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熊潇磊, 龚时薇. 工业污染与呼吸系统疾病患者住院医疗服务利用相关分析[J]. 中国公共卫生, 2016, 32(9): 1203-1206. DOI: 10.11847/zgggws2016-32-09-19
引用本文: 熊潇磊, 龚时薇. 工业污染与呼吸系统疾病患者住院医疗服务利用相关分析[J]. 中国公共卫生, 2016, 32(9): 1203-1206. DOI: 10.11847/zgggws2016-32-09-19
XIONG Xiao-lei, GONG Shi-wei. Relationship between industrial pollutant emissions and inpatient utilization among respiratory disease patients in China[J]. Chinese Journal of Public Health, 2016, 32(9): 1203-1206. DOI: 10.11847/zgggws2016-32-09-19
Citation: XIONG Xiao-lei, GONG Shi-wei. Relationship between industrial pollutant emissions and inpatient utilization among respiratory disease patients in China[J]. Chinese Journal of Public Health, 2016, 32(9): 1203-1206. DOI: 10.11847/zgggws2016-32-09-19

工业污染与呼吸系统疾病患者住院医疗服务利用相关分析

Relationship between industrial pollutant emissions and inpatient utilization among respiratory disease patients in China

  • 摘要: 目的 分析不同工业污染物源对呼吸系统疾病患者住院利用影响的相关程度。方法 利用《中国统计年鉴》和《中国卫生统计年鉴》相关数据,对我国2004-2012年累积工业污染物的排放量(Xi)与卫生部门综合医院13种呼吸系统疾病患者住院利用率(Yi)之间进行双变量相关性及建立线性回归模型分析。结果 13种呼吸系统疾病患者全国卫生部门综合医院住院医疗服务利用率、累积人均工业污染物排放量都呈逐年上升增长趋势。流行性感冒患者的住院医疗服务年平均增长率为36.73%,其次为外部物质引起的肺病患者为31.95%和肺炎患者30.75%;最慢的是百日咳年平均增长率为2.74%。而工业污染物排放量增长最快的是累积人均工业废气的排放量为41.12%,最慢的是累积人均工业固废的排放量为14.49%。与累积人均工业烟尘、粉尘、固废排放量相关关系最大的是慢性扁桃体腺样体疾病(r=0.877、0.867、0.839),与累计人均二氧化硫(SO2)排放量和废水相关关系最大的是外部物质引起的肺病(r=0.920、0.875);与废气相关关系最大的是慢性肺源性心脏病(r=0.911);回归模型分析显示,废气只与除百日咳、流行性感冒、鼻咽恶性肿瘤之外的10种疾病呈线性相关(P<0.05)。结论 呼吸系统疾病患者住院利用程度与工业废气、SO2、烟尘的排放相关度更高。

     

    Abstract: Objective To explore the association between emission amount of industrial pollutants and the extent of inpatient utilization among patients with respiratory diseases in China.Methods Relevant data were extracted from Statistical Yearbook of China;bivariate correlation and regression model were adopted to analyze the correlation between cumulative industrial pollutant emission per capita (Xi) and hospitalization rate (Yi) of patients with 13 kinds of respiratory diseases in the public general hospitals from 2004 through 2012.Results Both industrial pollutant emission per capita and the hospitalization rates of patients with 13 kinds of respiratory diseases in the public general hospitals showed a rising trend year by year.The average annual growth rate of inpatient utilization for patients with influenza in these hospitals was 36.73%,followed by 31.95% for patients with lung disease induced by external substances and 30.75% for patients with pneumonia;the lowest growth rate was 2.74% for inpatient utilization among patients with whooping.The industrial pollutant emission with fastest increase was cumulative industrial waste gas per capita (41.12%) and that with the lowest was industrial solid waste per capita (14.49%).There were strong correlations between per capita cumulative emissions of industrial smoke,dust,and solid waste and the hospitalization rate of patients with chronic tonsil adenoid disease (r=0.877,0.867,0.839),between per capita cumulative emissions of sulfur dioxide and wastewater and external substance induced lung diseases (r=0.920,0.875),and between industrial exhaust and chronic pulmonary heart disease (r=0.911).In addition,based on the analyses of regression model,all the diseases showed a linear correlation with industrial exhaust,except for pertussis,influenza,and nasopharyngeal cancer (all P<0.05).Conclusion There is a strong correlation between the emissions of industrial waste gas,sulfur dioxide and dust and the inpatient utilization among patients with respiratory diseases.

     

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