重庆大气环境质量与儿童肺功能的前瞻性研究

在两年半期间内 ,对污染程度不同的两地进行了 5次青春期前期儿童 (7～ 1 2岁 ) 4 57例肺功能 (FVC,FEV1 ,PEFR,FEF2 5～ 75 )生长速率的观测及生长状况的比较分析得出 ,两地儿童身高和体重的生长曲线无明显差异 ,而肺功能的生长速率则有明显的差异 ,勿论男女、同年龄的儿童肺功能增长速率污染区要低于对照区     

空气污染对儿童肺功能指标影响的初步分析

报告中国 4城市 8所小学儿童肺功能指标受室外空气污染影响的结果。以 FVC/预测值 (85% )、FEV1 /预测值(85% )、FEV1 / FVC(实测值之比 ) (80 % )作为判断肺功能指标异常的参考标准 ,并将 8所小学按污染程度分为污染严重和污染较轻两类三组。污染严重组儿童肺功能指标的异常率均比污染较轻组要高。空气的严重污染 ,可使儿童肺功能FVC、FEV1 、FEV1 / FVC异常率的危险程度分别增高 3 0 %～ 78%、52 %～ 86%和 1 0 2 %～ 1 2 7%。异常组儿童的 FVC、FEV1 的平均值约下降 3 3 0～ 4 60 ml,FEV1 / FVC平均值约下降 1 3 %～ 1 5%。说明空气的严重污染对儿童肺功能生长发育可能有不利影响     

儿童呼吸系统疾病对肺功能影响的探讨

通过 1 995～ 1 996年 3次肺功能测量和家庭健康问卷调查发现 ,患过感冒咳嗽、咳痰、气喘、哮喘和支气管炎的儿童中 FEV1 / FVC、FEV1 /预测值以及 FVC/预测值的异常率比未患过这 5种疾病的儿童都高 ,且前者达到显著性水平。FVC/预测值、FEV1 /预测值有部分疾病异常率达到显著水平。患过呼吸系统疾病 ,且肺功能测量异常的儿童比未患过呼吸系统疾病 ,且肺功能测量正常儿童的 FVC调整预测值下降 3 4 5～ 4 1 8ml,FEV1 调整预测值下降 3 56～ 4 75ml,FEV1 /FVC平均下降 1 4 .2 %～ 1 9.4 %。说明曾患过呼吸系统疾病儿童的肺功能已受到了一定程度的影响     

大气污染与儿童肺功能的典型相关分析

在 1 994～ 1 996年间 ,对污染点和对照点 (相对清洁点 )同时进行了大气污染 (气溶胶 ,二氧化硫等 )和儿童肺功能 (FVC,FEV1 ,FEF2 5～ 75 等 )的测定。对它们之间的关系进行了典型相关分析 ,其结果是肺功能指标和大气污染物呈负相关。统计分析提示污染点与对照点儿童肺功能的差别主要是由于大气污染 (气溶胶 )造成的 ,特别是 PM2 .5 的细粒子造成的。     

重庆大气污染与儿童肺功能横截面研究

1995年 ,在重庆市城区及远郊区进行了儿童家庭问卷调查、气溶胶 (PM1 0 、PM2 .5 )及 SO2 的测试 ,并在两个点 (城区华新小学 ,远郊北碚红岩小学 )进行二次儿童肺功能的测定。通过城区和郊区 3 53 6例 (其中男性 1 74 4例 ,女性 1 792例 )儿童肺功能数据的比较 ,说明重庆大气污染 ,特别是气溶胶的污染已影响到儿童肺功能。与美国比较 ,重庆儿童较美国的儿童肺功能 (FVC,FEV1 )要低 9%～ 1 4 %。同时得到青春前期 (7～ 1 4岁 )儿童肺功能 (FVC,FEV1 )的参考值的计算公式     

