温州儿童哮喘发作与空气污染及气象因子的相关性分析

陈小聪,吴红娟,李锦燕

中国儿童保健杂志 ›› 2015, Vol. 23 ›› Issue (1) : 11.

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中国儿童保健杂志 ›› 2015, Vol. 23 ›› Issue (1) : 11. DOI: 10.11852/zgetbjzz2015-23-01-04
科研论著

温州儿童哮喘发作与空气污染及气象因子的相关性分析

  • 陈小聪,吴红娟,李锦燕
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Correlation analysis between children asthma exacerbation and air pollution and meteorological factors in Wenzhou city.

  • CHEN Xiao-cong,WU Hong-juan,LI Jin-yan
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摘要

目的 探讨温州儿童哮喘发作与空气污染及气象因子的相关性,为预防儿童哮喘发作提供理论依据。方法 收集2013年7月-2014年6月因哮喘发作在本科室住院治疗的患儿资料,以及同时期温州空气主要污染物浓度和气象因子数据资料,通过双变量相关性分析法、多元线性逐步回归分析法分析各月哮喘发作住院的患儿例数与各项空气污染物浓度及各气象因子的相关性。结果 哮喘发作住院的患儿例数随空气污染物浓度升高呈增加趋势,其中可吸入颗粒物(pm10)浓度与哮喘住院患儿例数(尤其单纯哮喘例数)关系密切,呈显著正相关(P=0.039,r=0.601;P=0.020,r=0.660)。结论 空气中pm10浓度升高能诱发儿童哮喘发作,尤其增加儿童单纯哮喘发作的发病率。故做好环境保护,降低空气污染,对减少儿童哮喘发作有重要意义。

Abstract

Objective To explore the relationship between children asthma exacerbation and air pollution and meteorological factors in Wenzhou city. Methods The data of hospitalized children with asthma exacerbation were collected in Wenzhou city from July 2013 to June 2014 and the data of the local air pollution and meteorological factors were collected in the same period too.Then the relationship between asthma exacerbation number and air pollution and meteorological factors were analyzed by straight line correlation,multi-variant linear stepwise regression methods. Results Asthma exacerbation number seemed to go up as air pollution got worse.Inhalable particles (pm10) was the major impact index and had the most significant correlation with the number asthma exacerbation children. Conclusions pm10 is an important factor to affect children developing asthma exacerbation in Wenzhou city,especially to cases of simple asthma exacerbation.Environmental protection should be done well to reduce the incidence of asthma exacerbation in children.

关键词

哮喘 / 空气污染物 / 可吸入颗粒物 / 儿童

Key words

asthma / air pollutant / inhalable particles / children

引用本文

导出引用
陈小聪,吴红娟,李锦燕. 温州儿童哮喘发作与空气污染及气象因子的相关性分析[J]. 中国儿童保健杂志. 2015, 23(1): 11 https://doi.org/10.11852/zgetbjzz2015-23-01-04
CHEN Xiao-cong,WU Hong-juan,LI Jin-yan. Correlation analysis between children asthma exacerbation and air pollution and meteorological factors in Wenzhou city.[J]. Chinese Journal of Child Health Care. 2015, 23(1): 11 https://doi.org/10.11852/zgetbjzz2015-23-01-04
中图分类号: R725.6   

参考文献

[1] 李昌崇,蔡晓红,胡晓光,等.温州市区2000年儿童哮喘流行病学调查报告[J].温州医学院学报,2003,33(1):12-14.
[2] 陈敏慧,江伟健.近8年中国儿童哮喘与室内空气污染、呼吸道感染和母乳喂养的病例对照研究Meta分析[J].中国儿童保健杂志,2011,19(9):837-840.
[3] 朱晓华,陈强,刘建梅,等.支气管哮喘患儿急性发作与空气污染及气象变化的相关性[J].实用儿科临床杂志,2009,24(21):1641-1642,1647.
[4] 韩建康,刘小琦,顾志伟,等.气象因素对呼吸道疾病的影响及预报研究[J].疾病监测,2008,23(11):674-677.
[5] 中华医学会儿科学分会呼吸学组.儿童支气管哮喘诊断与防治指南[J].中华儿科杂志,2008,46(10):745-753.
[6] Virchow JC,Barnes PJ.Asthma[J].Semin Respir Crit Care Med,2012,33(6):557-558.
[7] Stefaniak J,Pac A,Gorynski P,et al.Seasonal variation of hospital morbidity from asthma in Poland[J].Przegl Epidemiol,2007,61(3):567-575.
[8] 徐述章,黄细花,徐桂萍,等.儿童哮喘与环境空气污染物关系的调查研究[J].中国小儿急救医学,2006,13(4):347-349.
[9] 袁萍,魏莉,郝森,等.燃煤删室内空气污染物与儿童哮喘易感基因的关系研究[J].卫生研究,2008,37(2):159-163.
[10] O' Connor GT,Neas L,Vaughn B,et al.Acute respiratory health effects of air pollution oil children with asthma in US inner cities[J].J Allergy Clin Irnrnunol,2008,121(5):1133-1139.
[11] 叶晓芳,Kim DS,张翼翔,等.沙尘天气大气颗粒物埘学龄儿童最大呼气流速的影响[J].环境与健康杂志,2008,25(7):571-574.
[12] Roy A,Sheffield P,Wong K,et al.The effects of outdoor air pollutants on the costs of pediatric asthma hospitalizations in the United States,1999-2007[J].Med Care,2011,49(9):810-820.
[13] Li S,Batterman S,Wasilevich E,et al.Association of daily asthma emergency department visits and hospital admissions with ambient air pollutants among the pediatric medicaid population in Detroit:time-series and time stratified case-crossover analyses with threshold effects[J].Environ Res,2011,111(8):1137-1145.
[14] 刘超,符州,罗征秀,等.儿童支气管哮喘急性发作的病原分布特点[J].临床儿科杂志,2011,29 (2):133-135.

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