文章摘要
渭河上游河谷型城市室外大气污染物与新生儿低出生体质量的关系研究
Relationship between outdoor air pollutants and low birth weight in urban areas of valley type cities in the upper reaches of Weihe River
投稿时间:2022-10-26  
DOI:10.3969/j.issn.1000-0399.2023.07.024
中文关键词: 大气污染物  低出生体质量  回顾性队列研究
英文关键词: Air pollutants  Low birth weight  Retrospective cohort study
基金项目:国家自然科学基金项目(编号:41761100);陕西省自然科学基础研究计划(编号:2018JQ4013);延安大学2022年国家级大学生创新创业训练计划(编号:202210719043)
作者单位E-mail
王小丫 716000 陕西延安 延安大学医学院  
罗亚红 721008 陕西宝鸡 宝鸡市中心医院产科  
王情 721006 陕西宝鸡 宝鸡市人民医院产科  
何进荣 716000 陕西延安 延安大学数学与计算机科学学院  
侯璇 716000 陕西延安 延安大学医学院  
邹文婷 716000 陕西延安 延安大学医学院  
何进伟 716000 陕西延安 延安大学医学院 何进伟,hotred_714@163.com 
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中文摘要:
      目的 探索室外大气污染物与低出生体质量的关系。方法 回顾性分析2018年1月至2019年12月宝鸡市中心医院和宝鸡市人民医院产科收治的低出生体质量儿261例,健康足月儿5 872例的临床资料。分析低出生体质量儿和足月产儿在胎龄、母亲年龄、剖次、本次分娩情况、妊娠并发症、妊娠期高血压综合征、孕期服药史等混杂因素的差异。大气污染物数据来源于该市八个空气质量监测站点,计算孕妇在孕早期(T1)、孕中期(T2)的PM10、PM2.5、SO2、NO2、CO、O3的个体暴露水平。利用logistic回归模型分析大气污染物暴露与新生儿低出生体质量的关系。结果 纳入6 133个单胎活产婴儿中,共发现261名低出生体质量新生儿(占比4.3%)。对比低出生体质量儿和正常足月产儿发现,其孕妇在孕早期(T1)的CO暴露剂量差异有统计学意义(P<0.05)。logistic分析结果显示:胎龄、剖次为低出生体质量的危险因素(OR=43.448、2.131),尚未发现大气污染物与新生儿低出生体质量存在统计学意义。结论 本研究虽然发现CO的暴露剂量可能会影响出生体质量,但并未发现不同孕期大气污染物是新生儿低出生体质量的独立危险因素。
英文摘要:
      Objective To explore the relationship between outdoor air pollutants and low birth weight. Methods From January 2018 to December 2019, the clinical date of 261 cases of low birth weight infants and 5 872 cases of healthy term infants were analyzed retrospectively. To analyze the differences between low birth weight infants and full-term infants were analyzed in terms of gestational age, maternal age, cesarean section, current delivery situation, pregnancy complications, pregnancy hypertension syndrome, pregnancy medication history and other confounding factors. The data of air pollutants were from eight air quality monitoring stations in the city, and the individual exposure levels of PM10, PM2.5, SO2, NO2, CO and O3 of pregnant women during the early pregnancy (T1) and middle pregnancy (T2) were calculated. Logistic regression model was used to analyze the relationship between air pollution exposure and low birth weight of newborns. Results A total of 261 low birth weight newborns (4.3%) were found among 6 133 single birth live births. Comparing low birth weight and normal full-term infants, it was found that the CO exposure dose of pregnant women during the early pregnancy (T1) was significantly different (P<0.05). The results of logistic analysis showed that gestational age, cesarean section were all risk factors for low birth weight (OR=43.448、 2.131),but no statistical significance was found between air pollutants and low birth weight of newborn. Conclusion Although this study finds that the exposure dose of CO might affect the birth weight, it does not find that the air pollutants in different pregnancy periods were independent risk factors for low birth weight of newborns.
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