扬州市区环境气象因素对急性会厌炎及扁桃体炎发病的影响

doi:10.6040/j.issn.1673-3770.0.2024.435

Abstract

Abstract: Objective To study the relationship between environmental and meteorological factors and the incidence of acute epiglottitis and tonsillitis in downtown Yangzhou, and to provide a basis for clinical prevention. Methods A retrospective study was conducted on patients with acute epiglottitis and tonsillitis admitted to the Northern Jiangsu People's Hospital from January 1, 2014 to December 31, 2022. Air pollutant concentration data from the National Urban Air Quality Real-Time Publishing Platform and meteorological data from the United States National Centers for Environmental Information(NCEI)were collected. Group differences were compared using the Kruskal-Wallis H test with Bonferroni correction for pairwise comparisons. The Spearman correlation coefficient was used to analyze the correlation between environmental-meteorological factors and the incidence of acute epiglottitis and tonsillitis, followed by linear regression to identify the environmental risk factors for acute epiglottitis and tonsillitis. Results A total of 1,256 patients with acute epiglottitis were enrolled from 2014 to 2022, with cases occurring predominantly in spring and a higher prevalence in males ［(53.15±5.90)years］. A significant positive correlation was observed between the onset of acute epiglottitis and PM₁₀, SO₂, CO, O₃, and wind speed(P<0.05). Linear regression analysis showed that season, CO and O₃ significantly influenced the onset of acute epiglottitis(P<0.05). Seasonal analysis showed: Spring: positive correlation with SO₂ and temperature difference. Summer: Positive correlation with SO₂, CO and NO₂. Fall: Positive correlation with SO₂ and CO, but negative correlation with temperature difference. Winter: positive correlation with PM_2.5, PM₁₀, SO₂ and CO. A total of 65,272 patients with acute tonsillitis were included, mainly in summer with male predominance(mean age: 22.46±3.72 years). Positive correlations were found with PM_2.5, PM₁₀, SO₂, NO₂, CO, wind speed and precipitation, whereas a negative correlation was observed with temperature difference(P<0.05 ). Through linear regression analysis, the effects of temperature difference, NO₂ and wind speed on the onset of acute tonsillitis are statistically significant(P<0.05 ). Conclusion In downtown Yangzhou, acute epiglottitis occurs predominantly in the spring and disproportionately affects the middle-aged and elderly population, while acute tonsillitis occurs in the summer, especially among the young. Both diseases have a male predominance. Environmental and meteorological factors are significantly associated with the onset of acute epiglottitis and tonsillitis. It suggests that we need to prevent the impact of environmental and meteorological factors on acute epiglottitis and tonsillitis in our daily lives.

Key words: Acute epiglottitis, Acute tonsillitis, Environmental and meteorological factors

CLC Number:

R766

LIU Di, WANG Zhenzhen, GUAN Bing, ZHU Bing. The effect of environmental and meteorological factors on the outbreak of acute epiglottitis and tonsillitis in downtown Yangzhou[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(4): 142-150.

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The effect of environmental and meteorological factors on the outbreak of acute epiglottitis and tonsillitis in downtown Yangzhou

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