在中国石家庄的严格控制期间,空气污染减轻和AECOPD住院病人的发展关系,2017-2024年
Jingsi Cao1, Zihan Ren2, Xinyue Liu1
1The First Department of Pulmonary and Critical Care Medicine, The Second Hospital of Hebei Medical University, Hebei Key Laboratory of Respiratory Critical Care Medicine, Hebei Institute of Respiratory Diseases, Shijiazhuang, Hebei, China.
Frontiers in public health
|February 26, 2026
概括
石家庄的空气质量改善显著减少了COPD恶化的住院病例. 污染和疾病之间的联系减弱了,尽管臭氧仍然令人担忧.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 工业城市石家庄的空气污染水平很高,增加了慢性阻塞性肺病 (AECOPD) 急性恶化的风险.
- 从2017年到2024年,严格的空气污染控制期为研究空气质量改善对AECOPD住院治疗的影响提供了独特的机会.
研究的目的:
- 调查空气质量变化与在严格污染控制期间在石家庄AECOPD住院病人的关联.
- 评估空气污染物与AECOPD住院病人的关系的趋势.
主要方法:
- 在2017年至2024年期间对57,782例AECOPD住院病例进行时间序列分析.
- 采用了通用增量波桑模型,使用分布式滞后非线性条款,控制气象因素,季节性和每周一天的影响.
- 进行了敏感性分析,以确保调查结果的可靠性.
主要成果:
- PM2.5,PM10和SO2的度分别下降了46%,68%和85%.
- 根据世卫组织标准,可归因于PM2.5污染的AECOPD病例减少了37.1%.
- 与大多数污染物相关的住院住院的相对风险在研究期间显示出明显的下降趋势.
结论:
- 石家庄空气质量的显著改善与AECOPD住院病例的减少以及污染物健康关联的削弱有关.
- 尽管总体情况有所改善,但持续的臭氧污染需要对挥发性有机化合物 (VOC) 和氧化 (NOx) 进行综合管理.
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