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山东大学学报 (医学版) ›› 2018, Vol. 56 ›› Issue (8): 107-113.doi: 10.6040/j.issn.1671-7554.0.2018.050

• • 上一篇    

夏季日温差与医院门诊呼吸系统疾病就诊量的关系

魏然1,张安然1,李佳蔚1,胡文琦1,薛莉1,林君芬2,马伟1,3   

  1. 1. 山东大学公共卫生学院流行病学系, 山东 济南 250012;2. 浙江省疾病预防控制中心, 浙江 杭州 310051;3. 山东大学气候变化与健康研究中心, 山东 济南 250012
  • 发布日期:2022-09-27
  • 通讯作者: 马伟. E-mail: weima@sdu.edu.cn
  • 基金资助:
    国家重大科学研究计划(973计划)(2012CB955500-955502)

Relationship between diurnal temperature range and outpatient visits of respiratory diseases in summer

WEI Ran1, ZHANG Anran1, LI Jiawei1, HU Wenqi1, XUE Li1, LIN Junfen2, MA Wei1,3   

  1. 1. Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, Zhejiang, China;
    3. Shandong University Climate Change and Health Center, Jinan 250012, Shandong, China
  • Published:2022-09-27

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摘要： 目的 定量分析夏季日温差对呼吸系统疾病门诊就诊量的影响。 方法 收集浙江省苍南县第三人民医院2010~2013年夏季(7~9月)呼吸系统疾病门诊就诊数据和同期气象日数据,采用广义相加模型,探讨滞后效应和累积效应,分析日温差对呼吸系统疾病就诊量的暴露-反应关系,并进行人群亚组分析。 结果 研究期间,苍南县日温差的变化范围为1.4 ℃~11.3 ℃,苍南县第三人民医院呼吸系统疾病门诊病例27 770例。日温差升高可导致门诊呼吸系统疾病就诊量增加。在滞后4 d出现最大单独效应,在累积13 d出现最大累积效应,RR值分别为1.033(95%CI: 1.022~1.045)、1.349(95%CI: 1.318~1.381)。累积效应对儿童组(<15岁)的影响较大。 结论 在苍南县,夏季日温差增大可能导致呼吸系统疾病发病风险增加,并存在滞后性,应特别注意儿童呼吸系统疾病的发作,及时采取积极的应对措施以减少呼吸系统疾病的发生。

关键词: 日温差, 呼吸系统疾病, 门诊量, 广义相加模型, 气象因素

Abstract: Objective To quantitatively analyze the influence of the diurnal temperature range(DTR)on outpatient visit of respiratory diseases in summer. Methods The outpatient visit data were collected from the electronic medical record(EMR)of respiratory diseases in the Third Peoples Hospital of Cangnan County, Zhejiang Province, China between July to September in 2010-2013. The daily meteorological data at the same period were collected. Generalized additive model(GAM)was used to explore the exposure-response relationship between DTR and risk of respiratory diseases, lag effects, cumulative lag effects, and impacts on different populations. Results A total of 27 770 cases of outpatients with respiratory diseases were collected and the DTR varied from 1.4 ℃ to 11.3 ℃. Increasing DTR significantly increased the number of outpatient with respiratory diseases with the maximum lag effect at lag 4 days and cumulative lag 13 days. The RRs for outpatient visit were 1.033(95%CI: 1.022-1.045)and 1.349(95%CI: 1.318-1.381)at lag 4 days and cumulative 13 days, respectively. Children(<15 years old)were more likely to be affected. Conclusion In Cangnan County, the increasing DTR in summer may significantly increase the incidence of respiratory diseases and lag effects exists. Special attention should be paid to the onset of childhood respiratory disease, and more positive measures 山 东 大 学 学 报 (医 学 版)56卷8期 -魏然,等.夏季日温差与医院门诊呼吸系统疾病就诊量的关系 \=-should be taken to minimize the effect of DTR.

Key words: Diurnal temperature range, Respiratory disease, Outpatient visit, Generalized additive model, Meteorological factor

中图分类号: 

  • R181.3
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