论文部分内容阅读
目的:探讨乐清市气候变化与鼻出血发生的相关性，为患者临床诊治提供参考。方法:选取乐清市人民医院耳鼻咽喉科2018年10月至2019年10月就诊的鼻出血患者及其他科室并发鼻出血的患者1 800例为研究对象。采用Microsoft Excel软件建立数据库，按照时间排序进行汇总整理，分析乐清市气候变化与鼻出血发生的相关性。结果:日平均气温与鼻出血的发生呈负相关（n r=-0.65，n P=0.003），日相对湿度与鼻出血的发生呈近似于倒“U”型非线性关系。当日相对湿度 65%时，日相对湿度与鼻出血的发生呈负相关（ n r=-0.68，n P=0.002）；日温差与鼻出血的发生呈近似于线性正相关（n r=0.52，n P=0.009）；日平均大气压与鼻出血的发生呈近似于线性正相关（n r=0.60，n P=0.004）；温度下降1 ℃，鼻出血发病风险增加1.48%（95%n CI：-2.15~-0.81）；当日相对湿度 0.05）；当日相对湿度 > 65%时，湿度每上升一个单位，鼻出血发病风险降低1.82%（95% n CI：-2.71~-0.93）；温差每增加1 ℃，鼻出血发病风险增加2.86%（95%n CI：0.54~5.18）；气压每增加1 Pa，鼻出血发病风险增加1.18%（95%n CI：0.50~1.87）。n 结论:温度变化与鼻出血发病呈负相关，大气压、气温差与鼻出血发病呈正相关，三者对鼻出血的影响短暂。高湿度对鼻出血发病有着明显保护作用，且作用时间较长。“,”Objective:To correlate climate change with epistaxis in Yueqing of Zhejiang province and to provide evidence for the diagnosis and treatment of epistaxis.Methods:A total of 1 800 patients with epistaxis, who received treatment in Yueqing People\'s Hospital between October 2018 and October 2019, were included in this study. The data of these patients were input into the Microsoft Excel software. They were summarized and sorted as per admission time. Climate change was correlated with epistaxis.Results:Daily average temperatures were negatively correlated with epistaxis (n r = -0.65, n P = 0.003). A non-linear, inverted-U-shaped relationship was observed between daily relative humidity and epistaxis. When the daily relative humidity was 65%, daily relative humidity was negatively correlated with epistaxis ( n r = -0.68, n P = 0.002). There was a nearly linear positive correlation between diurnal temperature range and epistaxis (n r = 0.52, n P = 0.009). There was a linear and positive correlation between daily average atmospheric pressure and epistaxis (n r = 0.60, n P = 0.004). The risk of epistaxis increased by 1.48% (95% n CI: -2.15 to -0.81) when the temperature decreased by 1 ℃. When daily relative humidity was 0.05). When the relative humidity of the day was > 65%, the risk of epistaxis decreased by 1.82% (95% n CI: -2.71 to -0.93) for every unit of humidity rise. The risk of epistaxis increased by 2.86% (95%n CI: 0.54 - 5.18) for every 1 ℃ increase in temperature. The risk of epistaxis increased by 1.18% (95% n CI: 0.50 - 1.87) for every 1 Pa increase in air pressure.n Conclusion:Temperature change is negatively correlated with epistaxis. Atmospheric pressure and diurnal temperature range are positively correlated with epistaxis. Temperature change, atmospheric pressure, and diurnal temperature have temporary effects on epistaxis. High humidity has an obvious long-term protective effect against epistaxis.