气象因素对ST段抬高型心肌梗死就诊人次的影响——一项回顾性观察性研究  

Influence of meteorological factors on number of patients with ST-segment elevation myocardial infarction:a retrospective and observational study

作　　者：吴珊妹 王婕[3] 吴俊霞 徐卫忠 张庆勇 谈建国[5,6] 李永光 Wu Shanmei;Wang Jie;Wu Junxia;Xu Weizhong;Zhang Qingyong;Tan Jianguo;Li Yongguang(Department of Cardiology,Sixth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200233,China;不详)

机构地区：[1]上海交通大学医学院附属第六人民医院心内科,上海200233 [2]上海交通大学医学院,上海200025 [3]上海交通大学医学院附属第六人民医院普外科,上海200233 [4]南通大学附属南通市第三医院综合统计室,南通226006 [5]上海市气象信息与技术支持中心,上海200030 [6]中国气象局城市气象重点实验室,北京100089 [7]上海交通大学医学院附属第九人民医院心内科,上海201900

出　　处：《中国循证心血管医学杂志》2024年第10期1179-1183,共5页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：国家自然科学基金项目(81800331);上海市卫生健康委员会(201940079);中国气象局重点创新团队(CMA2022ZD09);上海交通大学医学院大学生创新性训练计划(1622X014)。

摘　　要：目的气象因素对急性心肌梗死(AMI)的影响在国际已有报道,但对我国急性ST段抬高型心肌梗死(STEMI)发生的相关研究有限。本研究旨在研究气象因素与我国急性STEMI患者就诊人次之间的相关性。方法本研究收集自2007年1月至2016年12月于上海市第六人民医院治疗的AMI患者(3150例)的临床资料,其中纳入研究2379例,其中STEMI患者2079例,非ST段抬高型心肌梗死(NSTEMI)患者300例。将这些资料与同期上海的气象数据进行相关性分析。结果STEMI入院的人数与每周的温度、湿度和风速显著相关。温度(P<0.001)和湿度(P=0.005)因素与STEMI的就诊人次呈显著负相关,而风速(P<0.001)呈显著正相关。大气压强与STEMI的就诊人次之间无明显相关性。湿度(P=0.005)和温度(P=0.025)可影响高脂血症患者因STEMI而住院的就诊人次。结论温度、湿度、风速影响STEMI的就诊人次,且湿度和温度与STEMI伴有高脂血症患者的就诊人次相关性更明显。Objective To study the correlation between meteorological factors and number of patients with ST-segment elevation myocardial infarction(STEMI).Methods The clinical materials were collected from patients with acute myocardial infarction(AMI,n=3150)in the Sixth People's Hospital of Shanghai City from Jan.2007 to Dec.2016.There were totally 2379 patients selected in the study,among them 2079 patients with STEMI and 300 ones with non-ST-segment elevation myocardial infarction(NSTEMI).The correlation between these materials and homochromous Shanghai meteorological data was analyzed.Results The number of STEMI patients was correlated to weekly data of temperature,humidity and wind speed.The factors of temperature(P<0.001)and humidity(P=0.005)were negatively correlated to number of STEMI patients,and wind speed(P<0.001)was positively correlated to number of STEMI patients,and atmospheric pressure was not correlated to number of STEMI patients.Humidity(P=0.005)and temperature(P=0.025)affected the number of patients with hyperlipidemia hospitalized due to STEMI.Conclusion The factors of temperature,humidity and wind speed affect the number of STEMI patients in hospital,and humidity and temperature are more significantly correlated to number of STEMI patients complicated by hyperlipidemia.

关 键 词：急性心肌梗死 气象因素 ST段抬高型心肌梗死 

分 类 号：R542.22[医药卫生—心血管疾病]