儿童肺功能指标测量方法比较及异常值的探讨

比较了儿童肺功能机读数据与人工手测数据 ,并应用统计学原理探讨了适合于研究空气污染暴露与儿童肺功能健康关系的 FVC实测值 /预计值 (% )、FEV1 实测值 /预计值 (% )、FEV1 /FVC(% )这三种肺功能指标的异常值分界线。得出 FVC或 FEV1 实测值 /预计值 (% )的异常值范围为 <85% ,FEV1 /FVC(% )的异常值范围为 <80 %     

学龄儿童肺功能的影响因素分析

以武汉市污染区和对照区 50 0多名学龄儿童为研究对象 ,通过问卷调查和为期四年的肺功能连续测定 ,运用逐步回归模型对儿童肺功能的影响因素进行多元分析。结果表明 ,儿童肺功能生长发育水平与机体生理因素 ,尤其是身高的关系最密切。室内外空气污染对儿童肺功能的生长发育有不同程度的抑制作用 ,小气道对各环境因素的影响较大气道敏感 ,女性较男性敏感。影响儿童肺功能最主要的环境因素是大气 TSP,其次为 SO2 、家庭燃煤和 NOx,被动吸烟的影响较轻。TSP与 FEF2 5 %～ 75 % 有着密切的统计学联系 ,是影响小气道功能的主要污染物     

儿童的形态发育和肺功能生长

根据中国 4城市 8所小学儿童的调查研究结果 ,报告了在不同环境条件下 ,儿童体格和肺功能发育的基本情况 ,并试图从营养条件和空气污染两个方面对儿童肺功能发育情况进行解释。研究指出营养条件和空气污染对儿童肺功能的影响作用相反。两种相反的作用互相抵消了一部分影响 ,可能是造成了儿童肺功能波动的原因。空气污染严重、营养条件较差 ,二者均可使肺功能指标下降。有一定的空气污染、营养条件又好 ,肺功能指标可能相对较高 ,因此营养条件可能是研究空气污染对儿童肺功能影响的一个较为重要的混杂因子     

学龄儿童呼吸系统疾病、症状影响因素研究

用非条件 Logistic回归分析方法研究空气污染对学龄儿童呼吸系统疾病、症状的影响。结果表明 ,控制年龄、性别、父亲和母亲受教育水平、住房结构、家庭烹饪燃料、厨房抽风设备、被动吸烟等因素 ,污染区儿童因呼吸系统疾病住院、患支气管炎和出现喘息症状的危险性分别是相对清洁区的 1 .6、1 .5和 1 .2倍 ;不感冒咳嗽或不感冒咳痰的发生与室外空气污染水平的关系均不明显 ;家庭烹饪使用不洁燃料、厨房通风不良、被动吸烟使喘息症状的发生机会增加 (尤其是厨房的通风状况不良 )     

兰州市空气污染对儿童肺功能影响的前瞻性研究

从不同的角度阐述了室内外空气污染对儿童肺功能 ,特别是小气道功能的影响及其影响程度的前瞻性研究结果。并通过多因素、多指标的综合分析 ,揭示了一些影响儿童肺功能的主要因素。指出了从保护人体健康的角度来说 ,好的环境空气质量和良好的室内空气质量同样重要     

Air quality monitoring in NIS (SERBIA) and health impact assessment

The aim of this study is to indicate the significance of air quality monitoring and to determine the air quality fields for the assessment of air pollution health effects, with special attention to risk population. Radial basis function network was used for air quality index mapping. Between 1991 and 2005, on the territory of Nis, several epidemiological studies were performed on risk groups (pre-school children, school children, pregnant women and persons older than 65). The total number of subjects was 5837. The exposed group comprised individuals living in the areas with unhealthy AQI, while the control group comprised individuals living in city areas with good or moderate AQI. It was determined that even relatively low levels of air pollution had impact on respiratory system and the occurrence of anaemia, allergy and skin symptoms.     

