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[波兰城乡学童过敏性疾病的流行病学研究]

[Epidemiologic studies on allergic diseases among rural and urban school children in Poland].

作者信息

Gniazdowska B, Jefimow A

机构信息

Poradni Otolaryngologicznej Przyklinicznej Przychodni Alergologicznej AM, Bydgoszczy.

出版信息

Pol Tyg Lek. 1990;45(42-44):855-60.

PMID:2098732
Abstract

451 rural children (group I) and 2000 urban children (group II) aged 10-16 years from Toruń province were inquired by a questionnaire to their parents or guardians. 9.09% of children in the country and 13.45% of those living in the city of Toruń suffered from hypersensitivity disorders; bronchial asthma was reported in 2.22% and 3.05% of cases, allergic rhinitis--in 3.77% and 7.15%, allergic conjunctivitis--in 1.33% and 2.75%, allergic edema--in 0.44% and 0.60%, urticaria--in 1.55% and 3.50%, and infantile eczema--in 0.44% and 2.10% of cases, respectively. The pollinosis prevalence rate was 2.00% in group I and 1.85% in group II. At least 2 various forms of hypersensitivity coexisted in 30.48% of allergic urban children (64.86% of patients with pollinosis among them); infantile eczema preceded allergic rhinitis and bronchial asthma symptoms in 6.29% and 11.47% of cases, respectively, while allergic rhinitis occurred before the onset of bronchial asthma in 24.59% of asthmatic children. 37.10% of individuals with positive family history of allergic conditions also fell ill with some diseases of this nature, while in those with negative family history allergy occurred only in 10.22% of cases. From environmental factors mother's diseases during pregnancy, bottle feeding and a regular diet during the first year of life, frequent respiratory infections in the early childhood and poor living conditions increased the risk of allergic diseases or aggravated their course in the population examined.

摘要

对来自托伦省的451名10至16岁农村儿童(第一组)和2000名城市儿童(第二组),通过问卷向其父母或监护人进行询问。该国9.09%的儿童和托伦市13.45%的儿童患有过敏症;报告支气管哮喘的病例分别占2.22%和3.05%,过敏性鼻炎分别占3.77%和7.15%,过敏性结膜炎分别占1.33%和2.75%,过敏性水肿分别占0.44%和0.60%,荨麻疹分别占1.55%和3.50%,婴儿湿疹分别占0.44%和2.10%。第一组花粉症患病率为2.00%,第二组为1.85%。在城市过敏儿童中,30.48%至少存在两种不同形式的过敏症(其中花粉症患者占64.86%);婴儿湿疹分别在6.29%和11.47%的病例中先于过敏性鼻炎和支气管哮喘症状出现,而在24.59%的哮喘儿童中,过敏性鼻炎在支气管哮喘发作之前出现。有过敏症家族史阳性的个体中,37.10%也患有此类疾病,而在家族史阴性的个体中,过敏症仅在10.22%的病例中出现。在环境因素方面,母亲孕期疾病、奶瓶喂养、出生后第一年的常规饮食、幼儿期频繁的呼吸道感染以及恶劣的生活条件增加了所研究人群患过敏性疾病的风险或加重了疾病进程。

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