2ÔÂ12ÈÕ£¬£¬£¬ngµç×ÓÓÎÏ·¹«¹²ÎÀÉúѧԺ¶Ñ¤ÀýÌÊڵȿÎÌâ×éÔÚLancet×Ó¿¯£¨Planetary Health£©ÔÓÖ¾ÉϽÒÏþÁËÌâΪ¡°Ambient air pollution in relation to diabetes and glucose-homoeostasis markers in China: a cross-sectional study with findings from the 33 Communities Chinese Health Study¡±µÄÑо¿ÂÛÎÄ£¬£¬£¬¸ÃÂÛÎÄ·¢Ã÷ºã¾Ã̻¶ÓÚ¿ÕÆøÎÛȾÓëÖйúÈËȺÌÇÄò²¡·çÏÕÔöÌíÓйأ¬£¬£¬ÌØÊâÊÇÄêÇá»ò³¬ÖØ»ò·ÊÅÖµÄÈËȺ¡£¡£
ÌÇÄò²¡ÊÇÒ»ÖÖÒÔ¸ßѪÌǺÍÒȵºËØ·´¿¹ÎªÌØÕ÷µÄ´úлÔÓÂÒ£¬£¬£¬²¢±»ÒÔΪÊÇÔì³ÉÈ«Çò¼²²¡¸ºµ£ºÍ¹ýÔçéæÃüµÄÖ÷ÒªÔÒòÖ®Ò»¡£¡£Í¬Ê±£¬£¬£¬¿ÕÆøÎÛȾÒѱ»ÁÐΪȫÇòÖ÷ÒªµÄÇéÐοµ½¡Íþв£¬£¬£¬ÌØÊâÊÇÔÚ¿ªÕ¹Öйú¼Ò¡£¡£Ô½À´Ô½¶àµÄÖ¤¾ÝÅú×¢£¬£¬£¬ÇéÐÎ¿ÕÆøÎÛȾ»áÔöÌíÌÇÄò²¡µÄ»¼²¡·çÏÕ¡£¡£¿ÉÄܵÄÉúÎïѧ;¾¶°üÀ¨×ÔÖ÷Éñ¾ÏµÍ³Ê§ºâ¡¢Ñõ»¯Ó¦¼¤¡¢Ö¬·¾Ñס¢ÄÚÆ¤¹¦Ð§Õϰ¡¢ÒȵºËØÃô¸ÐÐԸı䡢ÌÇ´úлºÍÌÇ»¯ÑªºìÂѰ״úл¡£¡£
¼¸ÏîÈËÌåÑо¿Ì½ÌÖÁË̻¶ÓÚÇéÐÎ¿ÕÆøÎÛȾÎïÓëÌÇÄò²¡Ö®¼äµÄDZÔÚ¹ØÁª¡£¡£ 2015ÄêµÄ×ÛÊö×ܽáÁËÕâЩÑо¿²¢µÃ³ö½áÂÛÒÔΪ¿ÕÆøÎÛȾ¿ÉÄÜÓëÌÇÄò²¡Óйأ¬£¬£¬µ«È±ÉÙ¸ü¶àµÄÑо¿À´Ö¤Êµ¡£¡£Ò»Ð©Ñо¿±¨µÀÌÇÄò²¡·çÏÕÔöÌí£¬£¬£¬µ«ÆäËûÑо¿Î´¼ì²âµ½ÏÔÖøÏà¹ØÐÔ¡£¡£±ðµÄ£¬£¬£¬´ó´ó¶¼Ñо¿¶¼ÊÇÔÚ±±ÃÀºÍÅ·ÖÞ¾ÙÐУ¬£¬£¬ÔÚ¿ªÕ¹Öйú¼Ò£¬£¬£¬Ö»ÓÐÉÙÊýÑо¿ÒѾÍê³É£¬£¬£¬¾Ý±¨¸æÌÇÄò²¡»¼²¡ÂÊºÍ¿ÕÆøÎÛȾ³ÉÕý±ÈÖ¤¾Ý»¹ÏÔʾ£¬£¬£¬¶«ÑÇÈËȺ£¨ÈçÖйú£©µÄ·çÏÕ²î±ð¡£¡£²¢ÇÒ£¬£¬£¬ÔÚ´ó´ó¶¼ÒѽÒÏþµÄÑо¿ÖУ¬£¬£¬ÌÇÄò²¡µÄ»¼²¡ÂÊ¡¢·¢²¡ÂʺÍéæÃüÂʾù»ùÓÚ×ÔÎÒ±¨¸æ£¬£¬£¬ÐÐÕþÊý¾Ý¿â»ò³öÔº¼Í¼£¬£¬£¬²¢ÇÒÕâЩÊý¾Ýδ¾ÓÉÒ½ÉúÖØ¸´¼òÖ±ÈÏ¡£¡£Òò´Ë£¬£¬£¬ÐèÒª½øÒ»²½Ñо¿ÆÀ¹À¿ÕÆøÎÛȾÓëÌÇÄò²¡Ö®¼äµÄ¹ØÁª£¬£¬£¬ÌØÊâÊÇÔÚ¿ªÕ¹Öйú¼Ò¡£¡£
