控制哮喘,珍爱生命,执行中国儿童哮喘行动计划

Enough asthma deaths,implement China Children′s Asthma Action Plan

哮喘是常见的呼吸系统慢性疾病,是全球重要的公共健康问题。哮喘死亡率在全球总体上呈逐渐下降趋势,但各国间的死亡率差异较大。我国0~19岁儿童及青少年哮喘的死亡率在全球范围内处于低水平,在0.023/10万~0.046/10万之间,2008年至2018年期间总体呈下降趋势,2018年死亡率最低,为0.023/10万。但由于我国人口基数较大,估算的哮喘死亡人数较高(70人/年~148人/年)。大部分哮喘所致死亡是可以避免的。哮喘行动计划的执行不足是哮喘所致死亡的重要危险因素之一。借鉴国外哮喘管理经验,执行哮喘行动计划,提高哮喘患儿的自我管理水平,是达到哮喘控制目标、减少儿童哮喘死亡的重要环节。

Asthma is a common chronic respiratory disease and an important global public health problem.The asthma mortality was decreasing worldwidely,but varied among countries.The mortality of asthma in children and young people aged 0-19 years in China was at a low level in the world,ranging from 0.023/100000 to 0.046/100000.The overall trend was downward from 2008 to 2018,with the lowest mortality rate of 0.023/100000 in 2018.However,due to the large population in China,the estimated death numbers of asthma in children and young people was relatively high(70-148 persons per year).Most of deaths caused by asthma were avoidable.Inadequate implementation of asthma action plan is one of the important risk factors of death caused by asthma.Learning experiences and lessons of asthma management from other countries,and improving self-management of asthma are important to achieve the goal of asthma control and reduce the death of children with asthma.