工业污染与呼吸系统疾病患者住院医疗服务利用相关分析

发布时间：2018-08-06 15:43

【摘要】：目的分析不同工业污染物源对呼吸系统疾病患者住院利用影响的相关程度。方法利用《中国统计年鉴》和《中国卫生统计年鉴》相关数据,对我国2004—2012年累积工业污染物的排放量(Xi)与卫生部门综合医院13种呼吸系统疾病患者住院利用率(Yi)之间进行双变量相关性及建立线性回归模型分析。结果 13种呼吸系统疾病患者全国卫生部门综合医院住院医疗服务利用率、累积人均工业污染物排放量都呈逐年上升增长趋势。流行性感冒患者的住院医疗服务年平均增长率为36.73%,其次为外部物质引起的肺病患者为31.95%和肺炎患者30.75%;最慢的是百日咳年平均增长率为2.74%。而工业污染物排放量增长最快的是累积人均工业废气的排放量为41.12%,最慢的是累积人均工业固废的排放量为14.49%。与累积人均工业烟尘、粉尘、固废排放量相关关系最大的是慢性扁桃体腺样体疾病(r=0.877、0.867、0.839),与累计人均二氧化硫(SO_2)排放量和废水相关关系最大的是外部物质引起的肺病(r=0.920、0.875);与废气相关关系最大的是慢性肺源性心脏病(r=0.911);回归模型分析显示,废气只与除百日咳、流行性感冒、鼻咽恶性肿瘤之外的10种疾病呈线性相关(P0.05)。结论呼吸系统疾病患者住院利用程度与工业废气、SO_2、烟尘的排放相关度更高。
[Abstract]:Objective to analyze the influence of different industrial pollutant sources on hospitalization utilization of patients with respiratory diseases. Methods the relevant data of China Statistical Yearbook and China Health Statistics Yearbook were used. The bivariate correlation and linear regression model were established between the (Xi) emissions of accumulated industrial pollutants and the inpatient utilization rate (Yi) of 13 kinds of respiratory diseases in general hospitals of the health sector in China from 2004 to 2012. Results the utilization rate of inpatient medical service and the cumulative per capita discharge of industrial pollutants increased year by year in 13 kinds of respiratory diseases. The average annual growth rate of inpatient medical service for influenza patients was 36.73, followed by external substances caused by pulmonary diseases (31.95%) and pneumonia (30.75%), and the slowest was that the average annual growth rate of pertussis was 2.74%. The fastest growth of industrial pollutant emissions is the accumulation of 41.12 per capita industrial waste emissions, the slowest is the cumulative per capita industrial solid waste emissions of 14.49. With accumulated per capita industrial dust, dust, Chronic tonsil adenoid disease (rn 0.877U 0.8670.39) was the most correlated with solid waste discharge, and pulmonary disease caused by external substances was the most correlated with cumulative per capita sulfur dioxide (SO_2) emissions and wastewater (r 0.9020 ~ 0.875), and the biggest correlation with exhaust gas was slowness. Pulmonary heart disease (r = 0.911); regression model analysis showed that, Exhaust gas was only linearly correlated with 10 diseases except pertussis, influenza and nasopharyngeal malignancy (P0.05). Conclusion the degree of inpatient utilization of respiratory diseases is more correlated with so _ 2 and soot emission.
【作者单位】：华中科技大学同济医学院药学院医药商贸与管理系;
【基金】：国家自然科学基金(71373089)
【分类号】：R56;R197.3

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