气象因素与不同孕期妊娠并发症之间的关联:在中国东部进行的一项多中心回顾性研究
1School of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang, China.
PeerJ
|July 1, 2025
概括
多种气象因素增加了妊娠并发症的风险. 高温,降水,阳光和低压是关键因素,特别是在怀孕中期,需要针对期望母亲采取有针对性的保护措施.
科学领域:
- 环境健康 环境健康
- 产科和妇科 产科和妇科
- 流行病学 流行病学
背景情况:
- 以前的研究将环境温度与怀孕并发症联系起来.
- 多种气象因素与怀孕并发症之间的关联仍未得到充分研究.
- 了解环境对孕产妇健康的影响至关重要.
研究的目的:
- 研究各种气象因素对妊娠并发症的影响.
- 分析这些影响在不同的孕期的三个月.
- 确定特定的环境风险因素及其时间关联.
主要方法:
- 在中国宁波 (2013-2023) 的92,332名参与者的回顾性研究.
- 利用美国国家航空航天局的气象数据,计算出气象因素得分 (MFS).
- 应用后勤回归和分布式滞后非线性模型来评估风险和时间窗口.
主要成果:
- 在第一季度高MFS与妊娠期糖尿病 (GDM),妊娠期高血压 (GH),孕前 (PE) 和甲状腺功能低下的风险增加相关.
- 具体风险因并发症而异:GDM,GH和PE风险在怀孕中期 (3-5个月) 达到顶峰.
- 甲状腺功能低下症在头三个月表现出脆弱性,影响风险的因素之间的相互作用.
结论:
- 温度升高,降水增加,日照时间长,表面压力降低是导致妊娠并发症的重要危险因素.
- 调查结果突出了怀孕期间不同气象暴露的不同脆弱时期.
- 建议采取有针对性的保护措施,以减轻与恶劣天气条件相关的风险.
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