Wever-Hess J, Wever A M
Rode Kruis Ziekenhuis, 's-Gravenhage.
Tijdschr Kindergeneeskd. 1991 Dec;59(6):224-7.
National hospital admission frequencies were analysed for asthma (ICD-9 code 493), acute bronchi(oli)tis (ICD-code 466), pneumonia and influenza (ICD-code 480-487), and chronic obstructive pulmonary disease (ICD-code 490-492 and 496) for 1980-1989 by sex and according to age (0-4 years, 5-9 years, and 10-14 years). Rates per million of the childhood population per year were calculated and time trend analyses performed by least squares regression. In the age group 0-4 years the admission rates for the respiratory diseases were highest and a general tendency towards increasing rates was present, and significant trends were found for asthma and acute bronchi(oli)tis. In the age groups 5-9 years and 10-14 years the admissions rates were considerably lower and fluctuated with no trends to point to except for a significant increasing trend for acute bronchitis in girls aged 5-9 years and a significant decreasing trend for asthma in boys aged 10-14 years. From the presented data it can be concluded that in childhood the health issue with respect to the respiratory diseases concerns the very young in particular.
分析了1980 - 1989年按性别和年龄(0 - 4岁、5 - 9岁和10 - 14岁)划分的哮喘(国际疾病分类第九版代码493)、急性支气管炎(国际疾病分类代码466)、肺炎和流感(国际疾病分类代码480 - 487)以及慢性阻塞性肺疾病(国际疾病分类代码490 - 492和496)的全国医院入院频率。计算了每年每百万儿童人口的发病率,并通过最小二乘法回归进行时间趋势分析。在0 - 4岁年龄组中,呼吸系统疾病的入院率最高,且呈现出总体上升趋势,哮喘和急性支气管炎有显著趋势。在5 - 9岁和10 - 14岁年龄组中,入院率要低得多且有波动,除了5 - 9岁女孩的急性支气管炎有显著上升趋势和10 - 14岁男孩的哮喘有显著下降趋势外,没有明显趋势。从所呈现的数据可以得出结论,在儿童时期,呼吸系统疾病的健康问题尤其关乎幼儿。