首页|气象因素和环境因素对慢阻肺急性发病重要性差异研究

气象因素和环境因素对慢阻肺急性发病重要性差异研究

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目的 探究气象因素和环境因素对慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)急性发病重要性的差异.方法 选取柳州市工人医院于2021年1月—2023年12月收治的COPD急性发病患者的3 460例临床资料以及同期柳州市气象资料和空气质量日报资料为研究对象.对各要素与COPD急性发病就诊数进行Spearman相关分析和多元逐步回归分析,建立COPD预测模型并分析其拟合效果.结果 COPD急性发病就诊数与平均气温及平均相对湿度呈负相关(r=-0.539、-0.589,P均<0.05),与SO2及PM2.5呈正相关(r=0.613、0.632,P均<0.05);多元回归分析显示,日温差、相对湿度及PM2.5对COPD急性发病就诊数的影响显著(P均<0.05).结论 日温差、相对湿度及PM2.5对COPD急性发病的影响显著.
Study on the Difference in the Importance of Meteorological and Environ-mental Factors on the Acute Onset of Chronic Obstructive Pulmonary Dis-ease
Objective To investigate the differences in the importance of meteorological and environmental factors on the acute onset of chronic obstructive pulmonary disease(COPD).Methods The clinical data of 3 460 patients with acute onset of COPD admitted to Liuzhou Workers'Hospital from January 2021 to December 2023,as well as the me-teorological data and air quality daily report data of Liuzhou City during the same period were selected as the research objects.Spearman correlation analysis and multiple stepwise regression analysis were performed on each factor and the number of acute COPD visits,and a COPD prediction model was established and its fitting effect was analyzed.Results The number of acute COPD patients was negatively correlated with average temperature and average relative humidity(r=-0.539,-0.589,both P<0.05),and positively correlated with SO2 and PM2.5(r=0.613,0.632,both P<0.05).Multiple regression analysis showed that daily temperature difference,relative humidity and PM2.5 had signifi-cant effects on the number of patients with acute COPD(all P<0.05).Conclusion The effects of daily temperature dif-ference,relative humidity and PM2.5 on the acute onset of COPD are significant and should be emphasized.

MeteorologyEnvironmentChronic obstructive pulmonary diseaseAcute onsetSignificanceDifference

黄伟、谭宏宇、方量

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柳州市工人医院急诊医学科,广西柳州 545005

气象 环境 慢阻肺 急性发病 重要性 差异

自治区卫生健康委自筹经费科研课题

Z-B20231382

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)