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收稿:2020-10-01,
纸质出版:2021-01-15
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明鑫, 胡雅琼, 杨赟平, 等. 重庆市主城区2017-2019年环境空气污染对自然流产影响的病例交叉研究[J]. 第三军医大学学报, 2021,43(1):25-30.
Xin MING, Yaqiong HU, Yunping YANG, et al. Effect of environmental air pollution on spontaneous abortion in the main urban area of Chongqing from 2017 to 2019: a case-crossover study[J]. Journal of Third Military Medical University, 2021, 43(1): 25-30.
明鑫, 胡雅琼, 杨赟平, 等. 重庆市主城区2017-2019年环境空气污染对自然流产影响的病例交叉研究[J]. 第三军医大学学报, 2021,43(1):25-30. DOI: 10.16016/j.1000-5404.202010002.
Xin MING, Yaqiong HU, Yunping YANG, et al. Effect of environmental air pollution on spontaneous abortion in the main urban area of Chongqing from 2017 to 2019: a case-crossover study[J]. Journal of Third Military Medical University, 2021, 43(1): 25-30. DOI: 10.16016/j.1000-5404.202010002.
Objective
2
To analyze the relationship between air pollutants and spontaneous abortion in Chongqing.
Methods
2
Time trend bias was controlled by time-stratified case-crossover design. The distribution lag nonlinear model was employed to study the relationship between air pollution and the number of spontaneous abortion in the main urban area of Chongqing and to control the influence of confounding factors such as meteorological factors. Based on the single pollutant model
the two-pollutant model was used to control the influence of other pollutants on correlation.
Results
2
During the study period
the average daily concentration of PM
2.5
PM
10
NO
2
and SO
2
in the air was 39.32
63.31
41.04 and 8.86μg/m
3
respectively. All pollutants except NO
2
were associated with the risk of spontaneous abortion
and all the associations reached the peak value at the lag of 3 d. For the increase of every 10μg/m
3
the relative risk value was 1.069 (95%
CI
: 1.010~1.132)
1.046 (95%
CI
: 1.007~1.086) and 1.511 (95%
CI
: 1.148~1.989)
respectively. These associations still existed in the two-pollutants model.
Conclusion
2
Short-term exposure of PM
2.5
PM
10
and SO
2
in the ambient air may increase the risk of spontaneous abortion in Chongqing.
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