中国主要城市鼻-鼻窦炎患病率调查

Survey to the prevalence of rhinosinusitis in major cities in China

目的调查中国成年人口中鼻-鼻窦炎及其伴发疾病的自报患病率。方法本研究调查了中国18个主要城市的成年居民,通过随机抽样拨打研究对象的电话号码后进行电话采访,采访期间主要针对鼻-鼻窦炎的调查问卷进行问题咨询。结果在201 1年间共进行了47 216个电话采访,其整体回复率为69.6%,国内18个城市的成人急性鼻-鼻窦炎(ARS)、慢性鼻-鼻窦炎(CRS)自报患病率分别为5.4%和2.1%,年龄矫正后的标准化患病率为5.9%和2.2%。人均家庭年收入与ARS的自报患病率呈正相关(r=0.623,P<0.01)。ARS和CRS在哮喘、过敏性鼻炎(AR)和非过敏性鼻炎(non-AR,NAR)的患病率均显著高于普通人群(P<0.05),AR和NAR在ARS、CRS的患病率均高于普通人群(P<0.05)。结论中国大陆不同城市之间成年人群中自报ARS和CRS的患病率差异显著。本研究为动态监测鼻-鼻窦炎未来趋势变化,识别风险因素提供基线支持。

OBJECTIVE To investigate the prevalence of self-reported rhinosinusitis and related comorbidities in the adult population of China. METHODS The residents of Chinese 18 major cities were investigated. Telephone interviews were conducted through sampling target telephone numbers by random digital dialing. The validate questionaires focused on the rhinosinusitis. RESULTS The total of 47 216 telephone interviews were conducted in 2011 and the overall response rate was 69.6%. The prevalence of self-reported adult acute rhinosinusitis（ARS） and chronic rhinosinusitis（CRS） in the 18 cities were 5.4% and 2.1%, while age-adjusted prevalence of ARS and CRS were 5.9% and 2.2%, respectively. The household yearly income was positively correlated with the prevalence of ARS（r=0.623, P〈0.01）. Compared with the general population, the prevalence of ARS and CRS in patients with asthma, AR or NAR were significantly higher（P〈0.05）. Moreover, the prevalence of AR and NAR in the patients with ARS or CRS were higher than general population（P〈0.05）. CONCLUSION The prevalences of ARS and CRS were significantly different among adults in various cities of China. This study provided a baseline support for dynamic monitoring of the trend of RS and identifying the risk factors.