首页|2017-2021年丹东市元宝区居民心脑血管疾病与气温的关联性研究

2017-2021年丹东市元宝区居民心脑血管疾病与气温的关联性研究

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目的 分析2017-2021年丹东市元宝区大气温度与居民心脑血管疾病之间的关联.方法 收集2017-2021年丹东市元宝区居民心脑血管疾病发病资料和同期气温、气压等数据,描述气象因素与居民心脑血管疾病发病的基本情况,采用Spearman秩相关分析气温与心脑血管疾病的相关性,构建分布滞后非线性模型(DLNM)探讨气温与心脑血管疾病的暴露-反应及滞后关系.结果 心脑血管疾病与最高气温,出血性脑卒中与日均气温,心脏病与日均气压之间均存在负相关关系,且均有统计学意义(P<0.05).当日均气温在-13.3~9.5℃范围内时,出血性脑卒中风险增加,且温度为-13.3 ℃时RR值最大为14.00(95%CI:1.01~193.77).当气温在-8~2.3 ℃范围内时,日均气温是男性出血性脑卒中的危险因素;气温在14.8℃以上时,日均气温是女性出血性脑卒中的保护因素.低温下发生心脑血管疾病的相对危险度在lag2达到最大值,为1.04(95%CI:0.94~1.16);高温下lag7的相对危险度最大,为1.02(95%CI:0.96~1.08),但均无统计学意义(P>0.05).结论 本次调查人群在日均气温较低时出血性脑卒中发病风险升高,应在冬春季节注意保暖,加强对出血性脑卒中的预防.
Correlation between cardiovascular and cerebrovascular diseases and temperature in residents of Yuanbao district of Dandong city,2017-2021
Objective To understand the correlation between atmospheric temperature and cardiovascular and cerebrovascular diseases in local residents of Yuanbao district,Dandong city from 2017 to 2021.Methods The cardiovascular and cerebrovascular incidence data of local residents and the related air temperature and pressure data during 2017 to 2021 were collected.The basic situation of meteorological factors and cardiovascular and cerebrovascular diseases were described,and the correlation between temperature and cardiovascular and cerebrovascular diseases was analyzed by Spearman rank correlation,the exposure-response-lag relationship between temperature and cardiovascular and cerebrovascular disease analyzed through constructed a linear model of distribution lag.Results There were negative correlations between cardiovascular and cerebrovascular diseases and maximum temperature,hemorrhagic stroke and daily average temperature,and heart disease and daily mean air pressure.When the average daily temperature was in the range of-13.3-9.5 ℃,the risk of hemorrhagic stroke increased,and when the temperature was-13.3 ℃,the RR value was the maximum of 14.00(95%CI:1.01-193.77).The average daily temperature in the range of-8-2.3 ℃ was a risk factor for hemorrhagic stroke in men.The average daily temperature above 14.8 ℃ was a protective factor for hemorrhagic stroke in women.The relative risk of cardiovascular and cerebrovascular diseases at low temperature reached a maximum in lag2,which was 1.04(95%CI:0.94-1.16).The relative risk of lag7 at high temperature was the largest,1.02(95%CI:0.96-1.08),but none of them were statistically significant.Conclusion When the average daily temperature is low,the residents of Yuanbao district of Dandong city have an increased risk of hemorrhagic stroke,and keeping warm in winter and spring should be taken for the prevention of hemorrhagic stroke.

Cardiovascular and cerebrovascularStrokeTemperatureDistribution lag nonlinear model

白梅、阎涵、姜海强、孙继绪、李树宝、邢立莹

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沈阳医学院研究生院,辽宁沈阳 110034

辽宁省疾病预防控制中心慢病所

丹东市疾病预防控制中心慢病所

朝阳市疾病预防控制中心慢病所

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心脑血管 脑卒中 气温 分布滞后非线性模型

2019年辽宁省重点研发计划项目

2019JH2/10300001

2024

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
影响因子:0.658
ISSN:1001-5914
年,卷(期):2024.41(4)
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