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我们于1991年对北京市区及郊区的0~14岁儿童进行了整群抽样调查,共调查43977例,其中实查人数43946例,实查率为99.93%;哮喘发病率约为0.88%。调查采取向儿童父母问卷填表及体检的方式进行,共查出相关儿童444例;其中哮喘302例(68.0%)、婴幼儿哮喘92例(20.7%)、喘息性支气管炎5例(1.1%)、过敏性咳嗽14例(3.2%)和可疑哮喘31例(7.0%)。男女患病率分别为0.94%和0.82%,相当于1.15∶1。哮喘起病及发病诱因主要为呼吸道感染,占95.6%;起病年龄以3岁以内为主,占82.9%,随着年龄的增加,患病率逐渐降低。好发时辰以午夜和临睡为主,分别为38.5%和21.7%;好发季节为冬季。59.9%有个人过敏史,一、二级亲属有哮喘者分别为17.3%和31.5%。治疗中应用抗生素者占97.7%~100%。未按哮喘治疗者城区为4.6%,农村为23.1%~29.7%。
In 1991, we conducted a cluster sampling survey of children aged 0-14 years in urban and suburban Beijing. A total of 43,977 children were surveyed, of which 43,946 were investigated and the actual investigation rate was 99.93%. The incidence of asthma was about 0 .88%. In the survey, 444 children were found out by questionnaire and physical examination. Among them, 302 (68.0%) were asthma, 92 (20.7%) were asthma in infants and young children, asthmatic bronchitis Cases (1.1%), allergic cough in 14 cases (3.2%) and suspicious asthma in 31 cases (7.0%). The prevalence of males and females was 0.94% and 0.82%, equivalent to 1.15: 1. The main causes of asthma and the incidence of respiratory infections, accounting for 95.6%; onset age to 3 years of age or less, accounting for 82.9%, with age, the prevalence decreased. Good hair time to midnight and sleep-based, respectively, 38.5% and 21.7%; good season for the winter. 59.9% had a history of personal allergies, and those with first and second degree relatives had asthma 17.3% and 31.5% respectively. Treatment of antibiotics accounted for 97.7% to 100%. 4.6% of urban areas without asthma treatment and 23.1% ~ 29.7% of rural areas.