在患有慢性病的患者中,热浪和血扰乱
Adrien Flahault1, Alexandre Panico2, Grégory Fifre3
1Centre Hospitalier Régional Universitaire de Nancy, Department of Nephrology, Nancy, France; Université de Lorraine, Inserm, UMR INSPIIRE, Nancy, France.
Environment international
|September 20, 2025
概括
热浪增加了慢性病 (CKD) 患者的低血量 (低血) 的风险. 在热浪后监测水平至关重要,因为饮水建议可能是有害的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 环境健康 环境健康
- 临床医学 临床医学
背景情况:
- 气候变化和气温上升会影响功能和电解质平衡.
- 患有慢性病 (CKD) 的患者的血水平经常发生变化.
研究的目的:
- 为了研究热浪与CKD患者的血水平之间的关联.
主要方法:
- 分析了来自法国2964名CKD患者的38,740次血测量.
- 使用前3,8或15天的当地温度数据评估热浪暴露.
- 对异常血水平 (低血和高血) 的概率比率的估计.
主要成果:
- 热浪暴露 (过去8天内≥3天) 与较低血水平的可能性增加有关 (OR:1.48 [1.10,1.99]).
- 化物和循环利尿剂的使用与低血症的几率增加有关.
- 在夏季季节观察到低血症的几率更高.
结论:
- 持续的热浪给CKD患者带来了显著的低血症风险.
- 在热浪期间增加饮用水的标准建议可能对这个人群有害.
- 热浪后建议在几周内对血水平进行监测.
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