不同感冒时期定义对中国兰州喘门诊的短期影响
Jianjun Wu1,2, Xizhuoma Zha1,2, Xuelin Ren1,2
1School of Public Health, Gansu University of Traditional Chinese Medicine, Lanzhou City, Gansu Province, China.
BMC pulmonary medicine
|April 1, 2025
概括
感冒期间在兰州显著增加了门诊喘患者的访问,特别是在0-18岁的女性和儿童中. 较长的感冒时间对喘病例的影响更大.
科学领域:
- 环境健康 环境健康
- 肺部病理学 肺部病理学
- 流行病学 流行病学
背景情况:
- 关于寒冷时期对健康的影响的研究有限,特别是在发展中国家,与广泛的热浪研究形成鲜明对比.
- 现有的温度极端和喘研究往往忽略了轻度门诊病例,而是专注于严重的住院病例.
- 这项研究通过调查感冒对中国兰州喘门诊病人的影响来解决知识差距.
研究的目的:
- 为了确定中国兰州寒流的最佳定义.
- 分析定义的感冒和喘门诊访问之间的关联.
- 为了确定易受感冒和喘相关喘恶化影响的弱势群体.
主要方法:
- 利用了日常喘门诊数据 (2017-2020年),以及气象和空气污染物数据.
- 根据温度指数,值 (P10,P5) 和持续时间 (2-4天) 开发了24个冷势定义.
- 采用Poisson通用线性模型 (PGLM) 和分布式滞后非线性模型 (DLNM) 来评估短期影响,控制混因素.
主要成果:
- 最佳的寒流定义涉及至少4天的每日最低明显温度低于第10百分位.
- 感冒症状与喘门诊访问有显著的关联,在Lag7 (RR=1.208) 时效果最为明显.
- 0-18岁的女性和个人经历了更高的寒冷时期的累积效应 (Lag0-7),更长的持续时间增加了影响.
结论:
- 感冒是兰州喘门诊访问的重要触发因素.
- 妇女和儿童 (0-18岁) 特别容易受到寒流对喘的影响.
- 感冒的持续时间至关重要,长时间的事件会导致更大的喘恶化,特别是在晚期.
相关概念视频
Asthma-III: Symptoms and Complications
2.4K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.4K
Asthma-I: Introduction
2.6K
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.6K
Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
Lung Capacity
48.2K
The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
48.2K
Responses to Heat and Cold Stress
13.3K
Every organism has an optimum temperature range within which healthy growth and physiological functioning can occur. At the ends of this range, there will be a minimum and maximum temperature that interrupt biological processes.
13.3K
Antiasthma Drugs: β2-Adrenoceptor Agonists
167
Bronchodilators are critical in managing asthma, a chronic respiratory condition characterized by airway constriction due to inflammation and hyper-reactivity. Specifically, bronchodilators ease this constriction by relaxing the bronchial muscles, facilitating easier breathing.
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
167


