幼儿喘息：测量与管理问题
Wheezing in young children: problems of measurement and management.
作者信息
Hart J T
出版信息
J R Coll Gen Pract. 1986 Feb;36(283):78-81.
Abstract
Literature on morbidity and mortality from childhood asthma is reviewed, and data presented from a geographically defined population showing a cumulative prevalence of 25% for chronic or recurrent reversible airways obstruction in 263 children aged between five and 16 years. In 47% of these children, asthma was diagnosed when they were under the age of five years. Risks of iatrogenic damage from overdiagnosis and overtreatment are discussed. The principal objective of management of childhood asthma in general practice should not be the prevention of deaths, which now occur at rates of between two and 25 per million people, but to help children with minor asthma to conserve respiratory function and become normal adults.
摘要
本文回顾了有关儿童哮喘发病率和死亡率的文献，并展示了来自特定地理区域人群的数据，该数据显示，在263名5至16岁的儿童中，慢性或复发性可逆性气道阻塞的累积患病率为25%。在这些儿童中，47%在5岁之前被诊断出患有哮喘。文中讨论了过度诊断和过度治疗导致医源性损害的风险。在全科医疗中，儿童哮喘管理的主要目标不应是预防死亡（目前死亡率为每百万人中有2至25人死亡），而应是帮助轻度哮喘儿童保持呼吸功能并成长为正常成年人。
相似文献
1
Wheezing in young children: problems of measurement and management.幼儿喘息：测量与管理问题
J R Coll Gen Pract. 1986 Feb;36(283):78-81.
2
Asthma incidence among children and adults: findings from the Behavioral Risk Factor Surveillance system asthma call-back survey--United States, 2006-2008.儿童和成人中的哮喘发病率：行为危险因素监测系统哮喘回访调查结果——美国，2006 - 2008年
J Asthma. 2012 Feb;49(1):16-22. doi: 10.3109/02770903.2011.637594.
3
Inhaled corticosteroids in children: use and effects of early treatment on asthma and lung function. Prevalence of asthma and the impact of severity in early life on later asthma in childhood.儿童吸入性糖皮质激素：早期治疗对哮喘和肺功能的使用及影响。哮喘的患病率以及早期生活中病情严重程度对儿童后期哮喘的影响。
Clin Respir J. 2008 Oct;2(4):247-8. doi: 10.1111/j.1752-699X.2008.00064.x.
4
Geographical variations of asthma and asthma symptoms among schoolchildren aged 5 to 8 years and 12 to 15 years in Palestine: the International Study of Asthma and Allergies in Childhood (ISAAC).
Ann Allergy Asthma Immunol. 2003 Jan;90(1):63-71. doi: 10.1016/S1081-1206(10)63616-2.
5
Asthma in Scotland: epidemiology and clinical management.苏格兰的哮喘：流行病学与临床管理
Health Bull (Edinb). 1993 Mar;51(2):118-27.
6
An estimate of the prevalence of asthma and wheezing among inner-city children.城市中心区儿童哮喘和喘息患病率的估计
Pediatrics. 1994 Sep;94(3):356-62.
7
Nearly six million Californians suffer from asthma symptoms or asthma-like breathing problems.近600万加利福尼亚人患有哮喘症状或类似哮喘的呼吸问题。
Policy Brief UCLA Cent Health Policy Res. 2006 Oct(PB2006-5):1-7.
8
[Third nationwide survey of childhood asthma in urban areas of China].[中国城市地区第三次全国儿童哮喘调查]
Zhonghua Er Ke Za Zhi. 2013 Oct;51(10):729-35.
9
Airways responsiveness, wheeze onset, and recurrent asthma episodes in young adolescents. The East Boston Childhood Respiratory Disease Cohort.青少年气道反应性、喘息发作及复发性哮喘发作。东波士顿儿童呼吸道疾病队列研究。
Am J Respir Crit Care Med. 1996 Jan;153(1):356-61. doi: 10.1164/ajrccm.153.1.8542143.
10
The prevalence and incidence of asthma and asthma-like symptoms in a general population sample.普通人群样本中哮喘及哮喘样症状的患病率和发病率。
Am Rev Respir Dis. 1980 Oct;122(4):567-75. doi: 10.1164/arrd.1980.122.4.567.
