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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >The Effect of Minimum and Maximum Air Temperatures in the Summer on Heat Stroke in Japan: A Time-Stratified Case-Crossover Study
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The Effect of Minimum and Maximum Air Temperatures in the Summer on Heat Stroke in Japan: A Time-Stratified Case-Crossover Study

机译：夏季最低和最大空气温度对日本热风中风的影响：时间分层案例交叉研究

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An increase in the global surface temperature and changes in urban morphologies are associated with increased heat stress especially in urban areas. This can be one of the contributing factors underlying an increase in heat strokes. We examined the impact of summer minimum air temperatures, which often represent nighttime temperatures, as well as a maximum temperature on a heat stroke. We collected data from the records of daily ambulance transports for heat strokes and meteorological data for July and August of 2017–2019 in the Tottori Prefecture, Japan. A time-stratified case-crossover design was used to determine the association of maximum/minimum air temperatures and the incidence of heat strokes. We used a logistic regression to identify factors associated with the severity of heat strokes. A total of 1108 cases were identified with 373 (33.7%) calls originating in the home (of these, 59.8% were the age of ≥ 75). A total of 65.8% of cases under the age of 18 were related to exercise. Days with a minimum temperature ≥ 25 °C had an odds ratio (95% confidence interval) of 3.77 (2.19, 6.51) for the incidence of an exercise-related heat stroke (reference: days with a minimum temperature < 23 °C). The odds ratio for a heat stroke occurring at home or for calls for an ambulance to the home was 6.75 (4.47, 10.20). The severity of the heat stroke was associated with older age but not with air temperature. Minimum and maximum air temperatures may be associated with the incidence of heat strokes and in particular the former with non-exertional heat strokes.
机译：全球表面温度和城市形态变化的增加与尤其是城市地区的热量压力增加有关。这可以是热带增加的贡献因素之一。我们检查了夏季最小空气温度的影响，这通常代表夜间温度，以及热风中风的最高温度。我们从日本鸟取县派出府的日本和2017-2019年7月和2017年8月的热带和气象数据记录中收集了日常热风和气象数据的数据。时间分层壳体交叉设计用于确定最大/最小空气温度和热风冲突的关联。我们使用了逻辑回归来识别与热风严重程度相关的因素。始于家庭中的373（33.7％）呼叫共鉴定了1108例，其中59.8％≥75岁）。共有65.8％的案件18岁以下与运动有关。最小温度≥25°C的日子对于运动相关的中暑的发生率为3.77（2.19,6.51）的几率比（95％置信区间）（11.19,6.51）（参考：最低温度<23℃的天数）。在家中发生的热风中风或呼叫到家救护车的差距为6.75（4.47,1020）。热风中风的严重程度与年龄较大，但不具有空气温度。最小和最大空气温度可能与热冲程的发生率相关，特别是前者具有非抵抗热冲程。

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