【摘要】：目的分析不同工業(yè)污染物源對呼吸系統(tǒng)疾病患者住院利用影響的相關(guān)程度。方法利用《中國統(tǒng)計年鑒》和《中國衛(wèi)生統(tǒng)計年鑒》相關(guān)數(shù)據(jù),對我國2004—2012年累積工業(yè)污染物的排放量(Xi)與衛(wèi)生部門綜合醫(yī)院13種呼吸系統(tǒng)疾病患者住院利用率(Yi)之間進(jìn)行雙變量相關(guān)性及建立線性回歸模型分析。結(jié)果 13種呼吸系統(tǒng)疾病患者全國衛(wèi)生部門綜合醫(yī)院住院醫(yī)療服務(wù)利用率、累積人均工業(yè)污染物排放量都呈逐年上升增長趨勢。流行性感冒患者的住院醫(yī)療服務(wù)年平均增長率為36.73%,其次為外部物質(zhì)引起的肺病患者為31.95%和肺炎患者30.75%;最慢的是百日咳年平均增長率為2.74%。而工業(yè)污染物排放量增長最快的是累積人均工業(yè)廢氣的排放量為41.12%,最慢的是累積人均工業(yè)固廢的排放量為14.49%。與累積人均工業(yè)煙塵、粉塵、固廢排放量相關(guān)關(guān)系最大的是慢性扁桃體腺樣體疾病(r=0.877、0.867、0.839),與累計人均二氧化硫(SO_2)排放量和廢水相關(guān)關(guān)系最大的是外部物質(zhì)引起的肺病(r=0.920、0.875);與廢氣相關(guān)關(guān)系最大的是慢性肺源性心臟病(r=0.911);回歸模型分析顯示,廢氣只與除百日咳、流行性感冒、鼻咽惡性腫瘤之外的10種疾病呈線性相關(guān)(P0.05)。結(jié)論呼吸系統(tǒng)疾病患者住院利用程度與工業(yè)廢氣、SO_2、煙塵的排放相關(guān)度更高。
[Abstract]:Objective to analyze the influence of different industrial pollutant sources on hospitalization utilization of patients with respiratory diseases. Methods the relevant data of China Statistical Yearbook and China Health Statistics Yearbook were used. The bivariate correlation and linear regression model were established between the (Xi) emissions of accumulated industrial pollutants and the inpatient utilization rate (Yi) of 13 kinds of respiratory diseases in general hospitals of the health sector in China from 2004 to 2012. Results the utilization rate of inpatient medical service and the cumulative per capita discharge of industrial pollutants increased year by year in 13 kinds of respiratory diseases. The average annual growth rate of inpatient medical service for influenza patients was 36.73, followed by external substances caused by pulmonary diseases (31.95%) and pneumonia (30.75%), and the slowest was that the average annual growth rate of pertussis was 2.74%. The fastest growth of industrial pollutant emissions is the accumulation of 41.12 per capita industrial waste emissions, the slowest is the cumulative per capita industrial solid waste emissions of 14.49. With accumulated per capita industrial dust, dust, Chronic tonsil adenoid disease (rn 0.877U 0.8670.39) was the most correlated with solid waste discharge, and pulmonary disease caused by external substances was the most correlated with cumulative per capita sulfur dioxide (SO_2) emissions and wastewater (r 0.9020 ~ 0.875), and the biggest correlation with exhaust gas was slowness. Pulmonary heart disease (r = 0.911); regression model analysis showed that, Exhaust gas was only linearly correlated with 10 diseases except pertussis, influenza and nasopharyngeal malignancy (P0.05). Conclusion the degree of inpatient utilization of respiratory diseases is more correlated with so _ 2 and soot emission.
【作者單位】： 華中科技大學(xué)同濟(jì)醫(yī)學(xué)院藥學(xué)院醫(yī)藥商貿(mào)與管理系;
【基金】：國家自然科學(xué)基金(71373089)
【分類號】：R56;R197.3

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