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毛杨芳,黄冬梅,胡丽娅.2014年丽水市15岁以下儿童哮喘流行病学特点及相关因素分析[J].浙江中西医结合杂志,2016,26(9):
2014年丽水市15岁以下儿童哮喘流行病学特点及相关因素分析
Epidemiological characteristics and related factors analysis of asthma in children below 15 year-old in Lishui
投稿时间:2015-11-23  修订日期:2016-02-04
DOI:
中文关键词:  哮喘  流行病学  危险因素  患病率
英文关键词:Asthma  Epidemiology  Risk factors  Prevalence
基金项目:
作者单位E-mail
毛杨芳* 丽水市人民医院儿科 aladf60854@126.com 
黄冬梅 丽水市人民医院  
胡丽娅 丽水市人民医院  
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中文摘要:
      目的 调查丽水市15岁以下儿童哮喘病的流行病学特点,分析相关危险因素,加强儿童哮喘的防治工作。方法 采用整群随机抽样原则,计划抽取丽水市5个街区的10000例0~14岁儿童作为研究对象。调查儿童哮喘的患病率,与年龄和性别的关系,采用多元回归Logistic回归分析相关危险因素。结果 计划完成问卷调查10000份,实际完成9834份,样本回收率为98.34%。共诊断出哮喘258例,患病率为2.62%。婴幼儿组、学龄前儿童组和学龄期儿童组的患病率分别为1.12% (18/1613)、3.99% (124/3104)和2.27% (116/5117),差异具有统计学意义(χ2=39.745, P=0.000)。男性患病率为2.67% (134/5013),女性患病率为2.57% (124/4821),经比较差异无统计学意义(χ2=0.098, P=0.754)。多元Logistic回归分析显示哮喘的独立影响因子有家族过敏史、家庭成员吸烟、过敏性鼻炎史、儿童湿疹史、家中有霉斑和母乳喂养(P<0.05)。结论 不同年龄儿童哮喘存在差异,儿童哮喘与多种因素有关,应积极干预儿童哮喘的多种危险因素。
英文摘要:
      Objective To investigate the epidemiological characteristics of asthma in children under the age of 15 in Lishui city, analyze the related risk factors, and to strengthen the prevention and treatment of childhood asthma. Methods The study planned to survey 10000 children aged 0~14 which were collected by cluster random sampling principle in 5 districts of Lishui city. The childhood asthma prevalence, and its relationship to age and gender were analyzed. The related risk factors were tested by multiple regression Logistic regression analysis. Resluts Finnally 9834 cases completed this study, and the sample recovery rate was 98.34%. A total of 258 patients diagnosed with asthma, and the prevalence rate was 2.62%. The prevalences of asthma in groups of infants, pre-school children and school-age children were 1.12% (18/1613), 3.99% (124/3104) and 2.27% (116/5117), respectively, which gave a statistically significant difference (χ2= 39.745, P = 0.000). The prevalence rate was 2.67% (134/5013) in male, and 2.57% (124/4821) in female, where was no statistically significant difference (χ2= 0.098, P = 0.754). Multivariate Logistic regression analysis showed that the independent impact factors were a family history of allergy, smoking in family, history of allergic rhinitis, history of eczema, mould in house and breastfeeding (P < 0.05). Conclusion The prevalence of asthma is different in different age children, and it is associated with a variety of factors, which we should pay more actively intervention to.
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