天气条件与类风湿性关节炎之间的关联:系统性审查和元分析
Chao Hu1, Jingyi Wu1, Yuanyuan Luo1
1School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Autoimmunity reviews
|October 13, 2025
概括
温度和大气压等气象因素可能会略微影响类风湿性关节炎 (RA) 症状,特别是关节疼痛和胀. 对自身免疫性疾病对环境影响的进一步研究是必要的.
科学领域:
- 类风湿病学 类风湿病学
- 环境医学 环境医学
- 生物统计学 生物统计学
背景情况:
- 天气条件对类风湿性关节炎 (RA) 临床表现的影响受到争论,但证据不一致.
- 了解环境触发因素对于管理RA等自身免疫性疾病至关重要.
研究的目的:
- 进行元分析,评估气象因素与RA疾病活动之间的关联.
- 综合现有证据,以了解天气如何影响RA症状.
主要方法:
- 在PubMed,科学网,EMBASE和科克兰图书馆的综合文献搜索,截至2025年3月25日.
- 由两个审稿人进行独立的数据选和提取.
- 随机效应模型用于聚合分析,异质性的元回归和灵敏度分析.
主要成果:
- 包括8项涉及16503个记录的研究.
- 在温度,压力,湿度或风速和RA疼痛之间没有发现显著的关联.
- 温度与柔软关节计数 (TJC) 呈负相关性,大气压与胀关节计数 (SJC) 呈负相关性,异质性较低.
结论:
- 温度和大气压力可能对RA症状产生适度的影响,特别是关节数.
- 研究结果表明,基于环境因素的个性化RA管理有潜力.
- 强调需要进一步调查环境对自身免疫性疾病的影响.
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