【摘要】：定量分析北京市氣溫對腹痛急診日就診人數(shù)的影響.收集2009-2012年北京市海淀區(qū)某三甲醫(yī)院腹痛急診資料和同期北京市氣象、大氣污染物資料,采用廣義相加模型在控制時間、其他氣象要素和大氣污染物(SO_2,NO_2,PM_(10))的混雜效應下,擬合日均氣溫、最高溫度、最低溫度、氣溫日較差、24 h變溫對腹痛急診日就診人數(shù)影響的劑量-反應關系.幾項氣溫指標對腹痛急診日就診人數(shù)均有不同程度影響,日均氣溫、最高溫度和最低溫度每增加1℃,腹痛急診日就診的相對危險度RR分別為1.0052(95%CI:1.0034~1.0070),1.0049(95%CI:1.003 2~1.0066)和1.004 7(95%CI:1.002 9~1.006 5).溫度日較差和24 h變溫對腹痛急診日就診人數(shù)有正向的影響,但結果無統(tǒng)計學意義.研究結果表明腹痛急診日就診人數(shù)夏季較多,日均氣溫、最高溫度和最低溫度對其均有影響.
[Abstract]:Quantitative analysis of the effect of air temperature on the number of patients with abdominal pain on emergency day in Beijing. To collect the emergency data of abdominal pain in a third Class A Hospital in Haidian District of Beijing from 2009 to 2012, and the meteorological and atmospheric pollutant data of Beijing during the same period, and to adopt the generalized additive model under the mixed effects of controlling time, other meteorological elements and atmospheric pollutants (so _ 2 / no _ 2P _ (10). The dose-response relationship of daily mean temperature, maximum temperature, minimum temperature and daily temperature range of 24 h on the number of patients with abdominal pain emergency day was fitted. The relative risk (RR) was 1.0052 (95%CI:1.0034~1.0070) 1.0049 (95%CI:1.003 _ 2 1.0066) and 1.004 ~ 7 (95%CI:1.002 _ 9 ~ 1.0065) for each increase of daily mean temperature, maximum temperature and minimum temperature. The diurnal difference of temperature and 24 h change of temperature had a positive effect on the number of patients with abdominal pain on emergency day, but the results were not statistically significant. The results showed that the number of patients with abdominal pain on emergency day was more in summer, and the daily mean temperature, the highest temperature and the lowest temperature had an effect on it.
【作者單位】： 蘭州大學公共衛(wèi)生學院;中國人民解放軍空軍航空醫(yī)學研究所附屬醫(yī)院內一科;中國人民解放軍總醫(yī)院臨床標本資源庫;蘭州大學大氣科學學院;中國人民解放軍總醫(yī)院急診科;
【基金】：國家人口與健康科學數(shù)據(jù)共享平臺建設項目(氣象環(huán)境與健康) 國家科技支撐計劃項目(2012BAJ18B08)
【分類號】：R122

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1 周忠玉;北京地區(qū)上呼吸道感染急診就診人數(shù)與氣象條件關系的研究[D];蘭州大學;2013年

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