2015—2021年合肥市空气污染物与急性冠脉综合征患者入院风险的相关分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (16): 2249-2253.

2015—2021年合肥市空气污染物与急性冠脉综合征患者入院风险的相关分析

徐东升^1a, 李惠萍^1a, 张小红^2a, 张国文^2b, 聂欢欢^1b

1.安徽医科大学a护理学院,b公共卫生学院,安徽合肥 230032;
2.中国科学技术大学附属第一医院a门诊部,b急救门诊,安徽合肥 230001

收稿日期:2022-11-22 修回日期:2023-01-03 发布日期:2026-03-24
通信作者: 李惠萍,教授,E-mail：hulihuizi@163.com
作者简介:徐东升,男,在读硕士研究生,研究方向为急危重症护理。
基金资助:
安徽省高等学校省级质量工程项目（2020jyxm2309）

Correlation analysis between hospital admission risk and air pollutants in patients with acute coronary syndrome in Hefei City from 2015-2021

XU Dongsheng^1a, LI Huiping^1a, ZHANG Xiaohong^2a, ZHANG Guowen^2b, NIE Huanhuan^1b

1. a School of Nursing,b School of Public Health,Anhui Medical University,Hefei Anhui 230032,China;
2. a Outpatient Department,b Emergency Department,First Hospital Affiliated to University of Science and Technology of China,Hefei Anhui 230001,China

Received:2022-11-22 Revised:2023-01-03 Published:2026-03-24
Contact: LI Huiping,Professor,E-mail：hulihuizi@163.com

摘要/Abstract

摘要： 目的探讨合肥市细颗粒物（fine particulate matter,PM_2.5）、可吸入颗粒物（inhalable particulate matter,PM₁₀）、SO₂、CO、NO₂、臭氧8 h（ozone 8 h,O_{3-8 h}）浓度与急性冠脉综合征（acute coronary syndrome,ACS）患者入院风险的相关性。方法收集2015年3月—2021年12月在合肥市某三级甲等医院入院的3 475例ACS患者的入院资料（包括性别、年龄、住院天数及住院费用等）和空气污染物指标,采用Spearman法分析其相关性。结果 ACS患者入院人次与PM₁₀和NO₂均呈正相关（均P<0.05）,住院天数仅与CO呈正相关（P<0.05）,住院费用与PM₁₀、SO₂均呈正相关（均P<0.05）。秋季男性患者入院人次与PM₁₀、PM_2.5、SO₂、NO₂浓度均呈正相关（均P<0.05）,冬季男性患者入院人次与PM₁₀、SO₂、NO₂浓度均呈正相关（均P<0.05）。结论 PM₁₀和NO₂是增加合肥市ACS患者入院风险最重要的污染物,秋冬季男性为潜在易感人群,空气污染可增加ACS患者的人均及整体住院负担。

关键词: 空气污染物, 急性冠脉综合征, 入院风险, 相关性

Abstract: Objective To explore the association between the concentrations of fine particulate matter（PM_2.5）,inhalable particulate matter（PM₁₀）,sulfur dioxide（SO₂）,carbon monoxide（CO）,nitrogen dioxide（NO₂） and ozone 8 h（O_3-8h） in Hefei and the risk of hospital admission in patients with acute coronary syndrome（ACS）. Methods The admission data（gender,age,the days of hospitalization,and hospitalization costs） of 3 475 ACS patients who were admitted to agrade-A tertiary hospital in Hefei City and air pollutant indicators were collected from March 2015 to December 2021. The Spearman method was used to analyze their correlation. Results The number of admissions of ACS patients was positively correlated with PM₁₀ and NO₂（all P<0.05）.The days of hospitalization were positively correlated with CO（P<0.05）. The hospitalization costs were positively correlated with PM₁₀ and SO₂（all P<0.05）. The number of admissions of male patients was positively correlated with PM₁₀,PM_2.5,SO₂ and NO₂ in autumn（all P<0.05）.The number of admissions of male patients was positively correlated with PM₁₀,SO₂ and NO₂ in winter（all P<0.05）. Conclusion The PM₁₀ and NO₂ are the most important pollutants that increase the admission risk of ACS patients in Hefei City,males are potentially susceptible in autumn and winter,and air pollution can both increase the per capita hospitalization burden and the overall hospitalization burden of ACS patients.

Key words: Air pollutants, Acute coronary syndrome, Hospital admission risk, Correlation

中图分类号:

R181.3⁺4

徐东升, 李惠萍, 张小红, 张国文, 聂欢欢. 2015—2021年合肥市空气污染物与急性冠脉综合征患者入院风险的相关分析. [J]职业与健康, 2023, 39(16): 2249-2253.

XU Dongsheng, LI Huiping, ZHANG Xiaohong, ZHANG Guowen, NIE Huanhuan. Correlation analysis between hospital admission risk and air pollutants in patients with acute coronary syndrome in Hefei City from 2015-2021. [J]OCCUPATION AND HEALTH, 2023, 39(16): 2249-2253.

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