扬州市和延边州不同季节环境气象因素对突聋发病的影响

The effect of environmental meteorological factors on the onset of sudden hearing loss in different seasons and regions

刘迪;刘保序;陆秀月;谢应恒;关兵;朱斌

1:江苏省苏北人民医院耳鼻咽喉头颈外科

2:延边大学附属医院耳鼻咽喉头颈外科

摘要
目的 探讨扬州市和延边州不同季节突聋发病与环境气象因素的相关性。方法 回顾性分析2016年1月~2020年12月分别于江苏省苏北人民医院(2 107例)、延边大学附属医院(573例)确诊的突聋患者,统计两地区不同季节突聋发病例数、空气污染物浓度及气象数据,进一步研究不同季节环境气象因素对突聋发病的影响。结果 两地不同季节的PM2.5、NO_2、温差、平均温度、风速存在统计学差异(P<0.05)。不同季节两地突聋发病例数显著不同(P<0.05),扬州市的突聋主要发生于男性且秋季高发,而延边州则主要发生于女性且夏季高发。在扬州市,春季突聋的发病例数与平均温度呈负相关(r=-0.528,P=0.043),冬季与NO_2呈正相关(r=0.70,P=0.004)。在延边州,春季突聋的发病例数与温差呈负相关(r=-0.646,P=0.009),夏季与CO呈正相关(r=0.801,P<0.001),秋季与PM 2.5、CO、NO_2呈正相关(均为r=0.629,P=0.012),冬季与CO(r=0.542,P=0.037)呈正相关,与温差(r=-0.716,P=0.003)、平均温度(r=-0.517,P=0.048)呈负相关。结论 扬州市与延边州不同季节的环境气象因素和突聋发病存在显著差异,但两地区气象因素对突聋发病的影响不同。
关键词
突发性聋;气象因素;空气污染物;地区;季节
基金项目(Foundation):
苏北人民医院青年托举专项(SBQN24006);; 扬州市市级计划社会发展项目(YZ2025390)
作者
刘迪;刘保序;陆秀月;谢应恒;关兵;朱斌
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