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为了解上海市0岁～14岁儿童支气管哮喘患病情况 ,于2000年5月～9月进行儿童哮喘抽样调查。共调查0岁～14岁儿童14646名 ,实查14462名 ,失访184名 ,失访率为1.26%。其中儿童哮喘612名 ,婴幼儿哮喘42名 ,咳嗽变异性哮喘(CVA)54名 ,可疑哮喘37名。哮喘患病率为4.52% ,包括CVA则为4.90% ,婴幼儿哮喘患病率为1.55%。本次调查结果与10年前比较哮喘患病率上升了152.51 % ,婴幼儿哮喘患病率略下降 ,43.58 %哮喘儿童接受激素吸入治疗 ,提示十年来GINA方案积极推广已初见成效。但哮喘急性发作时用药仍以口服为主 ,首选氨茶碱(81.00% ) ,且抗生素应用有增无减 ,值得各级医师深思
To understand the prevalence of bronchial asthma in children aged 0-14 years old in Shanghai, a sample of children’s asthma was collected from May to September 2000. A total of 14,646 children aged 0-14 years were surveyed, among which 14,462 were investigated and 184 were lost. The rate of loss to follow up was 1.26%. There were 612 children with asthma, 42 with infant asthma, 54 with cough variant asthma (CVA) and 37 with suspicious asthma. The prevalence of asthma was 4.52%, including 4.90% for CVA and 1.55% for infants and young children. The survey results showed that the prevalence of asthma increased by 152.51% compared with 10 years ago. The prevalence of asthma in infants and young children slightly decreased, and 43.58% of asthmatic children received hormone inhalation therapy. This indicates that the GINA program has been actively promoted in the past decade. However, acute exacerbation of asthma medication is still the main oral aminophylline preferred (81.00%), and the increasing use of antibiotics, it is worth pondering at all levels of physicians