Air pollution and lung diseases in Oporto Area

This area has a rate of patients with obstructive chronic lung disease that is the highest in Portugal and the second in Europe. Levels of pollution observed in 1985/86 and 1986/87 allowed evaluating the effects of concentrations lower than those that usually cause acute episodes. It was observed that even low levels of strong acidity can be related with lung diseases, when observed simultaneously with appreciable levels of black smoke; climatic factors have a synergetic effect.     

Assessment of the Status of Urban Air pollution And Its Impact on Human Health in the City of Kolkata

Air pollution has significant effects on exacerbation of asthma, allergy and other respiratory diseases. Like many other magacities in the world the ambient air quality of Kolkata is also being deteriorated day by day. Automobile exhausts and certain industrial pollutants produce O₃ by photochemical reactions. The particulate matter, particularly less than 10 μ in size, can pass through the natural protective mechanism of human respiratory system and plays an important role in genesis and augmentation of allergic disorders. Sources of air pollution in the area and the unique problem arising out of the emission from the vehicles, industries, etc. have been described. Ambient air quality was monitored along with micrometeorological data and the results are discussed. The status of air pollution in the area has been evaluated and a questionnaire survey was conducted to estimate the allergic symptoms and exposure to assess the respiratory disorders. The data are analysed to evaluate the critical situation arising out of the emission of air pollutants and the impact on human health due to respirable diseases (RDs) to middle class sub-population (activity-wise) in the area are assessed. A strategic air quality management plan has been proposed. For the mitigation of air pollution problems in the city, the different measures to be adopted to maintain the balance between sustainable development and environmental management have been discussed.     

兰州市空气污染对儿童及其父母呼吸系统健康的影响

叙述了居住环境对儿童和儿童父母亲呼吸系统健康影响的研究结果。揭示了儿童对空气污染所引起的呼吸系统疾病的急性反应较成人更敏感。吸烟合并空气污染更能损害人的健康     

Carbon monoxide concentrations in outdoor wood-fired kitchens in Ouagadougou,Burkina Faso—implications for women’s and children’s health

A majority of households in developing countries rely on biomass fuel for cooking, typically burned in open fires or simple stoves. The incomplete combustion of these fuels causes adverse health effects such as respiratory diseases, especially among women and children. However, quantitative data on pollution levels and on associated diseases are limited. We examined cooking habits and self-reported health in 31 households with outdoor open wood fires in Ouagadougou, Burkina Faso, using structured interviews. In eight households, carbon monoxide (CO) was measured using passive sampling. In addition, meteorology and ambient CO concentrations were assessed. The average CO concentration during cooking was 4.3 ppm, with a maximum of 65.3 ppm and minimum of 0.3 ppm (1-min values). A clear daily pattern was observed, with relatively low concentrations during the day and high during the evening, occasionally exceeding the World Health Organization 1- and 8-h guidelines when the air stabilised. On average, CO concentrations were 43 % higher in kitchens located in closed yards than in those located in open yards, showing that fireplace location affected the levels. Eye irritation and coughing among women and children were reported by 30 % of the households. Based on previously reported relations between CO concentrations and fine particles (<2.5 μm), the exposure to biomass smoke appears to be high enough to pose a considerable health risk among women and children in households with outdoor open wood fires. The results suggest that burning should be limited between sunset and dawn and in areas with limited ventilation to reduce pollutions levels.     

Air pollution exposure monitoring and estimation. Part IV. Urban exposure in children

In the winter of 1994, 2300 school-age children in Oslo participated in a panel study of the role of traffic pollution on the exacerbation of diseases of the respiratory system and other symptoms of reduced health and well being in children. The children filled out a diary daily with information for five time points over six weeks. In order to quantify exposure-effect relationships for the symptoms, individual exposure to NO2 and particulate matter (PM2.5) was estimated, using the DINEX method a combination of information from the diary as to the children's whereabouts during the five time points each day, coupled with continuous dispersion modelling. An individual exposure estimate for each time point for each child was defined. Individual exposure estimated using dispersion modelling can be used to examine patterns of exposure such as isolating geographic areas with higher concentrations or describing concentrations of pollution by time of day. The diary allowed the time-use of the children to be described.