短期暴露于空气污染和缺血性中风:系统性审查和元分析
Ahmad Toubasi1, Thuraya N Al-Sayegh2
1From the Faculty of Medicine, the University of Jordan, Amman. tubasi_ahmad@yahoo.com.
Neurology
|September 27, 2023
概括
对二氧化和颗粒物等空气污染物的短期暴露与缺血性中风发病率和死亡率的增加密切相关. 减少空气污染对于减轻中风的危害至关重要.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 心血管研究研究心血管研究
背景情况:
- 在全球范围内,中风是导致死亡和残疾的主要原因.
- 虽然长期暴露于空气污染与缺血性中风有关,但短期暴露的影响仍然不太清楚.
- 了解这种联系对于公共卫生干预至关重要.
研究的目的:
- 系统地审查和分析短期暴露于特定空气污染物和缺血性中风之间的相关性.
- 评估空气污染物对中风发病率和死亡率的影响.
- 为旨在减少空气污染和中风负担的公共卫生政策提供证据.
主要方法:
- 在主要的科学数据库 (MEDLINE,Scopus,CENTRAL,Web of Science) 进行了全面的文献搜索,截至2023年2月.
- 包括的研究是观察性或干预性,检查短期暴露 (5天内) 的一氧化碳,二氧化硫,二氧化,臭氧,PM1,PM2.5和PM10.
- 分析包括来自110项观察性研究的数据,总计超过1800万例缺血性中风病例.
主要成果:
- 在NO2,O3,CO,SO2,PM1,PM2.5和PM10度增加和中风发病率增加之间发现了显著的关联.
- 高水平的NO2,SO2,PM2.5和PM10也与中风死亡率的增加有显著联系.
- 大多数纳入的研究来自亚洲 (58.8%),欧洲 (24.6%) 和美洲 (16.7%) 的研究较少;没有研究来自非洲.
结论:
- 短期暴露于气体和颗粒物空气污染物与缺血性中风发生率和死亡率之间存在强烈,显著的相关性.
- 减少空气污染的全球政策对于减轻缺血性中风的负担至关重要.
- 需要进一步的研究,特别是非洲等代表性不足的地区.
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