Abstract:
Objective:To explore the correlation between acute otitis media(AOM), acute pharyngitis(AP) and allergic rhinitis(AR) and environmental-meteorological factors in children in Lanzhou. Method:Data were collected in 2015-2017 from the outpatient department and emergency department of Otolaryngology of one hospital in Lanzhou. The association between clinical data and the environmental meteorological factors during the same period, including the air quality index(AQI), PM2.5, PM10, CO, NO₂, SO₂, O3, average temperature, average air pressure, average wind speed, average humidity in Lanzhou, was analyzed. Result:The incidence of AOM was positively correlated with AQI, PM2.5, PM10, CO, NO₂, SO₂, average air pressure, and was negatively correlated with O3, average wind speed and average air temperature, but not correlated with average humidity. The incidence of AP was positively correlated with average temperature and average humidity, and not correlated with other 9 factors. The incidence of AR was correlated with all 10 environmental meteorological factors except for O3.The number of children with AOM, AP and AR varied with different seasons. Environmental meteorological factors have single lag and cumulative lag effects on the incidence of children with AOM, AP and AR, and difference between the single lag and cumulative lag time was observed. Conclusion:There may be some correlation between the environmental meteorological factors and the incidence of AOM, AP, AR in children, and there is a lag effect. The incidence of pediatric AOM, AP and AR is affected by seasonal factors.
目的:探讨兰州地区儿童急性中耳炎(AOM)、急性咽喉炎(AP)、变应性鼻炎(AR)与环境气象因素的相关性。 方法:收集20l5—2017年期间解放军第940医院AOM、AP、AR患儿的临床资料,结合同期兰州市空气质量指数(AQI)及环境气象数据(PM2.5、PM10、CO、NO₂、SO₂、O3、平均气温、平均气压、平均风速、平均湿度),分析环境气象因素与儿童AOM、AP、AR就诊人数的相关性。 结果:儿童AOM日就诊人数与AQI、PM2.5、PM10、CO、NO₂、SO₂、平均气压均呈正相关,与O3、平均气温、平均风速均呈负相关,而与平均湿度无相关性;儿童AP日就诊人数与平均温度、平均湿度呈正相关,与其他9项因子无相关性;儿童AR日就诊人数除与O3无相关性外,与其他10项因子存在相关。不同季节对儿童AOM、AP、AR日就诊人数的影响因素不同,环境气象因素对儿童AOM、AP、AR的发病具有单滞后和累积滞后效应,但单滞后和累积滞后时间具有一定的差异。 结论:环境气象因素对儿童AOM、AP、AR的发病可能存在一定的相关性,且有滞后性,儿童AOM、AP、AR发病受季节因素的影响。.