大气污染与脑卒中相关研究的流行病学证据解读

摘要

大气污染不仅是环境问题,而且是危害健康的公共卫生问题.越来越多的证据显示,脑卒中与大气污染有着密切的关系.为此本文复习了大气污染致脑卒中的可能机制,长期、短期大气污染对脑卒中的影响,大气污染对人群脑卒中的伤残、死亡负担,探讨相关研究中存在的问题,并对相关证据进行解读,希望能为未来相关领域的研究及脑卒中防控提供参考.%Air pollution not only impairs the environmental quality,but also threatens public health.Increasing evidences show that stroke has a close relationship with air pollution.This paper reviews the possible mechanisms of stroke caused by atmospheric pollution,long-term and short-term effects of air pollution on stroke,stroke burden of disability adjusted of life years and premature deaths attributed to ambient air pollution,discusses the challenges existed in these associated studies,and comments the epidemiological evidences for stroke associated with ambient air pollution,hoping to provide a reference for further researches and prevention and control of stroke.