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汪宏莉, 韩延柏, 梯正之. 日本广岛市脑卒中发病与气象条件关系[J]. 中国公共卫生, 2009, 25(5): 606-607. DOI: 10.11847/zgggws2009-25-05-53
引用本文: 汪宏莉, 韩延柏, 梯正之. 日本广岛市脑卒中发病与气象条件关系[J]. 中国公共卫生, 2009, 25(5): 606-607. DOI: 10.11847/zgggws2009-25-05-53
WANG Hong-li, HAN Yan-bai, Kakehashi Masayuki. Relationship of stroke occurrence and meteorological factors in Hiroshima, Japan[J]. Chinese Journal of Public Health, 2009, 25(5): 606-607. DOI: 10.11847/zgggws2009-25-05-53
Citation: WANG Hong-li, HAN Yan-bai, Kakehashi Masayuki. Relationship of stroke occurrence and meteorological factors in Hiroshima, Japan[J]. Chinese Journal of Public Health, 2009, 25(5): 606-607. DOI: 10.11847/zgggws2009-25-05-53

日本广岛市脑卒中发病与气象条件关系

Relationship of stroke occurrence and meteorological factors in Hiroshima, Japan

  • 摘要: 目的探讨脑卒中发病与气象条件的关系。方法脑梗塞与脑出血病的病例由日本广岛市急救中心于2003年10月~2006年3月收集,气象数据由日本气象协会提供。日平均气温和气压分别定义为分组变量,采用泊松回归分析模型估计不同气温和气压条件下脑梗塞与脑出血发病的危险度。结果在研究的892 d中,发生脑梗塞629例(男性占56.9%,女性占436.1%);发生脑出血677例(男性占55.7%,女性占44.3%)。脑梗塞发病与气温呈U字形的关系,发病的危险度在21~24℃时最低,当气温低于15℃和高于30℃时,发病的危险度升高(P<0.05);脑梗塞发病的危险度在日平均气压高于1 015hPa时增大(P<0.05)。脑出血发病的危险度随气温的升高而减小(P<0.05),随气压的升高而增大(P<0.05),并呈剂量-反应关系。结论脑梗塞和脑出血的发病与气温、气压有关。

     

    Abstract: ObjectiveTo clarify the relationship between meteorological factors and the occurrence of stroke.MethodsThe data of cerebral infarction and intracerebral hemorrhage used in the analysis were collected by the Emergency Medical Division of the Hiroshin a city, Japan Meteorological Agency. Daily mean atmospheric temperature(℃)and atnospheric pressure (hPa) were defined as category variables Poisson regression model was fitted to estinate risk of stroke at the different levels of atmospheric temperature and pressure.ResultsThere were 629 cerebral infarction(female: 43.1%)and 677 intmcerbral hemorrhage(female:44.3%)patients in the 892 days. We found a U-shaped relationship between cerebral infarction and atmospheric temperature, with the lowest risk at 21-24℃, and the risks increased for the ahnosphere temperature lower than 15℃ and higher than 30℃ (P<0.05).The risk of cerebral infarction increased when daily mean atmospheric pressure increasing from 1 015 hPa(P<0.05).The risk of intracerebral hemorrhage increased with the decreasing of temperature (P<0.05) and increased with the increasing of pressure (P<0.05).Meanwhile there was a dose-response relationship.ConclusionThe occurrence of cerebral infarction and intracerebral hemorrhage was associated with atnospheric temperature and pressure.

     

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