Relationship Between Environmental Meteorological Factors and the Incidence of Epistaxis in Different Age Groups in Yangzhou.

Bin Zhu, Di Liu, Xiuyue Lu, Baoxu Liu, Bing Guan, Li Xu
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Abstract

Objective: To investigate the relationship between environmental and meteorological factors and the incidence of epistaxis in different age groups in Yangzhou, as well as to provide a reference and theoretical basis for epistaxis prevention and treatment. Methods: The patients with epistaxis who were treated in Northern Jiangsu People's Hospital of Jiangsu Province from January 2016 to December 2020 were reviewed, and the relationship between the local environmental meteorological factors at the time of onset and the incidence of epistaxis in different age groups was analyzed, and the potential environmental meteorological risk factors of epistaxis in each age group were determined by Stepwise logistic regression. Results: From 2016 to 2020, there were 24,407 cases of epistaxis, mostly males and children. The effects of O3 concentration, average humidity, average temperature, NO2 concentration, sunshine duration, average wind speed, CO concentration, and temperature difference on the study population were statistically significant (P < .05). Analysis by age group showed that there were differences in environmental and meteorological factors related to epistaxis in different age groups. Conclusions: In Yangzhou, epistaxis is more prevalent among males and children. The environmental meteorological factors are related to the incidence of epistaxis in Yangzhou, among which the average humidity and temperature difference are negatively correlated with the incidence of epistaxis. In contrast O3 concentration, average temperature, NO2 concentration, sunshine duration, average wind speed, and CO concentration are positively correlated with epistaxis occurrence. However, the impact of these environmental and meteorological factors varies in different age groups.

环境气象因素与扬州不同年龄组鼻衄发病率的关系
目的探讨环境和气象因素与扬州市不同年龄组鼻衄发病率的关系,为鼻衄的防治提供参考和理论依据。研究方法回顾性分析2016年1月至2020年12月江苏省苏北人民医院收治的鼻衄患者,分析发病时当地环境气象因素与不同年龄组鼻衄发病率的关系,并通过Stepwise logistic回归确定各年龄组鼻衄潜在的环境气象危险因素。结果显示从 2016 年到 2020 年,共有 24 407 例鼻衄病例,大部分为男性和儿童。臭氧浓度、平均湿度、平均气温、二氧化氮浓度、日照时间、平均风速、一氧化碳浓度和温差对研究人群的影响均有统计学意义(P < .05)。按年龄组进行的分析表明,不同年龄组与鼻衄相关的环境和气象因素存在差异。结论在扬州,鼻衄多发于男性和儿童。环境气象因素与鼻衄的发病率有关,其中平均湿度和温差与鼻衄的发病率呈负相关。而 O3 浓度、平均气温、NO2 浓度、日照时间、平均风速和 CO 浓度则与鼻衄的发生率呈正相关。然而,这些环境和气象因素对不同年龄组的影响各不相同。
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