ÒÑÍù¶þÊ®ÄêÀ´£¬£¬£¬ÖйúÌÇÄò²¡µÄ·¢²¡ÂÊÓÐÁ˽ϴó·ù¶ÈµÄÉÏÉý¡£¡£Í¬Ê±£¬£¬£¬¿ÕÆøÎÛȾÒѳÉΪÖйú×îÑÏÖØµÄÇéÐÎÎÀÉúÎÊÌâÖ®Ò»¡£¡£¼øÓÚÌÇÄò²¡Ê¢ÐеÄÑÏÖØ¹«¹²ÎÀÉúÓ°ÏìºÍÎÞ´¦²»ÔÚµÄ¿ÕÆøÎÛȾ£¬£¬£¬Ì½Ë÷Öйú¿ÕÆøÎÛȾÓëÌÇÄò²¡Ö®¼äµÄ¹ØÏµ£¬£¬£¬¹ØÓÚÖÆ¶©Ô¤·À²½·¥ÖÁ¹ØÖ÷Òª¡£¡£ Òò´Ë£¬£¬£¬¹«¹²ÎÀÉúѧԺ¶Ñ¤ÀýÌÊڵȿÎÌâ×éµÄÖ÷ҪĿµÄÊÇʹÓÃÀ´×Ô¡°33ÉçÇø£¨33 CCHS£©¡±µÄÊý¾ÝÔ¤¼Æºã¾Ã̻¶ÓÚÁùÖÖ¿ÕÆøÎÛȾÎïÓëÌÇÄò²¡»¼²¡ÂÊºÍÆÏÌÑÌÇ--Ѫ¹ÜƽºâÖ¸±êµÄ¹ØÏµ¡£¡£ ÔÚ¡°33ÉçÇø¡±Ñо¿ÖУ¬£¬£¬»ùÓÚ¿Õ¼äÆÊÎöÄ£×ÓÔ¤²â¼°´óÆø¼à²âÊý¾Ý£¬£¬£¬ÔÚ´ó¹æÄ£ÈËȺÖÐ×ÛºÏÆÀ¼Û¸÷´óÆøÎÛȾÎïºÍÆÏÌÑÌÇ - ÎÈ̬ƽºâ±ê¼ÇÎïµÄ̻¶-·´Ó³¹ØÏµ£¬£¬£¬ÎªÈ·¶¨¿ÕÆøÎÛȾÓëÌÇÄò²¡Ö®¼äµÄÄÚÔÚ¹ØÁªÌṩÁË¿ÆÑ§ÒÀ¾Ý¡£¡£
¶Ñ¤ÀýÌÊڵȿÎÌâ×éµÄÑо¿Åú×¢£¬£¬£¬Ì»Â¶ÓÚPM1£¬£¬£¬PM2.5£¬£¬£¬PM10£¬£¬£¬SO2£¬£¬£¬NO2ºÍO3¿ÉÄÜ»á¶ÔÆÏÌÑÌÇÉý¸ß±¬·¢µ¹ÔËÓ°Ï죬£¬£¬°üÀ¨ÆÏÌÑÌǺÍÒȵºËØÅ¨¶ÈÉý¸ß£¬£¬£¬´Ó¶øÔöÌíÖйúÌÇÄò²¡µÄ·¢²¡·çÏÕ¡£¡£±ðµÄ£¬£¬£¬ÄêÇáÈ˺ͳ¬ÖØ»ò·ÊÅÖÕß¿ÉÄܸüÈÝÒ×Êܵ½¿ÕÆøÎÛȾµÄÖÂÌÇÄò²¡Ó°Ïì¡£¡£ÓëÆäËûÖеÈÊÕÈë¹ú¼ÒÒ»Ñù£¬£¬£¬ÓÉÓÚ¸ß¿ÕÆøÎÛȾÓëÖйúµÄÌÇÄò²¡´óÊ¢Ðв¢´æ£¬£¬£¬Ñо¿Ð§¹û¶Ô¹«¹²ÎÀÉú¾ßÓÐÖ÷ÒªÒâÒå¡£¡£
ÂÛÎÄÁ´½Ó£ºhttp://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(18)30001-9/fulltext