Kong W-J, Chen J-J, Zheng Z-Y, Shi Q-M, Zhou Y
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Clin Exp Allergy. 2009 Jun;39(6):869-74. doi: 10.1111/j.1365-2222.2009.03206.x. Epub 2009 Mar 3.
Only a few prevalence studies of allergic rhinitis (AR) have been reported in China. This study aimed to evaluate the prevalence of AR in a population of 3-6-year-old children in Wuhan, China.
Sixteen kindergartens in Wuhan City were randomly selected; for each kindergarten, there were three classes from three grades (top, middle and bottom grade, 3-6 years old, respectively). Questionnaires generated by the authors were distributed and filled out by parents of the selected children, with a telephone interview subsequently. Skin prick test (SPT) was carried out on the children after a written consent was signed by the parents.
A total of 1211 (89.5%) valid questionnaires were returned for evaluation. The adjusted current prevalence of AR in 3-6-year-old children was 10.8% with the diagnostic criterion of nasal symptoms(+) and SPTs(+). In the SPTs(+) children, the most common inhalant allergen was house dust mites (94.7%), followed by moulds (28.4%). The prevalence of AR was higher in males than that in females (13.0% vs. 7.7%, P < 0.05). 15.8% and 23.2% of AR children were sensitive to egg and milk, respectively. The percentage of children sensitive to both inhalant and food allergens was 27.4%.
We found an unexpectedly high prevalence of diagnosed AR in 3-6-year-old children within the investigated population. Dust mite was the most important allergen source for 3-6-year-old children in Wuhan.
中国仅有少数关于变应性鼻炎(AR)患病率的研究报道。本研究旨在评估中国武汉3至6岁儿童群体中AR的患病率。
随机选取武汉市16所幼儿园;每所幼儿园从三个年级(分别为大班、中班和小班,年龄3至6岁)中各选一个班级。由作者编制的问卷分发给所选儿童的家长并由其填写,随后进行电话访谈。在家长签署书面同意书后,对儿童进行皮肤点刺试验(SPT)。
共回收1211份(89.5%)有效问卷用于评估。以鼻部症状(+)和SPT(+)为诊断标准,3至6岁儿童AR的校正现患率为10.8%。在SPT(+)的儿童中,最常见的吸入性变应原是屋尘螨(94.7%),其次是霉菌(28.4%)。男性AR患病率高于女性(13.0%对7.7%,P<0.05)。分别有15.8%和23.2%的AR儿童对鸡蛋和牛奶敏感。对吸入性和食物性变应原均敏感的儿童比例为27.4%。
我们发现,在所调查人群中,3至6岁儿童确诊AR的患病率出乎意料地高。尘螨是武汉3至6岁儿童最重要的变应原来源。