: time series studies in Austrian cities[J]. Int J Environ Res Public Health, 2013, 10(10): 4728-4751. [16] Zhang Y, Wang SG, Ma YX, et al. Association between ambient air pollution and hospital emergency admissions for respiratory and cardiovascular diseases in Beijing: a time series study[J]. Biomed Environ Sci, 2015, 28(5): 352-363. [17] Yu IT, Qiu H, Wang X, et al. Synergy between particles and nitrogen dioxide on emergency hospital admissions for cardiac diseases in Hong Kong[J]. Int J Cardiol, 2013, 168(3): 2831-2836. [18] 徐清云, 马玉花, 李双明, 等. 广州市大气污染物与居民每日心血管疾病急诊人次关系的时间序列研究[J]. 环境与健康杂志, 2013, 30(11): 977-980. XU Qingyun, MA Yuhua, LI Shuangming, et al. Relationship between air pollution and cardiovascular emergency visits in Guangzhou: a time-series study[J]. Journal of Environment and Health, 2013, 30(11): 977-980. [19] Ma Y, Zhao Y, Yang S, et al. Short-term effects of ambient air pollution on emergency room admissions due to cardiovascular causes in Beijing, China[J]. Environmental Pollution, 2017, 230: 974. doi: 10.1016/j.envpol.2017.06.104. [20] Solimini AG, Renzi M. Association between air pollution and emergency room visits for atrial fibrillation[J]. Int J Environ Res Public Health, 2017, 14(6):661-667. [21] Song X, Yu L, Hu Y, et al. Short-term exposure to air pollution and cardiac arrhythmia: a meta-analysis and systematic review[J]. Int J Environ Res Public Health, 2016, 13(7): 642. doi: 10.3390/ijerph13070642. [22] Tsai SS, Chiu HF, Wu TN, et al. Air pollution and emergency room visits for cardiac arrhythmia in a subtropical city: Taipei, Taiwan[J]. Inhal Toxicol, 2009, 21(13): 1113-1118. [23] 张燕萍, 闫崴, 柴发合, 等. 北京灰霾事件期间空气污染与医院成人门急诊量的浓度-反应关系研究[J]. 环境与健康杂志, 2014, 31(10): 864-869. ZHANG Yanping, YAN Wei, CHAI Fahe, et al. Study on the concentration-response relation between air pollution and outpatient and emergency room visits during haze episode in Beijing[J]. Journal of Environment and Health, 2014, 31(10): 864-869. [24] Jalaludin B, Morgan G, Lincoln D, et al. Associations between ambient air pollution and daily emergency department attendances for cardiovascular disease in the elderly(65+ years), Sydney, Australia[J]. J Expo Sci Environ Epidemiol, 2006, 16(3): 225-237. [25] Sarnat SE, Suh HH, Coull BA, et al. Ambient particulate air pollution and cardiac arrhythmia in a panel of older adults in Steubenville, Ohio[J]. Occup Environ Med, 2006, 63(10): 700-706. [26] Xie J, He M, Zhu W. Acute effects of outdoor air pollution on emergency department visits due to five clinical subtypes of coronary heart diseases in shanghai, china[J]. J Epidemiol, 2014, 24(6): 452-459. [27] Szyszkowicz M, Porada E, Tremblay N, et al. Sulfur dioxide and emergency department visits for stroke and seizure[J]. Stroke Res Treat, 2012, 2012: 824724. doi:10.1155/2012/824724. [28] Liu R, Zeng J, Jiang X, et al. The relationship between airborne fine particle matter and emergency ambulance dispatches in a southwestern city in Chengdu, China[J]. Environ Pollut, 2017, 229: 661-667. doi: 10.1016/j.envpol.2017.06.098 [29] Tasmin S, Ueda K, Stickley A, et al. Short-term exposure to ambient particulate matter and emergency ambulance dispatch for acute illness in Japan[J]. Science of the Total Environment, 2016, 566-567: 528-535. doi:10.1016/j.scitotenv.2016.05.054. [30] Michikawa T, Ueda K, Takeuchi A, et al. Impact of short-term exposure to fine particulate matter on emergency ambulance dispatches in Japan[J]. J Epidemiol Community Health, 2015, 69(1): 86-91. [31] Ichiki T, Onozuka D, Kamouchi M, et al. An association between fine particulate matter(PM2.5)levels and emergency ambulance dispatches for cardiovascular diseases in Japan[J]. Int Arch Occup Environ Health, 2016, 89(8): 1329-1335. |
[1] | 潘璐,王炳玲,王寅,张秀芹,徐春生,李丹丹,段海平. 2014~2019年青岛市生活饮用水健康风险评估[J]. 山东大学学报 (医学版), 2021, 59(12): 42-49. |
[2] | 李润滋,章涛,梁玉民,罗成,蒋正,薛付忠,刘言训,刘静,李秀君. SARIMA模型在流行性腮腺炎发病预测中的应用[J]. 山东大学学报(医学版), 2016, 54(9): 82-86. |
|