环境二氧化对发作紧急医疗呼叫的短期影响:一项时间序列研究
Yijie Wang1, Fei Wang2, Rong He1,3
1Emergency Center, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China.
International journal of biometeorology
|July 29, 2024
概括
短期暴露于环境二氧化 (NO2) 与发作紧急医疗呼叫的增加有关. 这种关联在14-59岁的成年人中以及在中国武汉温暖的季节中更为强烈.
科学领域:
- 环境健康 环境健康
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 关于空气污染与发作之间的联系的数据有限.
- 之前的研究主要关注空气污染对神经系统疾病的短期影响.
- 环境二氧化 (NO2) 对发作紧急呼叫的影响需要进一步调查.
研究的目的:
- 调查环境二氧化 (NO2) 暴露与发作紧急医疗呼叫 (MEC) 之间的关联.
- 分析NO2对MECs在中国武汉发作中的影响.
- 探索按季节,年龄和性别分层的影响.
主要方法:
- 使用一般添加模型 (GAM) 的时间序列研究设计.
- 数据收集于2017年1月1日至2019年11月30日在中国武汉.
- 包括每日空气污染数据 (SO2,NO2,PM2.5,PM10,CO,O3),气象变量和发作的MEC.
主要成果:
- 2度增加10μg/m3与发作每日MEC上升0.17%相关 (95% CI:0.02%,0.32%).
- 年龄在14-59岁之间的个体表现出增加的敏感性 (2.25%,P <0.05).
- 短期NO2暴露的影响在温暖的季节 (0.55%) 比较冷的季节 (-0.10%) 更明显.
结论:
- 短期暴露于环境NO2与武汉发作的每日MEC积极相关.
- 这种关联在14-59岁的个体中更为强烈.
- 温暖的季节对发作紧急呼叫的NO2的影响更为显著.
更多相关视频
06:58Non-restraining EEG Radiotelemetry: Epidural and Deep Intracerebral Stereotaxic EEG Electrode Placement
Published on: June 25, 2016
19.1K
08:28Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
Published on: April 5, 2011
17.7K
相关概念视频
Local Anesthetics: Adverse Effects
403
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
403
Inhalational Anesthetics: Overview
242
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
242
Acute Respiratory Failure-IV
136
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
136
Drug Delivery: Enteral Route
410
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
410
Hyperpnea and Hyperventilation
1.0K
Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
1.0K
Pneumothorax-I
186
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
186
