摘要
目的了解兰州地区儿童急性扁桃体炎的发病特点,探讨儿童急性扁桃体炎日就诊人数与环境气象因素的相关性。方法收集2015年1月1日~2017年12月31日在兰州市两所三级甲等医院耳鼻咽喉科及小儿内科门诊及急诊就诊的14岁及以下急性扁桃体炎患者的ID号、年龄、性别、就诊日期、病史、诊断等相关信息,以及同期兰州市空气质量指数、环境和气象数据,并分析环境气象因素与儿童急性扁桃体炎发病之间的相关性。结果 2015~2017年儿童急性扁桃体炎患儿就诊数量分别为1481、1488、2198例,2015年年与2016年比较无统计学差异(P=0.981),2017年分别与2015和2016年比较具有统计学差异(P=0.021、P=0.022);就诊人数在每年12月份达到高峰,2月份和8月份出现波谷。年龄分布显示4岁人数最多,之后随着年龄的增大就诊数量逐渐减少。不同年龄段,男童就诊量高于女童,性别比有统计学差异(P=0.201);儿童急性扁桃体炎日就诊人数与AQI、PM_(2.5)、PM_(10)、CO、SO_(2)、NO_(2)呈正相关,与O_(3)呈负相关,且具有显著相关性,与T及W呈负相关(r=-0.060,P=0.048;r=-0.073,P=0.015),与AP及RH无相关性(r=-0.015,P=0.616;r=0.01,P=0.731)。环境气象因素对儿童急性扁桃体炎的发病存在滞后效应。结论兰州地区儿童急性扁桃体炎就诊人数与环境气象因素之间存在相关性,且具有滞后效应,滞后日期及滞后效应强度等。
OBJECTIVE To explore the characteristics of acute tonsillitis in children in Lanzhou and its correlation with environmental-meteorological factors.METHODS We collected all patients diagnosed with acute tonsillitis in outpatient and emergency departments from 2015 to 2017 of two tertiaryhospitals in Lanzhou.At the same time,we collected the air quality index(AQI)and environmental meteorological data(including PM_(2.5),PM_(10),CO,SO_(2),NO_(2),O_(3),average temperature,relative humidity,average wind speed and average air pressure)of Lanzhou,and analysis of the relationship between children's acute tonsillitis and environmental meteorological factors.RESULTS In 2015,2016 and 2017,the number of children with acute tonsillitis was 1481,1488 and 2198 respectively.There was no significant difference between 2015 and 2016(P=0.981),but there was significant difference between 2017 and 2015,2016(P=0.021,P=0.022).Basically,the annual number of patients reached a peak in December,and a trough appeared in February and August.Comparison of the number of visits in different age groups:the number of visits increased with the increase of age,peaked at the age of 4,and decreased gradually with the increase of age at the age of 4-14.In different age groups,the number of visits of male children was higher than that of female children,and the sex ratio was significantly different(P=0.00).The incidence of children's acute tonsillitis was positively correlated with AQI,PM_(2.5),PM_(10),CO,SO_(2),NO_(2),negatively correlated with O_(3),and significantly correlated with average temperature and average wind speed(r=-0.060,P=0.048;r=-0.073,P=0.015),but not correlated with average air pressure and relative humidity(R=-0.015,P=0.616;r=0.01,P=0.731).There was a lag effect of environmental meteorological factors on the incidence of children's acute tonsillitis.CONCLUSION There is a correlation between children's acute tonsillitis and environmental meteorological factors,and there is a lag effect.
作者
王梅
王新兰
徐百成
王金艳
钟翠萍
WANG Mei;WANG Xinlan;XU Baicheng;WANG Jinyan;ZHONG Cuiping(Department of Otolaryngology Head and Neck Surgery,the 940th Hospital of the Joint Logistics Support Unit of the Chinese PLA,Lanzhou,Gansu,730050,China;Graduate School of Clinical Medicine,Ningxia Medical University,Yinchuan,Ningxia,750001,China;Department of Otolaryngology Head and Neck Surgery,the Second Affiliated Hospital of Lanzhou University,Lanzhou,Gansu,730030,China;the School of Atmospheric Sciences,Lanzhou University,Lanzhou,Gansu,730000,China)
出处
《中国耳鼻咽喉头颈外科》
CSCD
2021年第6期383-386,390,共5页
Chinese Archives of Otolaryngology-Head and Neck Surgery
基金
甘肃省卫生行业科研计划项目(GSWGKY825)。
关键词
扁桃体炎
儿童
环境
气象因素
大气污染
Tonsillitis
Child
Environment
meteorological factors
air pollution
