中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2015年
14期
1695-1699
,共5页
肺疾病,慢性阻塞性%急性加重%季节性%气象学概念
肺疾病,慢性阻塞性%急性加重%季節性%氣象學概唸
폐질병,만성조새성%급성가중%계절성%기상학개념
Pulmonary disease,chronic obstructive%Acute exacerbation%Seasonal%Meteorological concepts
目的：调查分析住院慢性阻塞性肺疾病急性加重期（AECOPD）患者的季候分布特点及与气象因素的关系，为临床预防 AECOPD 反复发生及进行有针对性地宣教提供指导。方法选取2008年1月—2013年12月在北京世纪坛医院住院的符合纳入标准的 AECOPD 患者1625例。同时收集同期北京地区气象因素资料，包括月极端温差、月均气温、月均气压、月均湿度、月均风速、月均日照时间。采用直线相关及多元线性回归分析影响住院 AECOPD 患者人数的气象因素。结果折线图显示，AECOPD 患者调整例数在1、4和11月出现高峰，6月出现低谷；且各月调整例数比较，差异有统计学意义（F ＝2.252，P ＝0.023）。直线相关分析显示，AECOPD 患者调整例数与月极端温差、月均气压呈正相关（r ＝0.605，P ＝0.037；r ＝0.860，P ＜0.001）；与月均气温、月均湿度呈负相关（r ＝-0.848，P＜0.001；r ＝-0.764，P ＝0.004）；与月均风速、月均日照时间无直线相关性（r ＝0.039，P ＝0.904；r ＝0.279，P ＝0.380）；月均风速与月均年龄呈正相关（r ＝0.642，P ＝0.024）。多元线性回归结果显示，月均气压是影响 AECOPD调整例数的因素（ P ＜0.05）；月均风速是影响 AECOPD 患者月均年龄的因素（ P ＜0.05）。结论北京地区住院AECOPD 患者人数表现出明显季节性，且与温差、气压、气温及湿度等气象因素存在相关性。
目的：調查分析住院慢性阻塞性肺疾病急性加重期（AECOPD）患者的季候分佈特點及與氣象因素的關繫，為臨床預防 AECOPD 反複髮生及進行有針對性地宣教提供指導。方法選取2008年1月—2013年12月在北京世紀罈醫院住院的符閤納入標準的 AECOPD 患者1625例。同時收集同期北京地區氣象因素資料，包括月極耑溫差、月均氣溫、月均氣壓、月均濕度、月均風速、月均日照時間。採用直線相關及多元線性迴歸分析影響住院 AECOPD 患者人數的氣象因素。結果摺線圖顯示，AECOPD 患者調整例數在1、4和11月齣現高峰，6月齣現低穀；且各月調整例數比較，差異有統計學意義（F ＝2.252，P ＝0.023）。直線相關分析顯示，AECOPD 患者調整例數與月極耑溫差、月均氣壓呈正相關（r ＝0.605，P ＝0.037；r ＝0.860，P ＜0.001）；與月均氣溫、月均濕度呈負相關（r ＝-0.848，P＜0.001；r ＝-0.764，P ＝0.004）；與月均風速、月均日照時間無直線相關性（r ＝0.039，P ＝0.904；r ＝0.279，P ＝0.380）；月均風速與月均年齡呈正相關（r ＝0.642，P ＝0.024）。多元線性迴歸結果顯示，月均氣壓是影響 AECOPD調整例數的因素（ P ＜0.05）；月均風速是影響 AECOPD 患者月均年齡的因素（ P ＜0.05）。結論北京地區住院AECOPD 患者人數錶現齣明顯季節性，且與溫差、氣壓、氣溫及濕度等氣象因素存在相關性。
목적：조사분석주원만성조새성폐질병급성가중기（AECOPD）환자적계후분포특점급여기상인소적관계，위림상예방 AECOPD 반복발생급진행유침대성지선교제공지도。방법선취2008년1월—2013년12월재북경세기단의원주원적부합납입표준적 AECOPD 환자1625례。동시수집동기북경지구기상인소자료，포괄월겁단온차、월균기온、월균기압、월균습도、월균풍속、월균일조시간。채용직선상관급다원선성회귀분석영향주원 AECOPD 환자인수적기상인소。결과절선도현시，AECOPD 환자조정례수재1、4화11월출현고봉，6월출현저곡；차각월조정례수비교，차이유통계학의의（F ＝2.252，P ＝0.023）。직선상관분석현시，AECOPD 환자조정례수여월겁단온차、월균기압정정상관（r ＝0.605，P ＝0.037；r ＝0.860，P ＜0.001）；여월균기온、월균습도정부상관（r ＝-0.848，P＜0.001；r ＝-0.764，P ＝0.004）；여월균풍속、월균일조시간무직선상관성（r ＝0.039，P ＝0.904；r ＝0.279，P ＝0.380）；월균풍속여월균년령정정상관（r ＝0.642，P ＝0.024）。다원선성회귀결과현시，월균기압시영향 AECOPD조정례수적인소（ P ＜0.05）；월균풍속시영향 AECOPD 환자월균년령적인소（ P ＜0.05）。결론북경지구주원AECOPD 환자인수표현출명현계절성，차여온차、기압、기온급습도등기상인소존재상관성。
Objective To investigate the relationship between the season distribution characteristics of hospitalized AECOPD patients and meteorological factors and to provide guidance for preventing the recurrence of AECOPD and carrying out targeted publicity and education. Methods We enrolled 1 625 AECOPD patients matched with the inclusion standards who were hospitalized in Beijing Shijitan Hospital from January 2008 to December 2013. And the meteorological data of Beijing in the same period were also collected,including maximum temperature difference,monthly average temperature,monthly average air pressure,monthly average humidity,monthly average wind speed and monthly average sunshine duration. Rectilinear correlation and multivariate linear regression analyses were conducted on meteorological factors for the number of hospitalized AECOPD patients. Results The line charts showed that the adjusted number of hospitalized AECOPD patients peaked in January,April and December and reached the bottom in June,and there was significant differences with monthly adjusted number of AECOPD (F = 2. 252,P = 0. 023). Rectilinear correlation analysis showed that the adjusted number of AECOPD patients was positively correlated(r = 0. 605,P = 0. 037;r = 0. 860,P < 0. 001) with the extreme temperature difference and monthly average air pressure;the adjusted number of AECOPD patients was negatively correlated(r = - 0. 848,P < 0. 001;r = - 0. 764,P =0. 004)with monthly average temperature and monthly average humidity and was not correlated(r = 0. 039,P = 0. 904;r =0. 279,P = 0. 380)with monthly average wind speed and monthly sunshine duration;monthly average wind speed was positively correlated(r = 0. 642,P = 0. 024) with monthly average age. The multivariate linear regression analysis showed that monthly average air pressure was an influencing factor( P < 0. 05) for the adjusted number of AECOPD patients and monthly average wind speed was an influencing factor(P < 0. 05)for monthly average age. Conclusion The hospitalized AECOPD patients in Beijing show an obvious seasonal characteristic and have evident correlation with temperature difference, air pressure, temperature and humidity.
