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汕头市潮阳区小儿支气管哮喘病流行病学特征和治疗现状

Epidemiological characteristics and treatment status of bronchial asthma among children in Chaoyang District,Shantou City

  • 摘要: 目的 分析汕头市潮阳区小儿支气管哮喘病的流行病学特征和治疗现状,为小儿支气管哮喘病的防控工作提供依据。方法 采用整群抽样方法,收集汕头市潮阳区0~14岁之间的小儿支气管哮喘病患儿,以集中抽样结合电话回访的形式收集纳入的小儿支气管哮喘病例进行流行病学特征和治疗现状分析。采用问卷调查的方法获得患儿基本信息情况和防治情况。运用SPSS 18.0软件分析数据。结果 本次调查共计发放260份调查问卷,回收到合格可分析的问卷共计240份,应答率为92.31%。男性患儿156例,女性患儿84例。该病在全年各个季节均有发病,发病高峰出现在冬春季节(35.4%)。患儿哮喘半数以上以不定形式发作,75.8%患儿的发病诱因为上呼吸道感染。哮喘病人群类型以散居儿童为主。75.4%的哮喘发作患儿既往均使用过抗生素治疗,其次依次是支气管舒张剂(59.6%)、全身用激素(57.1%)、吸入激素(53.8%)和抗过敏药(48.3%)。接受过哮喘防治相关知识教育的患儿家庭仅有25例,占全部患儿家庭的10.4%。结论 汕头市潮阳区小儿支气管哮喘病的防控工作重点是冬春季节时4岁及以下的散居儿童;抗生素是首要使用的治疗药物;提高哮喘防治相关知识教育,有益于降低患儿发病率。

     

    Abstract: Objective To analyze the epidemiological characteristics and treatment status of bronchial asthma amongchildren in Chaoyang District of Shantou City,and to provide evidence for the prevention and control of bronchial asthma amongchildren.Methods The cluster sampling method was used to collect children with bronchial asthma from 0-14 years old in Chaoyang District of Shantou City. The epidemiological characteristics and treatment status of children with bronchial asthma were collected and analyzed by centralized sampling and telephone return visits. Questionnaire survey was used to obtain the basic information and the status of prevention and treatment. SPSS 18. 0 softwarewas used to analyz the data.Results A total of 260 questionnaires were distributed in this survey,and a total of 240 questionnaires were collected. The response rate was 92. 31%. There were 156 male patients and 84 female patients. The disease occurs in all seasons of the year,and the peak incidence occurs in the winter and spring (35. 4%). More than half of children with asthma have an indefinite form of attack,and 75. 8% of the children wereaffected by upper respiratory tract infection. The type of asthma patient group is dominated by scattered children. Majority (75. 4%) ofthe children with asthma attacks had previously used antibiotics,followed by bronchodilators (59. 6%),followed by systemic hormones (57. 1%),inhaled hormones (53. 8%),and antiallergic drugs (48. 3%). Antibiotics,bronchodilators and hormonal drugs werestill the main treatments for asthma attacks. There are only 25 children' families which have received education about prevention and treatment of asthma,accounting for 10. 4% of all families.Conclusions The focus of prevention and control of children with bronchial asthma in Chaoyang District of Shantou City is scattered children aged 4 and under in the winter and spring. Antibiotics are the primary treatment drugs. Improving knowledge about asthma prevention and education is beneficial to reduce the incidence of children.

     

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