石家庄市空气污染对呼吸系统疾病门诊量的急性影响  

Title acute effects of air pollution on the number of daily outpatients with respiratory diseases in Shijiazhuang

作　　者：冯建纯[1] 张聪瑶 张珣[1] 孙红梅[1] 吴树才[1] 王红[1] FENG Jianchun;ZHANG Congyao;ZHANG Xun;SUN Hongmei;WU Shucai;WANG Hong(Hebei Chest Hospital,Shijiazhuang 050011,China)

机构地区：[1]河北省胸科医院,石家庄050011

出　　处：《医学动物防制》2020年第8期719-723,共5页Journal of Medical Pest Control

基　　金：2015年河北省重大卫生项目(2100199)。

摘　　要：目的探讨石家庄市大气污染物浓度对居民呼吸系统疾病门诊量的急性影响。方法收集石家庄市2015年1月1日~2019年12月31日的日均PM2.5、PM10、NO2、SO2、O3及CO浓度,平均气温和相对湿度,以及河北省胸科医院每日呼吸系统疾病门诊人数,采用广义相加模型分析空气污染对呼吸系统疾病门诊量的影响。结果大气中PM2.5、PM10、NO2、SO2、O3及CO浓度每升高10μg/m3,居民呼吸系统疾病的门诊量分别增加0.30%(95%CI:0.08%~0.51%)、0.18%(95%CI:0.03%~0.33%)、1.34%(95%CI:0.60%~2.08%)、0.78%(95%CI:0.07%~1.49%)、0.57%(95%CI:0.05%~1.10%)和0.02%(95%CI:0.01%~0.04%)。老年人的风险显著高于年轻人。结论大气污染物浓度的升高可显著增加居民,尤其是老年人,呼吸系统疾病的风险。Objective To investigate the acute effects of ambient air pollution on the number of daily outpatients with respiratory diseases in Shijiazhuang.Methods The air pollutants(PM2.5,PM10,NO2,SO2,O3,and CO)concentration,average temperature,relative humidity and the number of daily outpatients with respiratory diseases were collected from January 1,2015 to December 31,2019.Then the generalized additive model was used to analyze the effects of air pollution on the number of outpatients.Results The rise of 10μg/m3 in concentrations of PM2.5,PM10,NO2,SO2,O3,and CO would increase the number of daily outpatients by 0.30%(95%CI:0.08%~0.51%),0.18%(95%CI:0.03%~0.33%),1.34%(95%CI:0.60%~2.08%),0.78%(95%CI:0.07%~1.49%),0.57%(95%CI:0.05%~1.10%),and 0.02%(95%CI:0.01%~0.04%),respectively.And the old people were at greater risk than the younger group.Conclusion The rise of outdoor air pollution is significantly associated with the increased number of outpatients(especially old people)with respiratory diseases.

关 键 词：空气污染 门诊 广义相加模型 呼吸系统疾病 影响 

分 类 号：R122.1[医药卫生—环境卫生学] R56[医药卫生—公共卫生与预防医学]