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The correlation between air pollutants and outpatient visits in Zhoushan |
YI Jing-ping*, FENG Chang, GE Qi, ZHANG Yong-li
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*Zhoushan Center for Disease Prevention and Control, Zhoushan, Zhejiang316021, China |
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Abstract Objective To explore the correlation between air pollution and outpatient visits,and to provide evidence for health risk assessment of air pollutants and intervention. Methods The data of air pollutants and outpatient visits in 2016 in Zhoushan Hospital were collected,and the outpatient volume on the days when the concentration of air pollutants reached and exceeded the standard were compared. Spearman rank correlation analysis was used to explore the relationship between outpatient volume and the concentration of air pollutants. Results In 2016,the median(inter-quartile range)of daily outpatient volume in Zhoushan Hospital was 3 304(1 638)person-times. O3,PM2.5 and PM10 were the primary air pollutants in Zhoushan in 2016. The average daily outpatient volume of internal medicine,circulatory system,other diseases and all when the air was polluted at light level or above were higher than those when the air quality was good(P< 0.05). CO concentration was positively correlated with the average daily outpatient volume of respiratory system and circulatory system(P< 0.05),was negatively correlated with the average daily outpatient volume of all(P< 0.05). O3-8 h concentration was positively correlated with the average daily outpatient volume of internal medicine,other diseases and all(P< 0.05),and was negatively correlated with the average daily outpatient volume of respiratory system and pediatrics(P< 0.05). SO2 concentration was negatively correlated with the average daily outpatient volume of respiratory system,skin and subcutaneous tissue(P< 0.05). The concentration of NO2,PM10 and PM2.5 were positively correlated with the average daily outpatient volume of respiratory system and pediatrics(P< 0.05). Conclusion The main air pollutants in Zhoushan were O3,PM2.5 and PM10. When they exceed the limits,the outpatient volume would increase.
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Received: 30 August 2018
Revised: 18 January 2019
Published: 03 June 2019
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[1] 张金良,闫崴,刘惠卿,等. 2013年初灰霾期间中国三城市空气污染对呼吸内科和儿科门诊量的影响[J]. 环境与健康杂志,2014,31(10):847-852. [2] 张中文,王玖,孙红卫,等. 基于广义泊松模型的空气质量对医院呼吸科门诊人次的影响研究[J]. 现代预防医学,2017,44(7):1157-1160. [3] 王在翔,赵晶,牛泽亮,等. 空气污染对心脑血管疾病门诊量影响的Poisson广义可加模型分析[J].中国卫生统计,2017,34(2):232-235. [4] 李惠,赵学良,程芳,等. 雾霾天气对荨麻疹就诊量和病情的影响[J]. 皮肤性病诊疗学杂志,2017,24(2):112-115. [5] 刘志连. 变应性鼻炎发病与空气污染的相关性研究[D]. 乌鲁木齐:新疆医科大学,2006. [6] 吴安花,谭钢,邵毅,等. 环境污染与眼表疾病的关系研究进展[J]. 山东医药,2017,57(7):101-104. [7] International Agency for Research on Cancer. List of IARC Group 1 carcinogens[R/OL].(2018-09-09)[2018-12-10]. https:// monographs.iarc.fr/agents-classified-by-the-iarc/. [8] VAN DNKELAARA,MARTIN R V,BRAUER M,et al.Use of satellite observations for long-term exposure assessment of global concentrations of fine particulate matter[J]. Environ Health Perspect,2015,123(2):135-143. [9] 中华人民共和国环境保护部. 2013年中国环境状况公报[R]. 2014. [10] 浙江省环境保护厅. 2016年浙江省环境状况公报[R]. 2017. [11] 王颖硕,李淑娴,杨德华,等. 杭州市空气污染对儿童门诊量的影响[G]. 杭州:浙江省医学会儿科学分会学术年会暨儿内科疾病诊治新进展国家级继续教育学习班论文汇编,2014:1. [12] 张燕萍,赵宝新,桑田,等. 2013年初灰霾期间太原市空气污染与医院门诊量的相关性分析[J]. 环境与健康杂志,2014,31(10):878-883. [13] 朱丽. 合肥市大气污染与某医院儿科呼吸系统疾病门诊量的时间序列分析[D]. 合肥:安徽医科大学,2015. [14] 张永利,戴亚欣. 舟山市空气污染物对呼吸门诊就诊人数的影响研究[J]. 中国预防医学杂志,2017,18(10):753-757. [15] 李阳. 杭州市主要空气污染物浓度与呼吸系统疾病的关系研究[D]. 杭州:浙江农林大学,2017. [16] 芮婷. PM2.5对咳嗽、胸痹患者门诊量的短期效应[D]. 北京:北京中医药大学,2014. [17] 王大虎,石同幸,吕嘉韵,等. 2013—2015年广州市大气PM2.5浓度对儿童呼吸系统门诊量影响分析[J]. 医学动物防制,2017,33(12):1230-1234. [18] 崔亮亮,李新伟,耿兴义,等. 2013年济南市大气PM2.5污染及雾霾事件对儿童门诊量影响的时间序列分析[J]. 环境与健康杂志,2015,32(6):489-493. [19] 张媛媛,刘宗伟,李文龙,等. 2016年潍坊市空气污染对儿童呼吸系统疾病门诊量的影响[J]. 环境与职业医学,2018(1):24-28. [20] 钱旭君,李国星,贺天锋,等. 宁波市大气污染物一氧化碳及臭氧对人群心肌梗死死亡的急性效应研究[J]. 中华流行病学杂志,2017,38(3):297-302. [21] 李玉荣. 2014—2015年合肥市空气污染物与某儿童医院0~14岁儿童上呼吸道感染日均门诊量的时间序列研究[D]. 合肥:安徽医科大学,2017. [22] 刘波,刘晓峰,杨冬梅,等. 北京市通州区空气污染与医院门诊量关系初探[J]. 首都公共卫生,2017,11(5):212-215, 227. |
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