咸宁市支气管哮喘流行病学调查

Epidemiological investigation of bronchial asthma in Xianning City

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。

Objective To understand the morbidity rate of asthma of popula tion in city, and countryside in XianNing City in 2002, and the diagnose and he aling situation, so as to provide evidence for precaution and treatment. Methods To inestigate 14216 patients using demixing group disparation proportion random ization methods, diagnose asthma patients recording to case history, physical si gn, lung function tests. Results The morbidity rate of XianNing City is 0.96%. T he percentage of male and female is 1:1.62. The prevalence of children is 0.4 4%, the adults is 1.05%. The morbidity rate of city(1.15%) is higher than valleg e(0 .72%). 23.8 percent of asthna patients have family medical history, 21 percen t h ave supersensitivety history. The first three motivations are cold, taction of c old air, inbreathing irritant gas. 26.7 percent of the patients affiliate .ch ron ic obstructive pulmonary(COPD). 64.2 percent of the final diagnosing patients is diagnosed for the first time. 20.6 percent of the patients have used glucocor ticosteroid inhalation, 7.4 percent have used peroral theophylline. Conclusion This investigation has reflexed epidemic condition of asthma in XianNing City and can provide evidence for precaution and treatmen t.