急性心血管疾病发病与气象因素关系研究.docVIP

急性心血管疾病发病与气象因素关系研究 　　DOI：10.3760/cma.j.issn.1671-0282.2014.04.029 　　基金项目：北京市卫生系统高层次卫生技术人才资助项目（2011-3-100） 　　作者单位：100069 北京，首都医科大学卫生管理与教育学院（崔甍甍、王晓燕）；北京市医院管理局（于鲁明）；北京急救中心（张进军）；北京市专业气象台（张德山） 　　通信作者：于鲁明，Email：zhang92560@163.com 　　【摘要】目的 探讨气象因素与急性心血管疾病发病之间的相关性。方法 收集2006-2010年北京120急救出诊的心血管疾病数据，以及北京市专业气象台提供的同期气象资料，运用时间分层的病例交叉设计，分析不同季节气象因素对心血管疾病发病的影响。结果 四季日均心血管疾病发病例数分别为5.61、4.55、5.05、6.03例。气温在春、秋季与疾病发病呈非线性变化；气压在冬季与疾病发病呈负相关；相对湿度在春、夏、秋季与疾病发病呈正相关；风速在春、夏季与疾病发病呈正相关，秋、冬季呈负相关。结论 急性心血管疾病发病冬春季高于夏秋季，不同季节心血管疾病发病例数与气温、气压、相对湿度、风速等气象因素相关性存在差异，气象因素对疾病发病影响存在一定滞后性。 　　【关键词】气象因素；院前急救；急性心血管疾病；病例交叉研究；季节；北京 　　Association between meteorological factors and the incidence of acute cardiovascular disease Cui Mengmeng， Yu Luming，Zhang Jinjun， Zhang Deshan， Wang Xiaoyan. Education College of Capital Medical University， Beijing 100089， China 　　Corresponding author： Yu Luming， Email： zhang92560@163.com 　　【Abstract】Objective To investigate the correlation between meteorological factors and the incidence of acute cardiovascular disease. MethodsThe number of calls for ambulance in case of cardiovascular disease between 2006 to 2010 was obtained from Beijing 120 emergency center and the data of meteorological factor during for the same period from Beijing Meteorological professional were collected， and then the impact of the weather factors of different seasons of weather factors on the incidence of cardiovascular disease was ere analyzed by time-stratified case-crossover design. ResultsThe average daily incidence cases of cardiovascular disease in four seasons average daily were 5.61，4.55，5.05 and 6.03 respectively. The association between temperature Temperature and the incidence of acute cardiovascular disease was were non-linear relationship changes in spring and autumn seasons. Atmosphere Air pressure and the incidence were negatively correlated in the winter. The relative humidity of airand the incidence were related in the spring， summer， autumn. Wind and the incidence were related in the s