国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2012年
16期
1207-1209
,共3页
吴峰%林伟明%陈宫玉%陈钊成%陈必达%周五铁%吴思仿%吴海桂
吳峰%林偉明%陳宮玉%陳釗成%陳必達%週五鐵%吳思倣%吳海桂
오봉%림위명%진궁옥%진쇠성%진필체%주오철%오사방%오해계
支气管哮喘%过敏性鼻炎%流行病学%相关性
支氣管哮喘%過敏性鼻炎%流行病學%相關性
지기관효천%과민성비염%류행병학%상관성
Bronchial asthma%Allergic rhinitis%Epidemiology%Correlations
目的 了解惠州地区支气管哮喘(简称哮喘)患者合并过敏性鼻炎的情况,分析两者在临床表现方面的相关性及调查对过敏性鼻炎认知程度和治疗现状.方法 问卷凋查惠州地区280例哮喘患者,详细了解其哮喘病史、严重程度分级、哮喘控制测试(asthma control test,ACT)评分、鼻炎情况包括患病情况、认知程度、相关家族遗传史及治疗现状等.建立相应个人数据档案,对数据进行统计学分析.结果 280例哮喘患者中,203例(72.50％)合并过敏性鼻炎,哮喘合并过敏性鼻炎组和单纯哮喘组在年龄、性别、病程间的差异无统计学意义(P＞0.05).哮喘合并过敏性鼻炎组、二级(轻度持续)、三级(中度持续)、四级(重度持续)例数均高于单纯哮喘组(P＜0.05).ACT评分,完全控制、良好控制例数均低于单纯哮喘组(P＜0.05),未控制哮喘高于单纯哮喘组(P＜0.05).鼻炎情况过敏性鼻炎起病早于哮喘占59.61％,两者同时起病占17.24％,鼻炎诱因依次为冷空气(82.10％),刺激性气体(61.58％),25.62％患者做过过敏原测验,56.65％使用药物治疗鼻炎,27.10％直系三代有哮喘或过敏性鼻炎家族史.结论 惠州地区哮喘合并过敏性鼻炎发生率高,认知程度较低,治疗现状不容乐观,为今后防治措施及相关研究提供依据.
目的 瞭解惠州地區支氣管哮喘(簡稱哮喘)患者閤併過敏性鼻炎的情況,分析兩者在臨床錶現方麵的相關性及調查對過敏性鼻炎認知程度和治療現狀.方法 問捲凋查惠州地區280例哮喘患者,詳細瞭解其哮喘病史、嚴重程度分級、哮喘控製測試(asthma control test,ACT)評分、鼻炎情況包括患病情況、認知程度、相關傢族遺傳史及治療現狀等.建立相應箇人數據檔案,對數據進行統計學分析.結果 280例哮喘患者中,203例(72.50％)閤併過敏性鼻炎,哮喘閤併過敏性鼻炎組和單純哮喘組在年齡、性彆、病程間的差異無統計學意義(P＞0.05).哮喘閤併過敏性鼻炎組、二級(輕度持續)、三級(中度持續)、四級(重度持續)例數均高于單純哮喘組(P＜0.05).ACT評分,完全控製、良好控製例數均低于單純哮喘組(P＜0.05),未控製哮喘高于單純哮喘組(P＜0.05).鼻炎情況過敏性鼻炎起病早于哮喘佔59.61％,兩者同時起病佔17.24％,鼻炎誘因依次為冷空氣(82.10％),刺激性氣體(61.58％),25.62％患者做過過敏原測驗,56.65％使用藥物治療鼻炎,27.10％直繫三代有哮喘或過敏性鼻炎傢族史.結論 惠州地區哮喘閤併過敏性鼻炎髮生率高,認知程度較低,治療現狀不容樂觀,為今後防治措施及相關研究提供依據.
목적 료해혜주지구지기관효천(간칭효천)환자합병과민성비염적정황,분석량자재림상표현방면적상관성급조사대과민성비염인지정도화치료현상.방법 문권조사혜주지구280례효천환자,상세료해기효천병사、엄중정도분급、효천공제측시(asthma control test,ACT)평분、비염정황포괄환병정황、인지정도、상관가족유전사급치료현상등.건립상응개인수거당안,대수거진행통계학분석.결과 280례효천환자중,203례(72.50％)합병과민성비염,효천합병과민성비염조화단순효천조재년령、성별、병정간적차이무통계학의의(P＞0.05).효천합병과민성비염조、이급(경도지속)、삼급(중도지속)、사급(중도지속)례수균고우단순효천조(P＜0.05).ACT평분,완전공제、량호공제례수균저우단순효천조(P＜0.05),미공제효천고우단순효천조(P＜0.05).비염정황과민성비염기병조우효천점59.61％,량자동시기병점17.24％,비염유인의차위랭공기(82.10％),자격성기체(61.58％),25.62％환자주과과민원측험,56.65％사용약물치료비염,27.10％직계삼대유효천혹과민성비염가족사.결론 혜주지구효천합병과민성비염발생솔고,인지정도교저,치료현상불용악관,위금후방치조시급상관연구제공의거.
Objective To study the status of bronchial asthma (asthma) in patients with allergic rhinitis in Huizhou,and to analyze the correlation of clinical characteristic between allergic rhinitis and bronchial asthma,to investigate the patients' cognitions and treatment situation about the allergic rhinitis.Methods The questionnaire survey of 280 cases of asthma in Huizhou,their medical history,severity,asthma control test (ACT) were investigated in details.The rhinitis survey included prevalence,cognition,family history and treatment situation.The patients,data were collected and analyzed.Results In 280 cases of bronchial asthma,203 cases(72.5％) combined with allergic rhinitis.There was no statistical significance ( P ＞0.05) between the group of asthma combined with allergic rhinitis and the group of simple asthma on the age,sex,and the disease course.Compared with the group of simple asthma on case,the group of asthma combined with allergic rhinitis were more cases at the grade 2(mild persistence),grade 3(moderate persistence),and grade 4 (severe persistence),and few cases in complete control,good control through ACT ( P ＜0.05),while more cases in the uncontrol through ACT ( P ＜0.05).Allergic rhinitis:in the the group of asthma combined with allergic rhinitis,there were 59.61％ of the patients got allergic rhinitis earlier than asthma,about 17.24％ got those two disease at the same time.The inducements of allergic rhinitis were cold air (82.10％),irritant gas (61.58％),about 25.62％ patients had been allergen tested,56.65 ％ patients had used drug treatment.27.10 ％ patients had family history of asthma or allergic rhinitis.Conclusions The morbidity of asthma combining with allergic rhinitis is high in Huizhou city,the cognition is low,and treatment status are not optimistic,which can be the basis of prevention and treatment in future.
