北京0～14岁社区儿童哮喘患病率及相关症状分析  

Prevalences of asthma and asthma related symptoms in urban community children aged 0-14 years in Beijing

作　　者：向莉[1] 申昆玲[1] 王建生[2] 韩 张跃红 簿新生 孙培军 赵京[5] 

机构地区：[1]首都医科大学附属北京儿童医院支气管哮喘中心,北京100045 [2]中国疾病预防控制中心公共卫生监测与信息服务中心 [3]北京西城区德胜社区卫生服务中心 [4]北京西城区西长安街社区卫生服务中心 [5]首都儿科研究所

出　　处：《中国公共卫生》2011年第6期673-675,共3页Chinese Journal of Public Health

基　　金：国家“十一五”科技支撑项目(2007BAI24B05)

摘　　要：目的了解北京市西城区0-14岁社区儿童哮喘患病率及其哮喘相关症状的临床分布特点,为进一步研究城市社区儿童哮喘预防与控制适宜技术提供依据。方法于2009年1-6月采取分层整群抽样方法,对北京市西城区所属的德胜社区和西长安街社区共3 886名0-14岁儿童进行问卷调查。结果北京市西城社区0-14岁儿童中,112例儿童曾经被医生诊断为哮喘,患病率为2.88%,〉5%的儿童表现有运动和/或夜间喘息咳嗽症状,〉4%的儿童近1年内至少患6次呼吸道感染,曾诊断鼻炎和湿疹的儿童分别为11%和21%。结论北京城市儿童哮喘患病率在近20年间呈现增加趋势,托幼儿童是哮喘新发病例的主要人群,近1年内现患哮喘相关症状的城市社区儿童可能高于经临床就诊和诊断的儿童。Objective To invesitgate the prevalences of asthma and asthma related symptoms in urban community children aged 0-14 years in Beijing and to provide basis for prevention and control of asthma among the children in community.Methods With stratified random sampling method,3 886 children at age of 0-14 years in Desheng and Xichang＇an community of Beijing were surveyed with a questionnaire on asthma diagnosis and symptoms in previous 12 months and allergy history such as rhinitis and eczema.The onset of early wheezing and the time of asthma diagnosis were answered by the responders with the history of diagnosed asthma.Results The prevalence of asthma was 2.88% and more than 5% of the children surveyed reported exercise-induced wheezing and/or night cough.More than 4% of the children suffered from respiratory infection six times or more in the previous year.The prevalences of diagnosed rhinitis and eczema were 11% and 21%,respectively.Conclusion In the last two decades,the prevalence of childhood asthma in urban area of Beijing increased.New asthma cases were mainly children in kindergarten.There might be some children with underdiagosed asthma in the previous 12 months in urban community.

关 键 词：哮喘 问卷调查 儿童 社区 

分 类 号：R725.6[医药卫生—儿科]