贵州省遵义地区城乡三万名小儿哮喘流行病学调查

本文报道了对遵义地区三万名小儿进行的哮喘流行病学调查结果,结果表明小儿哮喘发病率为0.64％;男性为0.74％,女性为0.53％,男女发病率之比为1.4:1。农村小儿为0.74％,城市为0.53％,农村高于城市。农村中苗族小儿发病率为1.39％,高于汉族及其他少数民族。绝大多数患儿(88.3％)婴幼儿期始发哮喘。哮喘多发于冬季,且多于夜间发作或喘息在夜问加剧。发病诱因中首推感冒(99％),其次为天气变化(60.9％)。调查资料提示哮喘为一过敏性疾病,且有遗传倾向。本文对调查结果进行了分析。

An eidemiologic survey of prevalence of asthma among 30,682 children

The article reports the results of an epidemiologic survey of prevalence of asthma among 30, 286 children under 14 years f age in Zunyi District of Guizhou Province. The survey was carried out during the period of July to December 1990, using the consistent questionaire provided by the Nationwide Cooperating Organization of Treating Infantile Asthma. The results showed that the morbidity rate of asthma was 0.64%.The incidence in male (0.74%) was higher Ihanthat in female (0.53), the ratio beingl.4:1. The morbidity ratJ of children in the rural areas (0.74%) was higher than that in urban districts (0.53%). tn the rural areas the incidence in the children of the Miao nationality (1.3%) was significantly higher than that inthe children of the Han nationality (0.6%) and the children of the other minority nationalities. In the overwhelming majority of cases the first attack of asthma occurred in the children under 3 years of age. In most cases the episodes ot asthma were most frequent in winter, the attack attack and exacerbation often occurring atght, The common cold was the fi(?)st precipitating foctor causing asthma (99%) and the climatic changes were the next (60.9%).Data accumulated by us have confirmed that asthma ppears to be an allergic disease and bears some characteristics of hereditary di sease. It is found that currently Iack of prompt and rational treatment is responsible for the prolonged course and poor prognosis. In this article the results of survey are discussed in detail.