泉州市城区儿童哮喘流行病学调查
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泉州市儿童医院 呼吸科,泉州 362000

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R18; R322.3

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Epidemiological Investigation of Asthma in Children Aged 0~14 Years Old in Quanzhou
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Department of Respiration,Quanzhou Children’s Hospital, Quanzhou 362000,China

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    摘要:

    目的 了解泉州市城区0~14岁儿童哮喘的流行现状、分布特征及影响因素。 方法 采取整群抽样的方法,随机选取泉州市城区0~14岁儿童10 089例进行调查。 结果 泉州市0~14岁儿童哮喘患病率为4.97%,男、女性别之比为1.45:1,3~6岁儿童哮喘患病率最高(8.09%),首次发病年龄集中在3岁以内(78.11%)。工业区儿童患病率明显高于居民区(P<0.001)。哮喘好发于换季和秋冬季,多数在午夜发作。呼吸道感染、过敏及遗传因素与哮喘发作有关。治疗为使用支气管舒张剂者100%,吸入激素者91.56%,口服及静脉滴注激素者85.03%,应用抗白三烯药者66.12%。哮喘患儿因病缺课平均58 d/年,家庭平均误工46 d/年。按GINA方案规范治疗组年人均花费为4 369.91元,非规范治疗组年人均花费9 658.45元,差别有统计学意义(P<0.001)。 结论 泉州市儿童哮喘患病率为4.97%,哮喘发病率与呼吸道感染、过敏及遗传因素密切相关; 接受规范治疗可降低患儿的医疗费用。

    Abstract:

    Objective To investigate epidemiology, distribution feature and influencing factors of asthma in children aged from 0 to 14 years old in Quanzhou city. Methods children aged from 0 to 14 years old in Quanzhou city were investigated randomly using cluster sampling method. Results The accumulative total morbidity rate of asthma in children aged from 0 to 14 years old in Quanzhou city was 4.97%, and the gender rate was 1.45:1. Significant differences of morbidity and the age of initial attack were found among every age group(P<0.001), with the highest both from 0 to 3 years old, and the prevalence rate in industrial area was singificantly higher than that of residential area(P<0.001). The attack seasons were mostly in autumn,winter and during seasonal variation, and midnight also encountered the most attacks. The asthmatic attack was correlated with respiratory infection, hypersensitiveness and genetic factor. Treatment of children with was 100% of bronchodilators,91.56% of inhaled corticosteroid, 85.03% of systemic hormone, 66.12% of anti-leukotriene drugs. There were averagely 58 days for the asthmatic children absent from class because of the illness, 46 days for each family. The average expenditure of those asthmatic children who did not get specified treatment was 9 658.45 Yuan per year, while 4 369.91 Yuan of those accepted specified therapy, namely under GINA program. The expenditure was sigificanly different between non-specific therapy and specified therapy(P<0.001). Conclusion The total morbidity rate of asthma in children aged from 0 to 14 years old in Quanzhou city was 4.97%. Its cause are related with respiratory infection, hypersensitiveness and genetic factor. Specified therapy can reduse the expenditure.

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张晓红, 郑敬阳, 林印涛, 曾丽娥.泉州市城区儿童哮喘流行病学调查[J].福建医科大学学报自然版,2016,(3):172-175

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