Abstract
林江涛,邢斌,唐华平,杨岚,袁雅冬,顾玉海,陈萍,刘晓菊,张捷,刘辉国,王长征,周玮,孙德俊,陈一强,陈卓昌,黄茂,林其昌,胡成平,杨晓红,霍建民,叶贤伟,周新,蒋萍,张伟,黄奕江,戴路明,刘荣玉,蔡绍曦,许建英,周建英.我国7个地理区域哮喘急性发作住院患者季节性分布特征[J].Chinese journal of Epidemiology,2018,39(11):1477-1481
我国7个地理区域哮喘急性发作住院患者季节性分布特征
Seasonal distribution of patient hospitalization due to asthma exacerbation in 7 geographic areas in China
Received:April 01, 2018  
DOI：10.3760/cma.j.issn.0254-6450.2018.11.011
KeyWord: 哮喘  住院患者  地理  季节变化
English Key Word: Asthma  Inpatient  Geography  Seasonal distribution
FundProject:
Author NameAffiliationE-mail
Lin Jiangtao Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing 100029, China jiangtao_l@263.net 
Xing Bin Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing 100029, China  
Tang Huaping Department of Respiration, Qingdao Municipal Hospital, Qingdao 266000, China  
Yang Lan Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China  
Yuan Yadong Department of Respiration, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China  
Gu Yuhai Department of Respiration, Qinghai People's Hospital, Xining 810007, China  
Chen Ping Department of Respiratory Diseases, The General Hospital of Shenyang Military, Shenyang 110016, China  
Liu Xiaoju Department of Respiration, The First Affiliated Hospital of Lanzhou University, Lanzhou 730000, China  
Zhang Jie Department of Pulmonary and Critical Care Medicine, The Second Hospital of Jilin University, Changchun 130041, China  
Liu Huiguo Department of Respiration, Tongji Hospital, Wuhan 430030, China  
Wang Changzheng Department of Respiration, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China  
Zhou Wei Department of Respiration, General Hospital of Ningxia Medical University, Yinchuan 750004, China  
Sun Dejun Department of Pulmonary and Critical Care Medicine, Inner Mongolia People's Hospital, Hohhot 010017, China  
Chen Yiqiang Department of Respiration, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China  
Chen Zhuochang Department of Respiration, Henan Provincial People's Hospital, Zhengzhou 450003, China  
Huang Mao Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China  
Lin Qichang Department of Respiration, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China  
Hu Chengping Department of Respiration, Xiangya Hospital, Changsha 410008, China  
Yang Xiaohong Department of Pulmonary and Critical Care Medicine, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China  
Huo Jianmin Department of Respiration, The First Affiliated Hospital of Harbin Medical University, Harbin 150081, China  
Ye Xianwei Department of Respiration, Guizhou Provicial People's Hospital, Guiyang 550002, China  
Zhou Xin Department of Respiration, Shanghai Center Hospital, Shanghai 200025, China  
Jiang Ping Department of Respiration, Tianjin First Center Hospital, Tianjin 300192, China  
Zhang Wei Department of Respiration, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China  
Huang Yijiang Department of Respiration, Hainan Provincial People's Hospital, Haikou 570311, China  
Dai Luming Department of Respiration, Kunming General Hospital of the People's Liberation Army, Kunming 650032, China  
Liu Rongyu Department of Respiration, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China  
Cai Shaoxi Department of Respiration, Nanfang Hospital, Guangzhou 510515, China  
Xu Jianying Department of Respiration, Shanxi Dayi Hospital, Taiyuan 030032, China  
Zhou Jianying Department of Respiration, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China  
Hits: 4457
Download times: 1459
Abstract:
      目的 了解我国7个地理区域内哮喘急性发作住院患者的季节性分布特征。方法 对全国7个地理区域（东北、华北、华中、华东、华南、西北、西南）内的29家三甲医院2013－2014年间因哮喘急性发作住院的患者例数及同期该院呼吸内科总住院患者例数进行统计，逐月计算因哮喘急性发作住院患者占总住院患者的比例。对各个地区之间及每个地区不同月份之间哮喘急性发作患者的住院情况进行了统计学分析。结果 在研究的时间范围内，29家医院的呼吸科总住院患者为206 135例次，其中因哮喘急性发作住院患者为6 480例次，占同期总住院数的3.14%。不同地区间因哮喘急性发作住院人数占同期总住院人数的比例差异较大，东北地区比例最高（5.61%），华东地区比例最低（1.97%）。不同地区之间哮喘患者住院比例的差异均有统计学意义（P<0.000 1）。多数地区因哮喘急性发作住院患者例数及比例都有两个高峰，分别位于2－4月及9－10月，东北、华东及华南地区的春季高峰更为显著，而华北及西南地区的秋季高峰更为明显，西北地区的高峰则位于冬季（12－1月）及夏季（6－8月）。东北、华北及西南地区各月份之间哮喘急性发作住院情况的差异有统计学意义（P<0.005）。结论 不同地区哮喘急性发作住院患者存在一定的季节波动性，多数地区存在春季及秋季两个高峰。
English Abstract:
      Objective To understand the seasonal distribution of patient hospitalization due to asthma exacerbation in 7 geographic areas in China. Methods This was a retrospective study which involved patients hospitalized for asthma exacerbation in 29 hospitals throughout 7 geographic areas in the mainland of China (northeast, north, central, east, south, northwest and southwest). The numbers of asthmatic patients and total inpatients of the respiratory department of each hospital were recorded. The monthly ratio of asthmatic patients to the total inpatients in every area was calculated and compared. Results During the study period, 6 480 patients were admitted for asthma exacerbation, accounting for 3.14% of all the 206 135 patients admitted to the respiratory departments in the 29 hospitals. The ratio of asthmatic patients to total inpatients in the northeast area (5.61%) was highest, and the ratio in east area was lowest (1.97%). Statistical analysis showed that the difference among different areas was significant (P<0.000 1). In most areas, both the number and proportion of hospitalized asthmatic patients peaked in spring (February-April) and autumn (September-October). In the northeast area, east area and south area, the peaks in spring were more obvious, while in the north area and southwest area, the peaks in autumn were more obvious. In the northwest area the peaks occurred in winter (December-January) and summer (June-August), respectively. The differences in hospitalization due to asthma among different months were significant in the northeast, north, and southwest areas (P<0.005). Conclusion The number of patients hospitalized for asthma exacerbation fluctuated with season in different areas in China. In most areas, more asthmatic patients were admitted to hospitals in spring and autumn.
View Fulltext   Html FullText     View/Add Comment  Download reader
Close


Copyright：Editorial Department, Chinese journal of Epidemiology
Address：No. B115 National Institute for Communicable Disease Control and Prevention,
     No.155 Changbai Road, Changping District, Beijing 102206, P.R.China.
Tel (Fax):010-58900730
Email：zhlxb1981@sina.com
Technical support：E-Tiller