张掖地区气象因素对痤疮门诊就诊量的影响  

The Impact of Meteorological Factors on the Number of Outpatient Visits for Acne in Zhangye Region

作　　者：吴岳 石春蕊[2] 张剑虹 武奕[2] 董继元[3] 韩磊 WU Yue;SHI Chunrui;ZHANG Jianhong;WU Yi;DONG Jiyuan;HAN Lei(College of First Clinical Medical,Lanzhou University,Lanzhou,730000,China;不详)

机构地区：[1]兰州大学第一临床医学院,甘肃兰州730000 [2]兰州大学第一医院皮肤性病科,甘肃兰州730000 [3]兰州大学公共卫生学院,甘肃兰州730000 [4]河西学院附属张掖人民医院皮肤性病科,甘肃张掖734099

出　　处：《中国社会医学杂志》2024年第4期465-470,共6页Chinese Journal of Social Medicine

基　　金：甘肃省自然科学基金项目(22JR11RA043)。

摘　　要：目的研究甘肃省张掖地区气象因素对痤疮门诊就诊人数的影响,为痤疮防控提供理论依据。方法收集2015-2019年张掖地区某三甲医院6305例痤疮门诊患者日就诊数据及同时期气象资料,运用分布滞后非线性模型分析气象因素和痤疮门诊就诊人数的关系,并按不同性别、年龄进行分层分析。结果张掖地区气象因素对痤疮门诊就诊人数的影响是非线性的,且存在滞后效应。低温(-10.7℃)的危害发生早,高温(24.9℃)的危害时间久,两者单日滞后最大相对危险度(RR)分别为1.031(95%CI:1.001~1.061)、1.076(95%CI:1.037~1.120);低温和高温均在累积滞后21天时效应值最大,RR分别为1.806(95%CI:1.576~2.071)、1.755(95%CI:1.493~2.062);低温和高温对男性及19~<35岁人群影响较大。低湿度(22%)的保护效应(RR<1)在累积滞后21天时效应最强RR=0.564(95%CI:0.449~0.709);低湿度对女性及19~<35岁人群的保护效应最显著。结论低温和高温均增加张掖地区痤疮门诊就诊风险,男性及19~<35岁人群更敏感。低湿度主要保护女性及19~<35岁人群。Objective This study investigates the impact of meteorological factors on outpatient visits for acne in the Zhangye region of Gansu province,aiming to provide a theoretical foundation for acne prevention and control.Methods We collected a total of 6305 acne outpatient daily data from a tertiary hospital in Zhangye region du-ring 2015 to 2019 along with concurrent meteorological data.A distributed lag non-linear model was employed to analyze the relationship between meteorological factors and outpatient visits for acne,considering stratification by gender and age.Results The effect of meteorological factors on outpatient visits for acne in Zhangye region was non-linear and lagging.Low temperature(-10.7℃)had an early onset of harm,while high temperature(24.9℃)had a prolonged effect.The maximum relative risk(RR)of single-day lag effect for low temperature and high temperature were 1.031(95%CI:1.001-1.061)and 1.076(95%CI:1.037-1.120),respectively.Both low temperature and high temperature had the highest effects at a cumulative lag of 21 days,with RR values of 1.806(95%CI:1.576-2.071)and 1.755(95%CI:1.493-2.062),respectively.Low temperature and high temperature had a greater impact on males and the age group of 19-<35 years.Low humidity(22%)demonstrated a protective effect(RR<1)with the strongest effect observed at a cumulative lag of 21 days,with an RR of 0.564(95%CI:0.449-0.709).Low humidity had the most significant protective effect on females and the age group of 19-<35 years.Conclusion Both low temperature and high temperature increase the risk of outpatient visits for acne in Zhangye region,with males and the age group of 19-<35 years being more susceptible.Low humidity primarily protects females and the age group of 19-<35 years.

关 键 词：气象因素 气温 相对湿度 痤疮 分布滞后非线性模型 

分 类 号：R758.733[医药卫生—皮肤病学与性病学]