沙尘天气与儿童呼吸系统疾病日门诊量的关联性分析

doi:10.13481/j.1671-587x.20150137

吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (01): 190-194.doi: 10.13481/j.1671-587x.20150137

沙尘天气与儿童呼吸系统疾病日门诊量的关联性分析

刘晓丹¹, 申亚利¹, 徐林燕¹, 杜柯凝²

1. 吉林大学护理学院儿科教研室, 吉林长春 130021;
2. 吉林省长春市儿童医院护理部, 吉林长春 130051

收稿日期:2014-06-11 发布日期:2015-01-30
通讯作者: 刘晓丹,教授,硕士研究生导师(Tel:0431-85619552,E-mail:1007072368@qq.com) E-mail:1007072368@qq.com
作者简介:刘晓丹(1959-),女,吉林省长春市人,教授,主要从事儿童保健与护理方面的研究。
基金资助:
吉林省环保厅科研基金资助课题(2011-09)

Analysis on correlation between dust events and number of outpatients with childhood respiratory disorders

LIU Xiaodan¹, SHEN Yali¹, XU Linyan¹, DU Kening²

1. Department of Pediatrics, School of Nursing, Jilin University, Changchun 130021, China;
2. Department of Nursing, Changchun Children's Hospital, Changchun 130051, China

Received:2014-06-11 Published:2015-01-30

摘要/Abstract

摘要：

目的: 了解沙尘天气对儿童呼吸系统健康的影响,为更好地预防和治疗由沙尘粒子引起的儿童呼吸系统疾病提供参考依据。方法: 对吉林省长春市6家三级甲等医院2011—2013年沙尘天气高发时段(3—5月)儿童呼吸系统疾病逐日门诊量进行调查,采用非季节性求和自回归滑动平均模型(ARIMA)排除医院日门诊量的长期趋势、气象和随机干扰因素后,分析沙尘天气对儿童呼吸系统疾病日门诊量的影响。结果: 2011—2013年3—5月沙尘天气与非沙尘天气比较,空气日均相对湿度、温度、二氧化硫(SO₂)和二氧化氮(NO₂)水平差异均无统计学意义(P>0.05);与非沙尘天气比较,沙尘天气时,大气中吸入颗粒物(PM₁₀)日均浓度明显升高(P<0.05),2012和2013年风速明显升高(P<0.05)。沙尘天气对儿童呼吸系统疾病日门诊量的增加有影响,且呈滞后效应。与非沙尘天气比较,发生在沙尘天气滞后第2和3天儿童呼吸系统疾病日门诊量增加有统计学意义(P<0.05)。结论: 沙尘天气与儿童呼吸系统疾病日门诊量增加有关联,且呈滞后效应。

关键词: 沙尘天气, 儿童呼吸系统疾病, 日门诊量

Abstract:

Objective To understand the effect of dust events on the health of respiratory system of children, and to provide reference basis for the prevention and therapy of childhood respiratory disorders caused by dust particles. Methods The daily outpatient number of childhood respiratory disorders from Month 1st to May 31st in 2011, 2012 and 2013 were obtained from 6 third-grade class-A hospitals in Changchun City.After excluding the long-term trend, meteorological factor and random interference by model ARIMA, regression analysis was used to analyze the association between dust events and the daily outpatient number of childhood respiratory disorders. Results The changes in temperature, relative humidity, daily average temperature, SO₂ and NO₂ in the dust event days had no significant differences compared with the non-dust event days in the past three years(P>0.05);the concentration of PM₁₀ in dust events was increased significantly(P<0.05);the wind speeds were increased significantly in 2012 and 2013(P<0.05).The dust events had an effect on the number of daily outpatients of childhood respiratory disorders, and it was lag effect.Compared with the non-dust event days, the amount of daily outpatients of childhood respiratory disorders was increased significantly in post dust event days 2 and 3(P<0.05). Conclusion The dust events has correlation with the daily outpatient number of childhood respiratory disorders with the lag effect.

