首页|2011-2014年济南市高温中暑病例流行病学特征及风险分析

2011-2014年济南市高温中暑病例流行病学特征及风险分析

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目的 全球变暖已是不争的事实,因高温热浪导致的健康危害已引起广泛关注,综合分析近年来济南市高温月(5-8月)期间气温特征和高温中暑病例分布特征,评估高温热浪期间病例发生风险,为病例监测和预警管理提供依据.方法 收集2011-2014年济南市高温月期间气温数据和高温中暑病例个案信息,并进行描述性分析.定义热浪研究期为1次高温热浪前后出现间隔≤3d的高温日或高温热浪时间段;选择与研究期季节就近、天数相同、星期匹配、以及期间无高温日的时间段作为参考期.通过计算研究期相对参考期高温中暑病例的相对危险度(RR)评估高温热浪导致的发病风险.结果 2011-2014年间济南市高温月同期日均温、日最高温5月和8月逐年升高显著.4年间205例中暑病例以2013年报告最多(55.1%),病例主要集中于7月.病例以重症报告为主(71.2%),男性病例年龄组分布以60~79岁年龄组(36.0%)和40~59岁年龄组(34.4%)为主,年轻于女性.识别出的5个热浪期间报告病例129例,占本年度病例总数比例均在50%以上,除2个热浪期间病例发生风险无法估计外,另3个热浪病例发生风险均出现显著性增加.结论 济南市高温月期间气温呈现出逐年升高趋势,中暑病例以重症为主,男性病例年轻于女性.热浪期间病例的发生风险可出现显著增加.
Epidemiological character and risk analysis of heat stroke cases during 2011-2014 in Ji'nan city
Objective By analyzing the epidemiological data of high temperature and heat stroke cases occurred in four hot months (May to August) in recent years in Ji'nan to provide the basis for the policy making and forewarning.Methods Meteorological parameters and heat stroke cases were collected and analyzed.Heat wave study period was defined as a heat wave event, before and after which one or more hot days and heat wave envents appeared with an interval of ≤ 3 d.Accordingly, the reference period was defined with the similar season distribution and the same continuing days and day of week to the study period, and withnot hot day.RR and 95%CI were used as the risk indicator to compare the cases in study period with those in reference period.Results May and August between 2011 and 2014 had an increasing daily average temperature and daily maximum temperature.A total of 205 cases were reported and most in 2013 (55.1%).The high frequency cases were reported in July in each year.71.2% of 205 cases were diagnosed as severe cases.Most of the cases in age groups of 60-79 and 40-59 were male, which presented a younger distribution than female.More than half of total cases (129 cases) were reported in five heat wave periods,three of which significant increased risk was observed in, the risk in rest two heat wave periods could not be estimated due to the related reference periods without cases.Conclusion Increased high temperatures are observed in hot months in recent years.Most of the heat stroke cases are severe and male cases are younger than female.Significant increasing risk is found in heat wave period.

High temperatureHeat waveHeat strokeEpidemiological characterRisk assessment

崔亮亮、周敬文、耿兴义、张济

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济南市疾病预防控制中心环境与职业卫生所,山东250021

高温 热浪 中暑 流行特征 风险评估

2015

环境与健康杂志
中华预防医学会,天津市疾病预防控制中心

环境与健康杂志

CSTPCD北大核心
影响因子:0.658
ISSN:1001-5914
年,卷(期):2015.32(9)
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