| 张守贞,席强,孔维顺,李子洪,孔祥太,孔令宇,钱爱华,李家岭.山东省枣庄市支气管哮喘患病情况调查及相关因素分析[J].Chinese journal of Epidemiology,2005,26(4):273-276 |
| 山东省枣庄市支气管哮喘患病情况调查及相关因素分析 |
| Study on prevalence and correlation factors of bronchial asthma in Zaozhuang area, Shandong province |
| Received:July 29, 2004 |
| DOI： |
| KeyWord: 哮喘 患病率 流行病学调查 相关因素 |
| English Key Word: Asthma Prevalence Epidemiological survey Correlation factor |
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| Abstract: |
| 目的调查枣庄市2003年哮喘患病率及相关因素。方法采取分层随机整群抽样调查的方法,选择6个点,抽样人口16725人,应检15834人,实检10610人。结果调查检出支气管哮喘患者128例,全市总患病率为1.21%,儿童患病率为2.02%,成人患病率为0.90%,儿童患病率明显高于成人患病率(χ2=21.39,P<0.01)。男女患病率分别为1.08%、1.32%,男女比为1∶1.22。儿童哮喘首次发病年龄7岁前占77.97%,成人哮喘15岁前首次发病者占36.23%。相关因素分析显示,上呼吸道感染(OR=17.81,95%CI12.25～25.89)、冷空气刺激(OR=3.43,95%CI2.41～4.90)、油烟及刺激性气体(OR=2.56,95%CI1.80～3.63)、吸入变应原(OR=2.74,95%CI1.80～4.17)为主要诱因;哮喘患者有过敏史者65.63%(OR=21.69),有哮喘家族史者25.78%(OR=73.96)。结论调查获得了枣庄市哮喘患病率和相关因素,儿童哮喘患病率明显高于成人;全部患者在儿童期首次发病约占2/3;因此,应在儿童期进行哮喘筛查诊断,并给予早期干预。 |
| English Abstract: |
| Objective To study the prevalence of asthma and its correlated factors in Zaozhuang area in 2003, to provide a basic consideration for prevention/treatment and control policy. Methods 6 points were selected by stratified-clusterd-random sampling with a total of 16 725 persons expected, but only 10 610 subjects investigated. Results In this survey, 128 asthma cases were identified with a overall prevalence of 1.21 %. The prevalence for children was 2.02 %, and for adult was 0.90 % with the former significantly higher then the latter( χ2= 21.39, P 0.01 ). Rates for male and female were 1.08 %, 1.32 % with a ratio of 1∶1.22. For 77.97 % of children with asthma. The initiative age of asthma was before 7 years old among children while among 36.23 % of the adults, it was before 15 years of age. Correlation analysis showed that upper respiratory tract infection( OR= 17.81, 95%CI: 12.25- 25.89 ), cold air exposure( OR= 3.43, 95%CI: 2.41- 4.90 ), stimulation through cooking and by harmful gases( OR= 2.56, 95%CI: 1.80- 3.63 ), allergic materials( OR= 2.74, 95%CI: 1.80- 4.17 ) were main inducing factors. 65.63 % of the asthma cases having had history of allergic disease while 25.78 % having had family history with the OR of allergic history and family history as 21.69 vs. 73.96. Conclusion The epidemic status of bronchial asthma was serious,with an assumption that asthma cases might have reached the number of 43 thousand in Zaozhuang area. |
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