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[松山町婴幼儿期特应性皮炎的患病率及季节变化]

[Atopic dermatitis in early infancy in Matuyama city: prevalence and seasonal variations].

作者信息

Kuzume K

机构信息

Department of Pediatrics of NTT Nishinihon Matuyama Hospital.

出版信息

Arerugi. 2000 Nov;49(11):1087-92.

Abstract

From Jun 1996 to May 1999, 1280 infants were examined by the author 6 times from birth to 12 month-old in each 0, 1, 3, 6, 9, 12 month-old time at NTT Nishinihon Matuyama Hospital. The 12-month cumulative prevalence of AD was 28.5%. Out of the cases 82.2% showed the symptoms before 3 month-old. There were 217 male infants in AD group (59.5%). This percentage was significantly higher than 45.2% in non-AD group (p < 0.001). Approximately 70% cases in AD group had family history of allergic diseases. This ratio was significantly higher compared to 49.6% in non-AD group (p < 0.001). According to the season of birth, there were significant differences in the 12-month cumulative prevalence of AD (p < 0.005). Infants born in the spring, summer, autumn and winter showed 21.1%, 27.2%, 31.3%, and 33.9% of cumulative prevalence of AD respectively. The prevalence of AD at 3 month-old and the ratio that the symptoms appeared before 3 month-old also had similarly significant tendency (p < 0.001) (Infants born in the spring showed 15.4% and 73%. Infants born in the winter showed 31.5% and 92.9%). There were no relationship between the cumulative prevalence of AD and the precipitation.

摘要

1996年6月至1999年5月,笔者在NTT西日本松山医院对1280名婴儿从出生到12个月大,每隔0、1、3、6、9、12个月进行6次检查。12个月时特应性皮炎的累积患病率为28.5%。其中82.2%的病例在3个月大之前出现症状。特应性皮炎组有217名男婴(59.5%)。这一比例显著高于非特应性皮炎组的45.2%(p<0.001)。特应性皮炎组约70%的病例有过敏性疾病家族史。这一比例显著高于非特应性皮炎组的49.6%(p<0.001)。根据出生季节,特应性皮炎的12个月累积患病率存在显著差异(p<0.005)。春季、夏季、秋季和冬季出生的婴儿特应性皮炎的累积患病率分别为21.1%、27.2%、31.3%和33.9%。3个月大时特应性皮炎的患病率以及症状在3个月大之前出现的比例也有类似的显著趋势(p<0.001)(春季出生的婴儿分别为15.4%和73%。冬季出生的婴儿分别为31.5%和92.9%)。特应性皮炎的累积患病率与降水量之间没有关系。

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