联合暴露于多种空气污染物和高血压的残留心血管风险
Yalan Li1, Wei Hong1, Jingjing Wu1
1Health Management Center, The Third Xiangya Hospital, Central South University, Changsha 410013, China; Clinical Research Center, The Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, China.
暴露于多种空气污染物的高血压患者面临更高的心血管风险. 减少对二氧化 (NO2) 等污染物的暴露对于管理这种风险至关重要.
科学领域:
- 环境健康 环境健康
- 心血管医学 心血管医学
- 流行病学 流行病学
背景情况:
- 尽管有药物治疗,高血压管理仍然受到高残留心血管风险的挑战.
- 关于空气污染物联合暴露对这种风险的影响的研究有限.
研究的目的:
- 调查单个和多个空气污染物的暴露与高血压患者的残留心血管风险之间的关联.
- 确定有助于增加心血管事件的特定污染物.
主要方法:
- 1981年中国高血压患者的长度队列研究 (2013-2019).
- 评估PM2.5,PM2.5-10,SO2,O3,CO和NO2.2在地面水平的度.
- 统计分析包括考克斯的比例危险模型,空气污染评分和贝叶斯核机器回归.
主要成果:
- 在2.24年的随访期间,发生了706起心血管事件.
- 较高的PM2.5,PM2.5-10,SO2和CO度与风险增加相关.
- 对多种污染物,特别是NO2的联合暴露,显著增加了残留心血管风险.
结论:
- 长时间暴露于混合空气污染物会加剧高血压患者的残留心血管风险.
- 高血压患者应减轻空气污染物的暴露,同时服用药物和改变生活方式,以减少心血管风险.
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