咸宁市支气管哮喘流行病学调查
咸宁市,,流行病学；哮喘；防治
摘要：目的 了解2002年咸宁市城市和农村人群哮喘现患病率，以及哮喘患病的诊治现状，为哮喘人群防治提供依据。 方法 以分层整群不等比随机抽样对照方法调查14 216人，依据病史、体征、肺功能测定确诊哮喘患者。 结果 全市现患病率为0.96%，男、女比为1：1.62。儿童为0.44%，成人为1.05%。城市 (1.15%)患病率高于农村(0.72%)。23.8%的哮喘患者有家族史，2l%有过敏史。感冒、接触冷空气、吸入刺激性气体为前3位诱因。26.7%者合并慢性阻塞性肺疾病(COPD)。哮喘患者中由本次调查首次确诊者为64.2%。曾应用吸入糖皮质激素者为20.6%，曾口服长效茶碱者为7.4%。 结论 本次调查基本反映了咸宁市哮喘的流行情况，为哮喘病的防治提供依据。关键词：流行病学；哮喘；防治
中图分类号：R56225 文献标识码：B 文章编号：1009-9727(2005)02-258-03
Epidemiological investigation of bronchial asthma in Xianning City LEI Ming, ZENG Hong-yan, YU Yi (Xianning Municipal Institute for Tuberculosis Control, Xianning 437100, Hubei, PRChina)
Abstract:Objective To understand the morbidity rate of asthma of population in city, and countryside in XianNing City in 2002, and the diagnose and healing situation, so as to provide evidence for precaution and treatment Methods To inestigate 14216 patients using demixing group disparation proportion randomization methods, diagnose asthma patients recording to case history, physical sign, lung function tests Results The morbidity rate of XianNing City is 096% The percentage of male and female is 1:162 The prevalence of children is 044%, the adults is 105% The morbidity rate of city(115%) is higher than vallege(072%) 238 percent of asthna patients have family medical history, 21 percent have supersensitivety history The first three motivations are cold, taction of cold air, inbreathing irritant gas 267 percent of the patients affiliate chronic obstructive pulmonary(COPD) 642 percent of the final diagnosing patients is diagnosed for the first time 206 percent of the patients have used glucocorticosteroid inhalation, 74 percent have used peroral theophylline Conclusion This investigation has reflexed epidemic condition of asthma in XianNing City and can provide evidence for precaution and treatment ......
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