2010年至2011年济南城区儿童支气管哮喘患病情况分析  

Epidemiological survey of childhood asthma in urban area of Jinan city between 2010 and 2011

作　　者：王金荣[1] 李志鹏[1] 金亚[1] 姜春平[1] 冯益真[1] 陈瑶[1] 孙立锋[1] 孙妍[1] 

机构地区：[1]山东大学附属省立医院儿科,济南250021

出　　处：《中华实用儿科临床杂志》2013年第10期778-780,共3页Chinese Journal of Applied Clinical Pediatrics

摘　　要：目的调查济南城区儿童支气管哮喘（哮喘）患病率、治疗情况及影响因素，为儿童哮喘防治提供依据。方法采用随机整群抽样的调查方法，以集中调查与分散家访相结合的形式，于2010年9月至2011年4月，对济南城区0-14岁儿童进行初筛调查。采用SPSS19．0进行条件Logistic回归分析哮喘发病的影响因素。结果2010年至2011年济南城区0～14岁儿童哮喘患病率为2．58％，男女比为1．42：1。2年内现患病率为1．36％，发作季节以秋、冬季为主，好发时间以午夜和睡前为主。哮喘、咳嗽变异性哮喘351例，其中与既往诊断符合者占54．13％；长期规范吸入激素治疗者占13．39％，以抗生素作为治疗喘息发作药物者占91．17％。过敏、遗传因素及低出生体质量等与哮喘发病有关。结论济南城区儿童哮喘患病率逐年增加，生活方式及环境的变化等可能导致哮喘发病增加。Objective To investigate the prevalence,treatment and impact factors of asthma in children in Ji- nan city in order to provide reference for the prevention and treatment of childhood asthma in future. Methods By a- dopting random cluster sampling method and combining the form of decentralized home visits and intensive survey, an epidemiologieal survey was performed among children aged from 0 to 14 years old in Jinan city from Sep. 2010 to Apr. 2011. SPSS 19.0 software was used for conditional Logistic regression analysis of factors affecting the incidence of asthma. Results Between 2010 and 2011 ,the accumulative total prevalence of asthma in children between 0 to 14 years old in Jinan city was 2.58% ,and the ratio of boys and girls was 1.42 ： 1. The prevalence rate was 1.36% in 2 years survey. Asthma, cough variant asthma consistent with the previous diagnosis accounted for 54.13% （351 cases）. Asth- ma attacked mainly in autumn and winter seasons. Asthma attacked mainly at midnight or just before sleep. Children with asthma long-term and standard inhaled corticosteroids treatment accounted for 13.39%. The percent of ninety-one point one seven of the asthma children used antibiotics as a treatment for wheeze attack. Allergies, genetic factors and low birth weight were related to asthma. Conclusions The prevalence of asthma in children in Jinan city increases every year, and changes of lifestyles and environments may have caused the increase of the asthma incidence.

关 键 词：支气管哮喘 患病率 流行病学 儿童 

分 类 号：R725.6[医药卫生—儿科]