中国全科医学2018，Vol.21Issue(11)：1290-1295,6.DOI:10.3969/j.issn.1007-9572.2018.00.057
采暖期及非采暖期大气污染物与儿科呼吸系统常见疾病门急诊日均就诊人次数的相关性研究
Correlation of Air Pollutant Concentrations with the Number of Average Daily Hospital Pediatric Emergency Outpatient Visits due to Common Respiratory Disease during Heating and Non-heating Periods
摘要
Abstract
Objective To discuss the correlation of air pollutant concentrations with the number of average daily hospital pediatric emergency outpatient visits due to common respiratory disease.Methods We selected 452 357 pediatric patients with common respiratory disease who received pediatric emergency outpatient care from the First Affiliated Hospital of Xinjiang Medical University between 2014 and 2016,including 184 757 with upper respiratory tract infection,162 965 with bronchitis,91 055 with pneumonia,and 13 580 with asthma.We calculated the number of daily hospital pediatric emergency outpatient visits and collected the data about air quality(including concentrations of PM2.5,PM10,SO2,CO,NO2,and O3).Results Compared with non-heating period,in heating period,the average number of daily pediatric outpatient visits for upper respiratory tract infection or asthma was less,but that for bronchitis and orpneumonia was more,and the total number of daily pediatric outpatient visits for common respiratory disease was more,the concentrations of PM2.5,PM10,SO2,CO,and NO2were all higher except those of O3were lower (P<0.001).Multiple linear regression analysis found that,during the heating period,the concentrations of PM2.5,SO2,CO and NO2affected the number of average daily pediatric emergency outpatient visits for upper respiratory tract infection (t=5.020,t=4.165,t=-4.693,t=-2.280,P<0.05),the concentrations of PM10,SO2,NO2,O3were associated factors for the number of average daily pediatric emergency outpatient visits for bronchitis (t=5.013,t=4.485,t=-8.430,t=-16.125,P<0.05) and the total number of daily pediatric outpatient visits due to common respiratory disease (t=4.260,t=3.608,t=-5.921,t=13.084,P<0.05),the concentrations of CO and O3were associated factors for the number of average daily pediatric emergency outpatient visits for pneumonia (t=6.845,t=-13.988,P<0.05), and the concentrations of SO2,CO and O3were associated factors for the number of average daily pediatric emergency outpatient visits for asthma (t=-9.305,t=2.518,t=-3.643,P<0.05);during the non-heating period,the concentrations of PM10, SO2,CO,NO2and O3affected the number of average daily pediatric emergency outpatient visits for upper respiratory tract infection (t=7.085,t=2.941,t=-9.571,t=2.149,t=2.149,P<0.05) and that for pneumonia (t=7.021,t=-4.831, t=-5.558,t=2.751,t=-14.798,P<0.05),PM2.5,PM10,and O3were associated factors for the number of average daily pediatric emergency outpatient visits for bronchitis (t=-1.964,t=6.748,t=-16.077,P<0.05),PM2.5,PM10,NO2 and O3were associated factors for the number of average daily pediatric emergency outpatient visits for asthma (t=3.141, t=-7.705,t=3.649,t=4.828,P<0.05)and PM10,CO,NO2and O3were associated factors for the total number of average daily pediatric emergency outpatient visits for common respiratory disease (t=9.491,t=-8.649,t=4.042,t=-10.321, P<0.05).Conclusion Air pollutant concentrations correlate with the number of average daily hospital pediatric emergency outpatient visits due to common respiratory disease to varying degrees.Therefore,the visits can be reduced by controlling the environmental pollution based on the monitoring results of air pollutant concentrations.关键词
呼吸系统疾病/空气污染物/医院,儿科/就诊人次数Key words
Respiratory tract diseases/Air pollutants/Hospitals,pediatric/Number of visits分类
医药卫生引用本文复制引用
张美,马香萍,张季红,杨蕾,戴江红..采暖期及非采暖期大气污染物与儿科呼吸系统常见疾病门急诊日均就诊人次数的相关性研究[J].中国全科医学,2018,21(11):1290-1295,6.基金项目
自治区自然基金项目(2016D01C188) （2016D01C188）
