CAJ | 학술논문

目的：研究高温天气下急诊疾病谱变化，为临床医生及疾病预防部门提供高温天气疾病防治策略一线数据。方法对比分析2013年高温夏季（7－9月）杭州市第一医院急诊成人门诊（除产科外）救治疾病谱，结合气温特点进行统计学分析。结果2013年7－9月平均日最高气温及最低气温、高温（≥35℃）及极端高温（≥40℃）持续天数都远远高于2014年同期；2013年7－9月共收治1716例病例，2014年7－9月共收治1796例病例；2013年7－9月收治的心血管疾病、脑血管疾病、急性胃肠炎、中暑患者比例高于2014年同期；2013年气温持续≥40℃阶段，心脑血管疾病比例明显升高。结论高温夏季心脑血管疾病、急性胃肠炎、中暑等疾病的发病率明显升高，且持续极端高温时心脑血管疾病发病率升高显著。
목적：연구고온천기하급진질병보변화，위림상의생급질병예방부문제공고온천기질병방치책략일선수거。방법대비분석2013년고온하계（7－9월）항주시제일의원급진성인문진（제산과외）구치질병보，결합기온특점진행통계학분석。결과2013년7－9월평균일최고기온급최저기온、고온（≥35℃）급겁단고온（≥40℃）지속천수도원원고우2014년동기；2013년7－9월공수치1716례병례，2014년7－9월공수치1796례병례；2013년7－9월수치적심혈관질병、뇌혈관질병、급성위장염、중서환자비례고우2014년동기；2013년기온지속≥40℃계단，심뇌혈관질병비례명현승고。결론고온하계심뇌혈관질병、급성위장염、중서등질병적발병솔명현승고，차지속겁단고온시심뇌혈관질병발병솔승고현저。
Objective To understand the diseases commonly occurring in unusually hot weather and to provide data for clinical physicians and disease prevention sectors.Methods The clinical data of the outpatients admitted to the emergency room in the summer (during the period from 1st July to 30th September) of 2013 and 2014 were collected and analyzed. Findings The average temperature of summer in 2013 was significantly higher than that in 2014 and there were more days of high temperature (≥35℃) and unusually high temperature (≥40℃) in the summer of 2013 than in the summer of 2014. 1716 cases in 2013 and 1796 cases in 2014 were admitted respectively, with signficantly more cases of cardiovascular diseases, cerebrovascular diseases, acute gastroenteritis and sunstroke admitted in 2013 than in 2014 (p <0.01).During the period of persistent extremely high-temperature(≥40℃) , the incidences of cardiovascular and cerebrovascular diseases were significantly higher in number.Conclusion Cardiovascular diseases, cerebrovascular diseases, acute gastroenteritis and sunstroke are diseases that were found to have higher occurrence rate than other diseases during the unusually high-temperature period of 2013 summer season and the incidence of cardiovascular and cerebrovascular diseases significantly increased during the unusally hot period.