中华皮肤科杂志 ›› 2015, Vol. 48 ›› Issue (12): 835-839.

• 论著 • 上一篇    下一篇

北京市某医院皮炎患者门诊量与空气污染的相关性研究

李永荷1,王旭英2,王巧伟3,吕宏梅4,刘玮5,潘小川2   

  1. 1. 安徽医科大学北京空军总医院临床医院
    2. 北京大学公共卫生学院劳动卫生与环境卫生学系
    3. 北京,解放军空军总医院皮肤科
    4. 北京,解放军空军总医院
    5. 北京空军总医院皮肤科
  • 收稿日期:2015-03-02 修回日期:2015-09-24 出版日期:2015-12-15 发布日期:2015-12-01
  • 通讯作者: 刘玮 E-mail:lwei5811@126.com

Association between air pollution and the number of outpatient visits for dermatitis in a hospital in Beijing city

  • Received:2015-03-02 Revised:2015-09-24 Online:2015-12-15 Published:2015-12-01
  • Contact: Wei Liu E-mail:lwei5811@126.com

摘要:

目的 探讨北京市空气污染与皮炎每日门诊人次的相关性,以及各性别、各年龄层人群对空气污染的敏感性。 方法 收集2012年4月至2014年4月期间北京市日均空气污染情况[颗粒物(PM2.5、PM10)、SO2、NO2]和日均气象资料(相对湿度、温度和风速),统计此期间就诊于空军总医院皮肤病医院诊断为皮炎的北京地区患者人数。采用广义相加模型分析日均污染物浓度与每日皮炎门诊量的相关性。 结果 单污染物模型显示,大气PM2.5、PM10、SO2、NO2每增加10 μg/m3均可致皮炎门诊人次增加,相对危险度(RR)分别为1.003 1(95% CI:1.001 6 ~ 1.004 5)、1.002 5(95% CI:1.001 4 ~ 1.003 7)、1.005 7(95% CI:1.001 5 ~ 1.009 9)和1.009 7(95% CI:1.005 6 ~ 1.013 8)。多污染物模型与单污染物模型的结果类似,各污染物对每日皮炎门诊人次仍有影响。四种污染物对皮炎门诊人次影响的滞后效应分析显示,PM10、PM2.5和NO2对每日皮炎门诊人次以当日效应为主,SO2对每日皮炎的门诊人次滞后效应随着滞后天数的增加而增加。经年龄、性别分层后,发现年龄小于60岁人群及女性对颗粒物(PM2.5、PM10)比较敏感,而NO2对所人群均有影响,SO2主要对35 ~ 60岁人群有较大影响。 结论 北京地区大气污染物PM2.5、PM10、NO2、SO2均可能增加皮炎发生的危险性。

Abstract:

Li Yonghe*, Wang Xuying, Wang Qiaowei, Lyu Hongmei, Liu Wei, Pan Xiaochuan. *Department of Dermatology, Air Force General Hospital of PLA, Beijing 100142, China Corresponding author: Liu Wei, Email: lwei5811@126.com 【Abstract】 Objective To investigate the association between air pollution and the daily number of outpatient visits for dermatitis in Beijing city, and to evaluate the sensitivity to air pollution in populations of different gender and age. Methods Time-series data on daily outpatient visits for dermatitis between April 2012 and April 2014 were collected from Air Force General Hospital of PLA. The daily average concentrations of sulfur dioxide (SO2), nitrogen dioxide (NO2), and particulate matters (PM2.5, PM10) were obtained from Beijing Municipal Environmental Monitoring Center, and routine meteorological data (including daily mean temperature, relative humidity and wind speed) were collected from the China Meteorological Data Sharing Service System. A generalized additive model was used to analyze the association between daily average concentrations of air pollutants and the number of daily outpatient visits for dermatitis. Results In single-pollutant models, an increase of 10 μg/m3 in daily concentrations of PM2.5, PM10, SO2, and NO2 was associated with the number of outpatient visits for dermatitis with the relative risk being 1.003 1 (95% CI, 1.001 6 - 1.004 5), 1.0025 (95% CI, 1.001 4 - 1.003 7), 1.0057 (95% CI, 1.001 5 - 1.009 9) and 1.009 7 (95% CI, 1.005 6 - 1.013 8) respectively. Similarly, multipollutant models showed that air pollutant concentrations were significantly associated with the daily number of outpatient visits for dermatitis. Distributed lag models showed that the effects of PM2.5, PM10 and NO2 on daily outpatient visits for dermatitis were mainly observed on the day of exposure, while the effect of SO2 increased along with the increment of lag days. Stratification analysis showed that people aged less than 60 years and females were relatively more sensitive to particulate matters (PM2.5, PM10), while NO2 affected all groups of people at the same degree, and SO2 mainly affected people aged 35 - 60 years. Conclusion Air pollutants PM2.5, PM10, SO2 and NO2 may all increase the risk of dermatitis in Beijing area.

中图分类号: 

  • 320.47