2000年与2010年包头城区儿童哮喘患病相关因素的调查比较  

Comparative analysis in prevalence and risk factors of children′s asthma in Baotou urban district

作　　者：王鑫[1] 张亚京[1] 宁立华[1] 马春艳[1] 张爱平[2] 

机构地区：[1]内蒙古医科大学第三附属医院儿科,包头014010 [2]包头医学院第一附属医院儿科,014010

出　　处：《中华哮喘杂志（电子版）》2013年第6期5-9,共5页Chinese Journal of Asthma(Electronic Version)

基　　金：内蒙古自治区自然科学基金资助项目(2011MS1149)

摘　　要：目的通过对2000年与2010年包头城区儿童哮喘流行病学调查结果的对比分析，了解儿童哮喘患病趋势及其危险因素。方法两次流行病学调查对象均为包头市0～14岁儿童。采用整群抽样调查方法，与全国流行病学调查质量控制相同。2000年调查应用sas／pc统计软件，由中国预防科学院统计室对资料进行双录人。本次调查使用EpiInfo建立数据库进行双录入及比对。使用SPSS16．0软件进行统计分析。结果①2000年调查总样本量为10915例，诊断哮喘患儿96例，患病率为0．88％（95％a0．72％～1．04％）；2010年调查总样本量为11323例，诊断哮喘患儿127例，患病率为1．12％（95％C10．93％～1．31％）；②两次调查中男性患病率均高于女性，差异均有统计学意义（P值均〈0．05）；③儿童哮喘首次发病年龄近60％在3岁以前，85％在7岁以前；④既往诊断正确率2010年为65．35％（83／127），与2000年的51．04％（49／96）比较差异有统计学意义（Pd0．05）；与本次全国流行病学调查的68．6％（9605／13992）比较差异无统计学意义（P〉O．05）；⑤治疗方面2010年与2000年比较抗生素、中药及全身激素使用率明显下降，吸人激素使用率升高，两者比较差异均有统计学意义（P值均d0．05），2010年患者峰流速仪使用率5．3％，较全国的J4．9％低，差异有统计学意义（P〈0．05）。结论包头市儿童哮喘的患病率逐年升高，诊断及治疗水平较前有较大提高，但在哮喘的个体化治疗和管理方面仍然存在很多不足，亟待改进。Objective To investigate the prevalence and risk factors of asthma tendency, by analyzed and compared the epidemiological survey on children＇s asthma in Baotou urban district conducted in 2000 and 2010. Methods Our objects were children between the ages of 0 and 14 in Baotou. In line with the national epidemiological survey quality control, we used the cluster sampling method. The 2000 surveys used sas/pc statistical software, and the data were double recorded by the Chinese Academy of Sciences chamber prevention statistics. The 2010 investigation used the Epi Info to establish a database of double entry and alignment. Statistical analysis was conducted using SPSS 16.0 software. Results @The total sample was 10 915 in 2000, 96 children were diagnosed with asthma, the prevalence rate was 0.88 （95% CI 0. 72%-1.0%）~ the 2010 survey had a total sample size of 11 323 people, 127 children were diagnosed with asthma, the prevalence rate was 1.12% （95%CI O. 93%--1.31%）. （2）The prevalence rate of male was higher than that of female in the two surveys, the difference was significant （ P 0.05）. （3） For children＇s asthma, the probability that the onset age was before 3 was 60%, and the probability that the onset age was before 7 was 85% （4） The correctly diagnosed rate in 2010 was 65.35%（83/127）, and that in 2000 was 51.04% （49/96）. The difference between them was significant（ P 〈0.05）. There was no significant difference （ P 〈0.05） between the result in 2010 and that in the national survey with the correctly diagnosed rate at 68.6% （9 605/13 992）. （D In terms of treatment, the usage of traditional Chinese medicine and antibiotics, systemic corticosteroid in 2010 decreased significantly, and the inhaled corticosteroid usage increased significantly, comparing to the usage of those in 2000. The peak flow meter usage in 2010 was 5.3%, lower than the country level rate of 14.9%, the difference was statistically significant （ P 〈0.05）. Conclusions The prevalence of child

关 键 词：儿童哮喘 患病率 流行病学 危险因素 

分 类 号：R725.6[医药卫生—儿科]