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[某健康区域内的小儿哮喘:受影响人群及其特征]

[Infantile asthma within a health area: the population affected and its characteristics].

作者信息

Meana A, Moreno M, Muruzábal C, Tamargo I, Fernández-Tejada E

机构信息

Centro de Salud de la Calzada, Gijón, Asturias.

出版信息

Aten Primaria. 1993 Jun 15;12(1):36-40.

PMID:8318626
Abstract

OBJECTIVE

To discover the prevalence and the characteristics of the population group affected by infantile asthma and attended at a Health Centre.

DESIGN

Descriptive crossover study, conducted throughout 1991.

SETTING

Primary Care.

PATIENTS

Patients between 2 and 14 attending the Health Centre.

MEASUREMENTS AND MAIN RESULTS

We identified 349 children suffering from asthma (9.6% of the child population). 206 (59%) were male and 143 (41%), female. 45% of these children had shown symptoms suggesting asthma before their first birthday; 74% before they were 3; and 90% before 7. Family histories of asthma existed in 72%, of allergic rhinitis in 45% and atopic dermatitis in 17%. Out of the asthmatic children, 58% had allergic rhinitis and 20% atopic dermatitis. As to severity, 55% suffered light asthma, 31% moderate asthma and the remaining 14%, severe asthma. 79% had follow-up control of their asthma at the Health Centre. The rest were controlled by professionals outside the Centre (allergologists, pneumologists, hospital paediatricians etc.). 70% of the asthmatic children were passive smokers.

CONCLUSIONS

Infantile asthma has 9.6% prevalence among the children attending our Health Centre. These patients are generally cared for in Primary Care. Usually their symptoms have started in very early infancy.

摘要

目的

了解在健康中心就诊的患婴幼儿哮喘人群的患病率及特征。

设计

1991年全年开展的描述性交叉研究。

地点

初级保健机构。

患者

年龄在2至14岁之间、在健康中心就诊的患者。

测量指标及主要结果

我们确定了349名患哮喘儿童(占儿童人口的9.6%)。其中206名(59%)为男性,143名(41%)为女性。这些儿童中,45%在1岁生日前出现过提示哮喘的症状;74%在3岁前出现;90%在7岁前出现。72%有哮喘家族史,45%有过敏性鼻炎家族史,17%有特应性皮炎家族史。在哮喘儿童中,58%患有过敏性鼻炎,20%患有特应性皮炎。至于严重程度,55%患轻度哮喘,31%患中度哮喘,其余14%患重度哮喘。79%在健康中心接受哮喘随访管理。其余患者由中心外的专业人员(过敏症专科医生、肺科医生、医院儿科医生等)管理。70%的哮喘儿童为被动吸烟者。

结论

在我们健康中心就诊的儿童中,婴幼儿哮喘患病率为9.6%。这些患者通常在初级保健机构接受治疗。他们的症状通常在婴儿期极早期就已出现。

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