学童中的哮喘与喘息

Asthma and wheeze in schoolchildren.

作者信息

Taylor M R, Holland C V, O'Lorcain P

机构信息

Department of Paediatrics, National Children's Hospital, Dublin.

出版信息

Ir Med J. 1996 Jan-Feb;89(1):34-5.

PMID:8984082

Abstract

In a questionnaire survey of 2813 children aged 4 to 19 years 11.9% reported asthma compared to 4.4% in 1983-4: a rise of 170% over 9 years. The asthma prevalence was 8.35% in girls and 14.8% in boys. The prevalence of wheeze in the past 12 months was 12% in girls and 18.9% in boys. The wheeze prevalence values for 9 year olds were similar to those found in a recent study in Galway. 40.8% of those reporting wheeze in the previous 12 months did not report asthma. This suggests under diagnosis, ineffective communication of the diagnosis to the parents or denial of the diagnosis. 79% of those with asthma reported wheeze and 10.7% reported cough but no wheeze ('cough variant asthma'), emphasising the importance of cough as an indicator of asthma in these children.

摘要

在一项针对2813名4至19岁儿童的问卷调查中，11.9%的儿童报告患有哮喘，而在1983 - 1984年这一比例为4.4%：9年间上升了170%。哮喘患病率在女孩中为8.35%，在男孩中为14.8%。过去12个月内喘息的患病率在女孩中为12%，在男孩中为18.9%。9岁儿童的喘息患病率与最近在戈尔韦进行的一项研究中发现的患病率相似。在过去12个月内报告有喘息的儿童中，40.8%未报告患有哮喘。这表明存在诊断不足、向家长传达诊断信息无效或否认诊断的情况。79%的哮喘患儿报告有喘息，10.7%报告有咳嗽但无喘息（“咳嗽变异性哮喘”），这强调了咳嗽作为这些儿童哮喘指标的重要性。