引用本文的文献
1
Epidemiological study of wheeze, doctor diagnosed asthma, and cough in preschool children in Leicestershire.莱斯特郡学龄前儿童喘息、医生诊断哮喘及咳嗽的流行病学研究
BMJ. 1993 May 22;306(6889):1386-90. doi: 10.1136/bmj.306.6889.1386.
2
Screening for asthma in children.儿童哮喘筛查
Br J Gen Pract. 1994 Apr;44(381):179-83.
3
Bronchial hyperreactivity and history of wheezing in children.
Eur J Pediatr. 1994 Sep;153(9):682-6. doi: 10.1007/BF02190692.
4
Passive smoking, potential atopy and asthma in the first five years.被动吸烟、潜在特应性与头五年内的哮喘
J R Soc Med. 1987 Nov;80(11):683-8. doi: 10.1177/014107688708001108.
5
Development of respiratory illness in childhood--a longitudinal study in general practice.儿童期呼吸道疾病的发展——一项全科医学纵向研究
J R Coll Gen Pract. 1987 Sep;37(302):404-8.
6
Sport and the asthmatic child: a study of exercise-induced asthma and the resultant handicap.运动与哮喘儿童：运动诱发性哮喘及其所致障碍的研究。
J R Coll Gen Pract. 1988 Jun;38(311):253-5.
7
Prevalence and management of asthma in a London inner city general practice.伦敦市中心一家普通诊所中哮喘的患病率及管理情况
Br J Gen Pract. 1990 May;40(334):197-201.
8
Management of acute asthma attacks in general practice.全科医疗中急性哮喘发作的管理
Br J Gen Pract. 1991 Oct;41(351):410-3.
9
10
Asthma and open cast mining.哮喘与露天采矿
BMJ. 1992 Oct 10;305(6858):888; author reply 888-9. doi: 10.1136/bmj.305.6858.888-b.
本文引用的文献
1
National study of health and growth: respiratory symptoms and height in primary schoolchildren.全国健康与成长研究：小学生的呼吸道症状与身高
Int J Epidemiol. 1980 Mar;9(1):35-43. doi: 10.1093/ije/9.1.35.
2
Evaluating health education in asthma -- developing the methodology: preliminary communication.评估哮喘健康教育——制定方法：初步交流
J R Soc Med. 1982 Aug;75(8):625-30.
3
A new kind of doctor.一种新型医生。
J R Soc Med. 1981 Dec;74(12):871-83. doi: 10.1177/014107688107401204.
4
Reversibility of lung function abnormalities in children with perennial asthma.常年性哮喘患儿肺功能异常的可逆性
J Pediatr. 1983 Mar;102(3):347-50. doi: 10.1016/s0022-3476(83)80646-5.
5
Mortality from asthma: a new epidemic in New Zealand.哮喘死亡率：新西兰的一种新流行病。
Br Med J (Clin Res Ed). 1982 Sep 18;285(6344):771-4. doi: 10.1136/bmj.285.6344.771.
6
Measurement of omission.遗漏测量。
Br Med J (Clin Res Ed). 1982 Jun 5;284(6330):1686-9. doi: 10.1136/bmj.284.6330.1686.
7
Morbidity and school absence caused by asthma and wheezing illness.哮喘和喘息性疾病导致的发病率及缺课情况。
Arch Dis Child. 1983 Oct;58(10):777-84. doi: 10.1136/adc.58.10.777.
8
The relevance in adults of air-flow obstruction, but not of mucus hypersecretion, to mortality from chronic lung disease. Results from 20 years of prospective observation.气流阻塞而非黏液高分泌在成年人慢性肺病死亡率中的相关性。20年前瞻性观察结果。
Am Rev Respir Dis. 1983 Sep;128(3):491-500. doi: 10.1164/arrd.1983.128.3.491.
9
General practice audit of asthma in childhood.儿童哮喘的全科医疗审计
Br Med J (Clin Res Ed). 1984 Oct 27;289(6452):1115-6. doi: 10.1136/bmj.289.6452.1115.
10
Trends in sales of drugs for asthma in New Zealand, Australia, and the United Kingdom, 1975-81.1975 - 1981年新西兰、澳大利亚和英国哮喘药物销售趋势。
Br Med J (Clin Res Ed). 1984 Aug 11;289(6441):348-51. doi: 10.1136/bmj.289.6441.348.
Zotero 插件