论文部分内容阅读
目的 了解成都市儿童哮喘的患病率、发病规律及影响因素。方法 采取随机、整群、不等比抽样方法。选择成都市区的 1个居民区和 1个工业区 ,分别抽取每个区的 2个街道办事处管辖的全部 0～ 14岁儿童为调查对象 ,先向家长发放问卷初筛表 ,然后筛选出相关疾病的可疑患者 ,再经呼吸专科医师问诊和查体以明确诊断。结果 实际调查人数为 10 2 2 1人 ,确诊婴幼儿哮喘、儿童哮喘及过敏性咳嗽患儿共 44 3例 ,累计患病率为 4 3 3 %。患儿的性别、年龄、首次发作年龄、呼吸道感染、摄入或吸入过敏原、遗传因素等均与哮喘发病显著相关。哮喘好发季节为秋冬季或换季时 ,夜间哮喘占 3 9 5 % ,早期明确诊断及接受正规吸入激素治疗的比例较低。结论 本次调查证实成都市儿童哮喘的患病率较高 ,且早发于婴幼儿期 ,哮喘发作受诸多因素影响
Objective To understand the prevalence, incidence and influencing factors of childhood asthma in Chengdu. Methods Randomized, cluster, unequal sampling method. Select a residential area and an industrial area in Chengdu, respectively, each district 2 street offices under the jurisdiction of all 0 to 14-year-old children surveyed, the questionnaire to parents first screening table, and then screened out Suspected patients with related diseases, and then respiratory specialist examination and physical examination to confirm the diagnosis. Results The actual number of people surveyed was 10221, 443 cases were diagnosed as infant asthma, children asthma and allergic cough, the cumulative prevalence was 43.3%. Children’s gender, age, first attack age, respiratory infection, intake or inhalation of allergens, genetic factors are significantly associated with the incidence of asthma. Asthma is a seasonal predilection for autumn / winter / seasonal change, accounting for 395% of asthma attacks at night, with a low rate of early diagnosis and regular inhaled steroid therapy. Conclusions This investigation confirmed that the prevalence of childhood asthma in Chengdu is high, and early in infancy, the asthma attack is affected by many factors