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埃塞俄比亚亚的斯亚贝巴学龄儿童中喘息及哮喘相关症状的患病率

Prevalence of wheeze and asthma related symptoms among school children in Addis Ababa, Ethiopia.

作者信息

Melaku K, Berhane Y

机构信息

Department of Internal Medicine, Faculty of Medicine, Addis Ababa University.

出版信息

Ethiop Med J. 1999 Oct;37(4):247-54.

Abstract

This survey was conducted as part of the international multi-centre study to determine the prevalence of wheeze and asthma-related symptoms among school children in Addis Ababa, Ethiopia. It was conducted in June 1995. A standardized self-administered questionnaire developed by the International Study of Asthma and Allergies in Children (ISAAC) was used. The questionnaire was designed to offer a standardized epidemiological instrument to ensure comparison of results from wide range of countries. A total of 2951 children aged 13 and 14 years were enrolled into the study, of which 1393 (47.2%) were males and 1558 (52.8%) were females. Five hundred fifty seven children (18.2%) reported that they have had wheezing at least once in the last 12 months while only 84 children (2.8%) reported to have "Bronchial Asthma". One hundred eighty eight (6.4%) and 214 (7.3%) children reported sleep disturbance and limitation of speech associated with attacks, respectively. Nocturnal cough was reported by 805 (27.3%) children. Eight hundred two (27.2%) children reported exercise-induced wheeze. This study revealed that the prevalence of wheeze and other asthma related symptoms to be fairly high among school children of Addis Ababa, Ethiopia. Moreover, the majority of these children do not seem to know their problems and therefore, remain untreated. Further studies are recommended to precisely determine the prevalence of wheeze and asthma using more objective methods such as bronchial hyper-responsiveness test.

摘要

本次调查是一项国际多中心研究的一部分,旨在确定埃塞俄比亚亚的斯亚贝巴学龄儿童中喘息及哮喘相关症状的患病率。调查于1995年6月进行。采用了由儿童哮喘和过敏国际研究(ISAAC)制定的标准化自填式问卷。该问卷旨在提供一种标准化的流行病学工具,以确保对来自众多国家的结果进行比较。共有2951名13岁和14岁的儿童参与了这项研究,其中1393名(47.2%)为男性,1558名(52.8%)为女性。557名儿童(18.2%)报告称在过去12个月中至少有过一次喘息,而只有84名儿童(2.8%)报告患有“支气管哮喘”。分别有188名(6.4%)和214名(7.3%)儿童报告有与发作相关的睡眠障碍和言语受限。805名(27.3%)儿童报告有夜间咳嗽。802名(27.2%)儿童报告有运动诱发的喘息。这项研究表明,在埃塞俄比亚亚的斯亚贝巴的学龄儿童中,喘息及其他哮喘相关症状的患病率相当高。此外,这些儿童中的大多数似乎不知道自己的问题,因此仍未得到治疗。建议进一步开展研究,使用支气管高反应性测试等更客观的方法精确确定喘息和哮喘的患病率。

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