顾怡勤, 陈仁杰. 大气颗粒物与上海市闵行区居民心脑血管疾病死亡的病例交叉研究[J]. 环境与职业医学, 2017, 34(3): 220-223. DOI: 10.13213/j.cnki.jeom.2017.16483
引用本文: 顾怡勤, 陈仁杰. 大气颗粒物与上海市闵行区居民心脑血管疾病死亡的病例交叉研究[J]. 环境与职业医学, 2017, 34(3): 220-223. DOI: 10.13213/j.cnki.jeom.2017.16483
GU Yi-qin, CHEN Ren-jie. A case-crossover study on particulate matter air pollution and residents' cardio-cerebrovascular mortality in Minhang District, Shanghai[J]. Journal of Environmental and Occupational Medicine, 2017, 34(3): 220-223. DOI: 10.13213/j.cnki.jeom.2017.16483
Citation: GU Yi-qin, CHEN Ren-jie. A case-crossover study on particulate matter air pollution and residents' cardio-cerebrovascular mortality in Minhang District, Shanghai[J]. Journal of Environmental and Occupational Medicine, 2017, 34(3): 220-223. DOI: 10.13213/j.cnki.jeom.2017.16483

大气颗粒物与上海市闵行区居民心脑血管疾病死亡的病例交叉研究

A case-crossover study on particulate matter air pollution and residents' cardio-cerebrovascular mortality in Minhang District, Shanghai

  • 摘要: 目的 探讨大气颗粒物对上海市闵行区居民心脑血管系统疾病死亡的影响。

    方法 收集上海市闵行区2013年1月1日至2014年12月31日的大气污染及当地居民死亡数据,采用时间分层的病例交叉设计,分析大气颗粒物与居民心脑血管疾病死亡的关系。

    结果 研究期间,该区PM2.5和PM10的平均质量浓度分别为56 μg/m3和76 μg/m3。大气PM10、PM2.5当日浓度(lag 0)对心脑血管疾病日死亡率的影响最大,PM10当日浓度每升高10 μg/m3导致的心脑血管疾病死亡率分别增加0.75%(95% CI:0.05%~1.46%);PM2.5当日浓度每升高10 μg/m3导致的心脑血管疾病死亡率增加0.87%(95% CI:0.05%~1.69%)。在模型中控制SO2和NO2后,颗粒物的效应有所增强;在控制CO和O3之后,颗粒物的效应有所减弱。

    结论 大气颗粒物浓度升高可能导致上海市闵行区居民心脑血管系统疾病死亡增加,且在当日的影响最强。

     

    Abstract: Objective To explore the effect of particulate matter air pollution on residents' cardio-cerebrovascular mortality in Minhang District, Shanghai.

    Methods Time-stratified case-crossover approach was used to assess the association between air particulate matters and cardio-cerebrovascular mortality from January 1, 2013 to December 31, 2014 in Minhang District, Shanghai.

    Results The daily average concentrations of PM2.5 and PM10 were 56 μg/m3 and 76 μg/m3, respectively. Effects of PM10 and PM2.5 on cardiovascular and cerebrovascular mortality were statistically significant on the same day of pollution (lag 0). For PM10, an in crease of 10 μg/m3 was associated with 0.75% (95%CI:0.05%-1.46%) increase in cardio-cerebrovascular mortality; For PM2.5, an in crease of 10μg/m3 was associated with 0.87% (95%CI:0.05%-1.69%) increase in cardio-cerebrovascular mortality. Multi-pollutant analysis suggested that particulate matter's effects were enhanced after adjustment for SO2 and NO2, while the effects were weakened after adjustment for CO and O3.

    Conclusion An increase of air particulate matter concentration may lead to an increase of cardio-cerebrovascular mortality of residents in Minhang District, and the effects are strongest on the same day of pollution.

     

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