【摘要】 目的：探讨山西省风湿免疫病与环境因素的相关性。方法：选择山西医科大学第二医院风湿科住院部风湿病患者200例，采取抽样调查的方法进行问卷调查。调查内容主要为患者居住地市环境指标[包括空气质量指数(AQI)、大气颗粒物(PM)2.5、PM 10、二氧化硫、二氧化氮、一氧化碳和臭氧]、饮食习惯[包括高简单碳水化合物/低简单碳水化合物为主、高盐/低盐为主、高脂饮食与否、高蛋白饮食与否、高膳食纤维(主要是蔬菜)摄入量、深海鱼肉及优质植物蛋白(豆类及坚果)摄入量],并与健康对照组(120例)进行比较，分析以上环境因素与风湿病的关系。结果：与太原相比，吕梁及朔州人群发生风湿免疫病的可能性较低(P<0.05),其他各设区市比较差异无统计学意义(P>0.05);风湿病患者简单碳水化合物、盐、食用油的摄入量明显高于健康对照组，蔬菜、深海鱼肉、豆类坚果等优质蛋白的摄入量明显低于健康对照组(P<0.05)。结论：环境因素，尤其是空气质量和饮食习惯及结构均与风湿免疫病的发生息息相关。更多还原

【Abstract】 Objective: To explore the influence of rheumatic immunology and environmental factors in Shanxi Province.Methods: A questionnaire survey was conducted among 200 patients diagnosed with rheumatism in the second Hospital of Shanxi Medical University.Survey content mainly for patients living cities environment indicators(including air quality index(AQI),atmospheric particulate matter(PM),2.5 PM 10,sulfur dioxide, nitrogen dioxide, carbon monoxide and ozone),eating habits(including high/low simple carbohydrates carbohydrates is given priority to, high/low salt salt is given priority to, high-fat diet or not, high-protein diet or not, High dietary fiber(mainly vegetables) intake, deep sea fish and high quality plant protein(beans and nuts) intake, the relationship between rheumatism and the above environmental factors were analyzed, and compared with the healthy control group(120 cases).Results: Com-pared with Taiyuan, the possibility of rheumatological diseases in Lyuliang and Shuozhou population was lower(P<0.05),and there was no significant difference in other districts and cities(P<0.05).The intake of simple carbohydrates, salt and edible oil in rheumatic patients was significantly higher than that in healthy control group, and the intake of high quality proteins such as vegetables, deep-sea fish, beans and nuts was significantly lower than that in healthy control group(P<0.05).Conclusion: Therefore, environmental factors, especially air quality and dietary habits and structure are closely related to the occurrence of rheumatoid immune disease.更多还原