globalchange  > 气候变化事实与影响
CSCD记录号: CSCD:6258201
论文题名:
气候变化对主动脉夹层发生的影响
其他题名: Impact of climate change on aortic dissection onset
作者: 丘俊涛1; 于存涛1; 罗新锦1; 杨军2; 刘燊1; 姜文翔1; 张良1
刊名: 中国胸心血管外科临床杂志
ISSN: 1007-4848
出版年: 2018
卷: 25, 期:6, 页码:77-85
语种: 中文
中文关键词: 主动脉夹层 ; 气候 ; 发病率 ; 气温 ; 气压
英文关键词: Aortic dissection ; climate ; morbidity ; temperature ; pressure
WOS学科分类: MEDICINE GENERAL INTERNAL
WOS研究方向: General & Internal Medicine
中文摘要: 目的研究气侯变化对主动脉夹层发生的影响,为主动脉夹层的预测和预防提供思路。方法收集2010年1月1日至2016年12月31日阜外医院收治来自河北省的所有急性主动脉夹层患者临床资料,与河北省每月气象数据,利用广义模型探索气候变化与主动脉夹层发病的关系。结果阜外医院6年期间共接诊来自河北省急性主动脉夹层患者1 121例,男873例、女248例,平均年龄(51.412.0)岁。通过单因素分析发现温度、湿度、气压差异均有统计学意义(P<0.01),进一步通过多因素分析发现温度与主动脉夹层的发生相关(P<0.01)。最低温度对主动脉夹层的发生具有最佳预测作用,相对危险度为1.02,95 %置信区间为(1.02,1.03)。结论气候条件的变化会影响主动脉夹层的发生,低温是引起主动脉夹层发病的重要触发因素。
英文摘要: Objective To explore impact of climate change on aortic dissection and to put forward a new way about prediction and prevention of aortic dissection. Methods We retrospectively analyzed the characteristics of acute aortic dissection patients came from Hebei province in Fuwai Hospital between 2010 and 2016 year. Meanwhile, we collected monthly maximum temperature, minimum temperature, average temperature, average pressure, amount of rainfall, sunshine, humidity and other meteorological data. Generalized model was implied to explore climate change and the incidence of aortic dissection. Results A total of 1 121 acute aortic dissection patients from Hebei province were admitted in Fuwai Hospital during the period of 6 years. There were 774 patients were type A aortic dissection, and 347 patients were type B aortic dissection. The average age was 51.412.0 years. There were 873 males and 248 females. There were 889 (79.3%) patients with hypertension, 99 (8.83%) with Marfan syndrome. It was found that temperature, humidity and air pressure were all statistically significant for indication aortic dissection through single variable analysis (P<0.01). The temperature was only variable by one-way analysis of variance (P<0.01). The lowest temperature has the best predictive effect on the occurrence of aortic dissection. The relative risk was 1.02 with 95% confidence interval 1.02 to 1.03. Conclusion The change of climatic conditions can affect the occurrence of aortic dissection, and the lowest temperature is an important trigger factor for aortic dissection onset.
资源类型: 期刊论文
标识符: http://119.78.100.158/handle/2HF3EXSE/155413
Appears in Collections:气候变化事实与影响

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作者单位: 1.中国医学科学院北京协和医学院国家心血管病中心阜外医院心外科, 北京 100037, 中国
2.暨南大学环境与气候研究院, 广州, 广东 510632, 中国

Recommended Citation:
丘俊涛,于存涛,罗新锦,等. 气候变化对主动脉夹层发生的影响[J]. 中国胸心血管外科临床杂志,2018-01-01,25(6):77-85
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