探討細懸浮微粒PM_(2.5)對成人心血管疾病的影響－以台灣發表於國際期刊為研究對象

THE IMPACT OF PM_(2.5) ON ADULT CARDIOVASCULAR DISEASES - ARTICLES PUBLISHED FROM TAIWAN ON PUBMED

高以信(Yee-Hsin Kao) ； 江瑞坤(Jui-Kun Chiang)

《秀傳醫學雜誌》 18卷1期 (2019/06) Pp. 1-12

https://doi.org/10.3966/156104972019061801001

摘要

背景及目的：台灣行政院環境保護署將空氣品質分成六個指標，逐漸為國民所認知，空氣品質對人體健康的影響是醫療人員需關心的重要議題。方法：本文僅對空氣污染物中之細懸浮微粒（Suspended particular matter of 2.5 microns, PM_(2.5)）對成人心血管疾病之影響，以台灣2007－2017年發表於國際期刊的文章作探討。結果：共收錄30篇文章，PM_(2.5)會增加因鬱血性心臟衰竭、心律不整住院的風險，增加因缺血性心臟病、腦中風求助急診與住院的風險，以及增加C反應蛋白的濃度；但PM_(2.5)對血壓及心血管疾病死亡的影響，尚無一致的結果。結論：細懸浮微粒（PM_(2.5)）對成人心血管疾病有著重要的影響，醫療人員在照護相關疾病時，也應了解PM_(2.5)對心血管疾病的影響。不同空污的估計方法及其對心血管疾病的影響則有待進一步的研究。

關鍵字

空氣品質 ； PM_(2.5) ； 心血管疾病

並列摘要

Backgrounds & Purpose: The Environmental Protection Administration of the Executive Yuan proposed six levels of air pollution exposure index in Taiwan showing the government's concern with this issue and the public has gradually become aware after implementation. The impact of air quality on human health is an important concern to medical personnel. Methods: T his article collected those studies focused on the effect of PM_(2.5) on adult cardiovascular diseases originated from Taiwan and published on the PubMed during 2007-2017. Results: A total of 30 articles were enrolled. Higher levels of PM_(2.5) would increase the risk of hospital admission for congestive heart failure, arrhythmia, ischemic heart diseases, and stroke. The effects of PM_(2.5) on blood pressure, and death attribution were not concluded. Conclusion: T his article reminds health providers of the impact of air pollution on cardiovascular diseases patients under their care.

並列關鍵字

Air quality ； PM_(2.5) ； Cardiovascular diseases