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北京市气温对腹痛急诊日就诊人数的影响

发布时间:2018-07-25 15:26
【摘要】:定量分析北京市气温对腹痛急诊日就诊人数的影响.收集2009-2012年北京市海淀区某三甲医院腹痛急诊资料和同期北京市气象、大气污染物资料,采用广义相加模型在控制时间、其他气象要素和大气污染物(SO_2,NO_2,PM_(10))的混杂效应下,拟合日均气温、最高温度、最低温度、气温日较差、24 h变温对腹痛急诊日就诊人数影响的剂量-反应关系.几项气温指标对腹痛急诊日就诊人数均有不同程度影响,日均气温、最高温度和最低温度每增加1℃,腹痛急诊日就诊的相对危险度RR分别为1.0052(95%CI:1.0034~1.0070),1.0049(95%CI:1.003 2~1.0066)和1.004 7(95%CI:1.002 9~1.006 5).温度日较差和24 h变温对腹痛急诊日就诊人数有正向的影响,但结果无统计学意义.研究结果表明腹痛急诊日就诊人数夏季较多,日均气温、最高温度和最低温度对其均有影响.
[Abstract]:Quantitative analysis of the effect of air temperature on the number of patients with abdominal pain on emergency day in Beijing. To collect the emergency data of abdominal pain in a third Class A Hospital in Haidian District of Beijing from 2009 to 2012, and the meteorological and atmospheric pollutant data of Beijing during the same period, and to adopt the generalized additive model under the mixed effects of controlling time, other meteorological elements and atmospheric pollutants (so _ 2 / no _ 2P _ (10). The dose-response relationship of daily mean temperature, maximum temperature, minimum temperature and daily temperature range of 24 h on the number of patients with abdominal pain emergency day was fitted. The relative risk (RR) was 1.0052 (95%CI:1.0034~1.0070) 1.0049 (95%CI:1.003 _ 2 1.0066) and 1.004 ~ 7 (95%CI:1.002 _ 9 ~ 1.0065) for each increase of daily mean temperature, maximum temperature and minimum temperature. The diurnal difference of temperature and 24 h change of temperature had a positive effect on the number of patients with abdominal pain on emergency day, but the results were not statistically significant. The results showed that the number of patients with abdominal pain on emergency day was more in summer, and the daily mean temperature, the highest temperature and the lowest temperature had an effect on it.
【作者单位】: 兰州大学公共卫生学院;中国人民解放军空军航空医学研究所附属医院内一科;中国人民解放军总医院临床标本资源库;兰州大学大气科学学院;中国人民解放军总医院急诊科;
【基金】:国家人口与健康科学数据共享平台建设项目(气象环境与健康) 国家科技支撑计划项目(2012BAJ18B08)
【分类号】:R122

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1 周忠玉;北京地区上呼吸道感染急诊就诊人数与气象条件关系的研究[D];兰州大学;2013年



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