周先锋, 于思雨, 阮晓楠, 杨黎明, 耿福海, 周弋, 邱桦, 吴抗, 宋智武, 王小楠, 芮欣忆, 钟慧彦, 毕文婕, 彭丽, 杨丹丹, 孙乔. 气象因素对慢性阻塞性肺疾病患者门诊就诊人次的影响[J]. 环境与职业医学, 2015, 32(8): 711-716. DOI: 10.13213/j.cnki.jeom.2015.14588
引用本文: 周先锋, 于思雨, 阮晓楠, 杨黎明, 耿福海, 周弋, 邱桦, 吴抗, 宋智武, 王小楠, 芮欣忆, 钟慧彦, 毕文婕, 彭丽, 杨丹丹, 孙乔. 气象因素对慢性阻塞性肺疾病患者门诊就诊人次的影响[J]. 环境与职业医学, 2015, 32(8): 711-716. DOI: 10.13213/j.cnki.jeom.2015.14588
ZHOU Xian-feng , YU Si-yu , RUAN Xiao-nan , YANG Li-ming , GENG Fu-hai , ZHOU Yi , QIU Hua , WU Kang , SONG Zhi-wu , WANG Xiao-nan , RUI Xin-yi , ZHONG Hui-yan , BI Wen-jie , PENG Li , YANG Dan-dan , SUN Qiao . Effect of Meteorological Factors on Outpatient Visits in Patients with Chronic Obstructive Pulmonary Disease[J]. Journal of Environmental and Occupational Medicine, 2015, 32(8): 711-716. DOI: 10.13213/j.cnki.jeom.2015.14588
Citation: ZHOU Xian-feng , YU Si-yu , RUAN Xiao-nan , YANG Li-ming , GENG Fu-hai , ZHOU Yi , QIU Hua , WU Kang , SONG Zhi-wu , WANG Xiao-nan , RUI Xin-yi , ZHONG Hui-yan , BI Wen-jie , PENG Li , YANG Dan-dan , SUN Qiao . Effect of Meteorological Factors on Outpatient Visits in Patients with Chronic Obstructive Pulmonary Disease[J]. Journal of Environmental and Occupational Medicine, 2015, 32(8): 711-716. DOI: 10.13213/j.cnki.jeom.2015.14588

气象因素对慢性阻塞性肺疾病患者门诊就诊人次的影响

Effect of Meteorological Factors on Outpatient Visits in Patients with Chronic Obstructive Pulmonary Disease

  • 摘要: 目的 探讨气象因素对慢性阻塞性肺疾病(COPD)患者门诊就诊人次的影响,为专业气象服务部门开展医疗气象预报,建立预报模式提供相关预警的重要参考依据。

    方法 收集2010-2013年间上海市浦东新区7家二、三级医院COPD患者门诊就诊数据以及同期气象数据(来源于浦东新区气象局)。运用广义相加模型,在控制长期趋势、月份差异、星期效应、节假日效应基础上,探索气象因素与COPD患者门诊就诊的关系。

    结果 在控制其他因素的条件下,当日至前7日的滑动平均(mov07)温度在0~10℃波动时,COPD门诊量随着温度升高缓慢降低;在10℃以上时,温度上升致COPD门诊量降幅增大。平均相对湿度mov07在40%~55%之间或> 65%时,COPD门诊量随其上升而上升;而在55%~65%之间时,门诊量随其上升而下降。

    结论 日平均温度、日平均相对湿度对COPD患者门诊就诊有影响。

     

    Abstract: Objective To explore the effect of meteorological factors on chronic obstructive pulmonary disease (COPD) outpatient visits, and provide important references for carrying out medical weather forecast and establishing early warning forecast models in professional weather service providers.

    Methods A study was conducted using daily COPD outpatient visits data from seven secondary and tertiary hospitals and meteorological data from the Meteorological Bureau of Pudong New Area from 2010 to 2013. The relationship between meteorological factors and outpatient visits in COPD patients was examined using generalized additive model, adjusted for long-time trend, monthly variation, day-of-the-week effect, and holiday effect.

    Results With adjustment of other confounders, the COPD outpatient visits slowly decreased with an increase in the moving average temperature within the interval of 0-10℃ for the current day and previous seven days (mov07), whereas the COPD outpatient visits decreased obviously with an increase in the moving average temperature above 10℃. When the mov07 of average relative humidity fell in the interval of 40%-55% or > 65%, the COPD outpatient visits increased with increasing relative humidity; while the COPD outpatient visits decreased with the increasing mov07 of average relative humidity between 55%-65%.

    Conclusion Daily average temperature and relative humidity could affect COPD outpatient visits.

     

/

返回文章
返回