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[一项全国哮喘控制调查中的中国哮喘控制水平]

[The level of asthma control in China from a national asthma control survey].

作者信息

Lin J T, Wang W Q, Zhou X, Wang C Z, Huang M, Cai S X, Chen P, Lin Q C, Zhou J Y, Gu Y H, Yuan Y D, Sun D J, Yang X H, Yang L, Huo J M, Chen Z C, Jiang P, Zhang J, Ye X W, Liu H G, Tang H P, Liu R Y, Liu C T, Zhang W, Hu C P, Chen Y Q, Liu X J, Dai L M, Zhou W, Huang Y J, Xu J Y

机构信息

Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing 100029, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2017 Jul 12;40(7):494-498. doi: 10.3760/cma.j.issn.1001-0939.2017.07.002.

Abstract

To assess the overall asthma control level in urban China. A multi-center, cross-sectional, questionnaire-based survey was carried out in 30 provinces in China (except Tibet). Asthmatic outpatients who met the inclusion criteria were recruited consecutively from 30 sub-centers from October 2015 to May 2016. Data of demographic characteristics, asthma control, asthma management, asthma exacerbations and self-management, and disease perception were collected by face-to-face interviews. Totally 3 875 asthmatic outpatients were recruited. Asthma control level was assessed according to GINA 2015. The prevalence of asthma control was 28.5%(1 099/3 854). Among 10 cities, which were also involved in the asthma control survey in 2008, the level of asthma control improved from 28.7% in 2008 to 39.2%(533/1 361) in 2016. The rate of hospitalizations due to asthma exacerbations was 26.4%(1 017/3 858) and the rate of emergency visits was 22.4%(864/3 858). Among adult patients, 18.4%(568/3 092) of them had been absent from work while 63.6%(63/99) adolescent patients had been absent from school because of asthma attacks in the previous year. Although the level of asthma control in China is still far from ideal at present, the status has been improved in some cities. Poorly controlled asthma resulted in increase of hospitalizations, emergency department visits and work/school absences.

摘要

为评估中国城市地区哮喘的总体控制水平,在中国30个省份(不包括西藏)开展了一项多中心、横断面、基于问卷调查的研究。2015年10月至2016年5月期间,从30个分中心连续招募符合纳入标准的哮喘门诊患者。通过面对面访谈收集人口统计学特征、哮喘控制情况、哮喘管理、哮喘急性加重及自我管理以及疾病认知等数据。共招募了3875例哮喘门诊患者。根据2015年全球哮喘防治创议(GINA)评估哮喘控制水平。哮喘控制的患病率为28.5%(1099/3854)。在2008年也参与了哮喘控制调查的10个城市中,哮喘控制水平从2008年的28.7%提高到了2016年的39.2%(533/1361)。哮喘急性加重导致的住院率为26.4%(1017/3858),急诊就诊率为22.4%(864/3858)。在成年患者中,18.4%(568/3092)的人因哮喘发作在过去一年中误工,而青少年患者中有63.6%(63/99)因哮喘发作在过去一年中缺课。虽然目前中国的哮喘控制水平仍远不理想,但在一些城市已有改善。哮喘控制不佳导致住院、急诊就诊以及误工/缺课增加。

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