摘要
目的 了解银川市2018—2020年大气污染状况及某社区呼吸系统、心血管系统疾病门诊就诊分布情况,探讨银川市大气污染物与某社区居民心肺疾病的暴露-反应关系。方法 收集2018年1月1日至2020年12月31日某社区门诊资料并筛选呼吸系统、心血管系统疾病就诊人群;收集同期空气质量监测数据和气象监测数据,采用时间序列分析的广义相加模型分析大气污染与社区心肺疾病门诊就诊人次的暴露-反应关系。结果 2018—2020年银川市某社区门诊呼吸系统、心血管系统疾病就诊总人次分别为5 467人次、5 337人次。2018—2020年大气PM10平均浓度高于我国空气质量二级标准限值。大气PM2.5每升高10μg·m^(-3)对65岁及以上因呼吸系统疾病就诊人次的超额危险度(excess risk,ER)及95%CI为3.74(0.69,6.79);大气PM10每升高10μg·m^(-3)对社区门诊呼吸系统疾病及65岁及以上就诊人次ER(95%CI)分别为0.70(0.00,1.40)、2.01(0.44,3.57);大气CO每升高0.1 mg·m^(-3)对65岁及以上因呼吸系统疾病就诊人次ER(95%CI)为1.56(0.21,2.91);大气NO2每升高10μg·m^(-3)对呼吸系统、心血管系统疾病就诊人次ER(95%CI)分别为2.47(0.27,4.67)、2.25(0.00,4.49)。滞后效应中,大气SO2每升高10μg·m^(-3)对2 d时呼吸系统疾病门诊人次ER(95%CI)为5.12(0.18,10.07)。结论 大气PM2.5、PM10、CO、NO2对银川市社区门诊呼吸系统疾病就诊人次有影响;大气NO_(2)对门诊心血管系统疾病人群就诊人次有影响。
Objective To investigate the air pollution status and the distribution of respiratory and cardiovascular diseases in a community from 2018 to 2020,and to explore the expose-response relationship between air pollution and cardiopulmonary diseases in a community in Yinchuan.Methods Data of a community outpatient clinic from January 1,2018 to December 31,2020 were collected and diseases seeking population of respiratory system and cardiovascular system were screened.The air quality monitoring data and meteorological monitoring data were collected in the same period,and the expose-response relationship between air pollution and outpatient visits of cardiopulmonary diseases in community was analyzed using a generalized additive time series analysis model.Results From 2018 to 2020,the total number of patients with respiratory and cardiovascular diseases in a community outpatient clinic in Yinchuan city was 5467 and 5337 respectively.The average PM10 concentration in 2018 to 2020 was higher than the second-level limit of China’s air quality standards.The excess risk(ER)and 95%CI were 3.74(0.69,6.79)for every 10μg·m-3 increase in PM2.5 for patients over 65 years of age.ER and 95%CI were 0.70(0.00,1.40)and 2.01(0.44,3.57)for each 10μg·m-3 increase in PM10 for patients over 65 years of age.ER and 95%CI were 1.56(0.21,2.91)for every 1 mg·m-3 increase of atmospheric CO.The ER and 95%CI of patients with respiratory and cardiovascular diseases were 2.47(0.27,4.67)and 2.25(0.00,4.49)for every 10μg·m-3 increase of NO2.In the lag effect,the ER and 95%CI of outpatient visits with respiratory diseases on the second day were 5.12(0.18,10.07)for each 10μg·m-3 increase of atmospheric SO2.Conclusion The results showed that PM2.5,PM10,CO and NO2 had an impact on the number of patients with respiratory diseases in community outpatients in Yinchuan City.Atmospheric NO2 has an effect on the number of outpatient visits for cardiovascular diseases.
作者
周思杰
沙金
张娟
张翰卿
王金霞
石运昊
张亚娟
ZHOU Sijie;SHA Jin;ZHANG Juan;ZHANG Hanqing;WANG Jinxia;SHI Yunhao;ZHANG Yajuan(School of Public Health,Ningxia Medical University,Yinchuan 750004,China;Mingde Community Health Service Station of Yinchuan First People’s Hospital,Yinchuan 750001,China)
出处
《宁夏医科大学学报》
2023年第5期518-523,540,共7页
Journal of Ningxia Medical University
基金
宁夏医科大学校级自然科学类项目(XM20200007)。
