摘要
目的探讨张家口地区气象因素与急性心肌梗死(AMI)发病的关系。方法回顾性分析2014年1月1日至2016年12月31日张家口地区7所医院(三级甲等医院1所、二级医院6所)AMI入院病例,收集患者发病时间、性别、年龄、高血压病史、糖尿病史、血脂异常、吸烟史等临床资料。气象资料来源于河北省张家口市气象局,连续收集研究期间AMI频发日当日、前一日、前两日气象资料,包括日平均气温(℃)、日最高气温(℃)、日最低气温(℃)、日变温(℃)、日平均气压(hPa)、日最高气压(hPa)、日最低气压(hPa)、日平均风速(m/s)、日最大风速(m/s)、日极大风速(m/s)、日照时长(h)、日平均相对湿度(%)等。运用Logistics多因素回归模型分析气象因素对AMI频发的影响。结果张家口地区月均AMI发病例数春季高峰、夏季低谷。总体患者中4月月均AMI发病例数较其余月份多。AMI频发日近三日日变温显著高于非频发日,差异有统计学意义(P<0.01);AMI频发日近三日平均相对湿度低于非频发日,差异有统计学意义(P<0.05)。单因素Logistic回归分析显示频发日近三日日变温、平均相对湿度具有统计学意义(P<0.05);多因素Logistic回归模型未发现张家口地区气象因素是AMI发病的独立危险因素。结论张家口地区气温、气压、风速等气象因素并非AMI发病的独立危险因素。
Objective To discuss the relationship between meteorological factors and attack of acute myocardial infarction(AMI)in Zhangjiakou region.Methods The hospitalized patients with AMI were retrospectively analyzed in 7 hospital in Zhangjiakou region from Jan.1,2014 to Dec.31,2016,and patients’clinical materials were collected including disease onset time,sex,age,hypertension history,diabetes history,dyslipidemia and smoking history.The meteorological data derived from Meteorological Bureau of Zhangjiakou City of Hebei Province,and meteorological data was collected in frequent AMI attack day and the day before and 2 days before frequent AMI attack day during the study period,including daily average temperature(℃),daily maximum temperature(℃),daily minimum temperature(℃),daily temperature change(℃),daily average air pressure(hPa),daily maximum air pressure(hPa),daily minimum air pressure(hPa),daily average wind speed(m/s),daily maximum wind speed(m/s),daily extreme wind speed(m/s),sunshine hours(h),daily average relative humidity(%)and other meteorological data.The influence of meteorological factors on frequent AMI attack was analyzed by using multi-factor Logistics regression model.Results The monthly number of AMI cases reached the peak in spring and trough in summer.The monthly number of AMI cases was higher in April than that in other months.The daily temperature change in nearly 3 days of frequent AMI attack day was significantly higher than that in nonfrequent AMI attack day(P<0.01),and daily average relative humidity was lower(P<0.05).The results of singlefactor Logistic regression analysis showed that daily temperature change in nearly 3 days of frequent AMI attack day and daily average relative humidity had statistical significance(P<0.05),and multi-factor Logistic regression model showed that did not find that meteorological factors were independent risk factors of AMI attack in Zhangjiakou region.Conclusion The meteorological factors,including temperature,air pressure and wind speed,are not independent risk factors of AMI attack in Zhangjiakou region.
作者
李方江
李飞星
王晓元
张爱爱
王方珍
张鹏祥
杜美玲
李会贤
Li Fangjiang;Li Feixing;Wang Xiaoyuan;Zhang Ai'ai;Wang Fangzhen;Zhang Pengxiang;Du Meiling;Li Huixian(First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China;不详)
出处
《中国循证心血管医学杂志》
2020年第11期1361-1365,共5页
Chinese Journal of Evidence-Based Cardiovascular Medicine
基金
河北省张家口市科学技术研究与发展计划(1611054H)。
关键词
急性心肌梗死
频发日
气象因素
季节及月分布规律
Acute myocardial infarction
Frequent days
Meteorological factors
Seasonal and monthly distribution regularities
作者简介
通讯作者:王方珍,E-mail:jaychou5309@163.com。
