2011~2013年高温热浪对苍南县高血压门诊就诊量的影响

doi:10.6040/j.issn.1671-7554.0.2018.122

摘要/Abstract

摘要： 目的探讨2011~2013年浙江省苍南县高温热浪事件对高血压门诊就诊量的影响。方法收集2011~2013年7~9月浙江省苍南县第三人民医院高血压门诊数据和逐日气象数据,采用广义相加模型分析热浪对高血压就诊量的影响,探讨热浪对不同性别、年龄［老年组(≥65岁)和非老年组(<65岁)］高血压就诊量的影响。结果 2011~2013年苍南县共发生7次热浪事件,在滞后第1天高血压总就诊量增加(RR=1.20, 95%CI:1.06~1.37)。高温热浪在滞后第1天对女性高血压就诊量的影响最大(RR=1.40, 95%CI:1.14~1.72)。滞后第3天老年组高血压就诊量增多(RR=1.25, 95%CI:1.06~1.48),滞后第1天非老年组高血压就诊量增加(RR=1.22, 95%CI:1.03~1.44)。结论苍南县高温热浪事件导致高血压门诊就诊量增加,女性是热浪的脆弱人群,高温热浪使老年组和非老年组高血压就诊量均增高。

关键词: 高温热浪, 高血压, 广义相加模型, 就诊量

Abstract: Objective To investigate the impacts of heatwaves on the number of hypertensive outpatient visits in Cangnan County, Zhejing province during 2011 and 2013. Methods Data of hypertensive outpatients visits in the Third Peoples Hospital of Cangnan County and the daily meteorological data from July to September in 2011-2013 were collected and analyzed with generalized additive models(GAM)to evaluate their effects on different gender and age groups(elder group: ≥65 years, non-elder group: <65 years). Results From 2011 to 2013, a total of 7 heatwaves occurred in Cangnan County. The total number of hypertensive outpatient visits significantly increased on lag day 1(RR=1.20, 95%CI: 1.06-1.37). The heatwaves imposed the greatest effects on female patients on lag day 1(RR=1.40, 95%CI: 1.14-1.72). The number of visits increased on lag day 1 for the non-elder group(RR=1.22, 95%CI: 1.03-1.44), and on lag day 3 for the elder group(RR=1.25, 95%CI: 1.06-1.48). Conclusion Heatwaves are associated with an increase of hypertensive outpatient visits in Cangnan County. Females are vulnerable to heatwaves, and heatwaves can increase the number of outpatient visits in both elder group and non-elder group.

Key words: Heat wave, Hypertension, Generalized addictive models, Outpatient visits

中图分类号:

R181.3

薛莉,胡文琦,魏然,张安然,林君芬,马伟. 2011~2013年高温热浪对苍南县高血压门诊就诊量的影响[J]. 山东大学学报 (医学版), 2018, 56(8): 63-69.

XUE Li, HU Wenqi, WEI Ran, ZHANG Anran, LIN Junfen, MA Wei. Impacts of heatwaves on the number of hypertensive outpatient visits in Cangnan County during 2011 and 2013[J]. Journal of Shandong University (Health Sciences), 2018, 56(8): 63-69.

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