Key words: dust events, childhood respiratory disorders, number of outpatients

中图分类号:

R122

刘晓丹, 申亚利, 徐林燕, 杜柯凝. 沙尘天气与儿童呼吸系统疾病日门诊量的关联性分析[J]. 吉林大学学报(医学版), 2015, 41(01): 190-194.

LIU Xiaodan, SHEN Yali, XU Linyan, DU Kening. Analysis on correlation between dust events and number of outpatients with childhood respiratory disorders[J]. Journal of Jilin University Medicine Edition, 2015, 41(01): 190-194.

参考文献

[1] 杨娟.生态医学模式视域下护理伦理新观念研究[D].吉林:吉林医药学院,2012.

[2] 芝永华,傅朝,邵志宏.兰州市沙尘天气及其对空气质量的影响[J].灾难学,2007,22(1):77-81.

[3] 中华人民共和国卫生部.中国卫生统计年鉴[M].北京:中国协和医科大学出版社,2012.

[4] Hong YC,Pan XC,Kim SY,et al.Asian dust storm and pulmonary function of school children in Seoul[J].Sci Total Environ,2010,408(4):754-759.

[5] Yu HL,Chien LC,Yang CH.Asian dust storm elevates children's respiratory health risks: a spatiotemporal analysis of children's clinic visits across Taipei (Taiwan)[J].PLoS One,2012,7(7):e41317.

[6] 孙兆彬,李栋梁,陶燕,等.兰州市大气PM₁₀与呼吸系统疾病入院人数的时间序列研究[J].环境与健康杂志,2010,27(12):1049-1052.

[7] 李凤龙.长春地区沙尘天气监测与分析[D].长春:东北师范大学,2010.

[8] 郭志武,滕国召,蒲继红.基于ARIMA模型的季节调整方法及研究进展[J].中国医院统计,2009,16(1): 65-69.

[9] Kang JH,Liu TC,Keller L,et al.Asian dust storm events are associated with an acute increase in stroke hospitalization[J].J Epidemiol Community Health,2013,67(2):125-131.

[10] Kang JH,Keller JJ,Chen CS,et al.Asian dust storm events are associated wirh an acute increase in pneumonia hospitalization[J].Ann Epidemiol,2012,22(4):257-263.

[11] 冯鑫媛,王式功,杨德保.近几年沙尘天气对中国北方环保重点城市可吸入颗粒物污染的影响[J].中国沙漠,2011,31(3):735-740.

[12] 张剑.沙尘天气对呼吸与心血管系统疾病日入院人数的影响[D].太原:山西大学,2007.

[13] 倪子俞,刘白鹭.呼吸基础与临床[M].北京:中国医药科技出版社,2011.

[14] 钮春瑾.婴幼儿呼吸系统健康的家庭室内环境影响因素研究[D].上海:复旦大学,2012.

[15] Yu HL,Yang CH,Chien LC.Spatial vulnerability under extreme events:A case of Asian dust storm's effect on children's respiratory health[J].Environ Int,2013,54:35-44.

[16] 赵春霞.沙尘暴对人群健康的影响[D].兰州:兰州大学,2011.

[17] 刘晓丹,申亚利,张敏敏,等.沙尘天气对呼吸系统损害的研究进展[J].吉林大学学报:医学版,2013,39(1):191-194.

[18] Chen PS,Tsai FT,Lin CK,et al.Ambient Influenza and Avian Influenza Virus during dust storm days and background days[J].Environ Health Perspect,2010,118(9):1211-1216.

[19] 孟紫强,张剑,耿红,等.沙尘暴对呼吸及循环系统疾病日门诊量的影响[J].中国环境科学,2007,27(1):116-120.

[20] Al-Taiar A,Thalib L. Short-term effect of dust storms on the risk of mortality due to respiratory,cardiovascular and all-causes in Kuwait[J].Int J Biometeorol,2014,58(1):69-77.

沙尘天气与儿童呼吸系统疾病日门诊量的关联性分析

Analysis on correlation between dust events and number of outpatients with childhood respiratory disorders

RichHTML

PDF (PC)

赞

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 1

Metrics

本文评价

推荐阅读 0