国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2014年
4期
237-240
,共4页
张文平%马利军%吴纪珍%赵丽敏%况红艳%黄泰博%程剑剑%张罗献%齐咏
張文平%馬利軍%吳紀珍%趙麗敏%況紅豔%黃泰博%程劍劍%張囉獻%齊詠
장문평%마리군%오기진%조려민%황홍염%황태박%정검검%장라헌%제영
哮喘%流行病学%控制
哮喘%流行病學%控製
효천%류행병학%공제
Asthma%Epidemiology%Control
目的 探讨河南省支气管哮喘的流行现状,评估当地哮喘的控制状态.方法 采取多阶段分层整群随机抽样法,于2010年1-6月抽取河南省5 000户住户,19 878人.组织、培训专业调查组,采用调查问卷方法进行入户调查,对哮喘患者进行详细问卷调查,利用哮喘控制评分(ACT)评估疾病控制状态.结果 全省共回收有效问卷19 861份,其中哮喘患者145例,患病率为(0.73±0.12)％,男女患病比为1.3:1.城市居民哮喘患病率为(1.10±0.23)％,农村患病率为(0.48±0.12)％,两者比较差异有统计学意义(x2=25.13,P＜0.01).患者中规律药物治疗者仅占35.86％(52例).经ACT评估,规律治疗患者完全控制者占38.46％ (20/52),未接受规律治疗患者完全控制者占30.11％(28/93),两者比较差异无统计学意义(x2=1.05,P＞0.05).结论 河南省哮喘总体患病率较低,大部分患者未接受规律的治疗,并且治疗方案疗效总体欠佳.
目的 探討河南省支氣管哮喘的流行現狀,評估噹地哮喘的控製狀態.方法 採取多階段分層整群隨機抽樣法,于2010年1-6月抽取河南省5 000戶住戶,19 878人.組織、培訓專業調查組,採用調查問捲方法進行入戶調查,對哮喘患者進行詳細問捲調查,利用哮喘控製評分(ACT)評估疾病控製狀態.結果 全省共迴收有效問捲19 861份,其中哮喘患者145例,患病率為(0.73±0.12)％,男女患病比為1.3:1.城市居民哮喘患病率為(1.10±0.23)％,農村患病率為(0.48±0.12)％,兩者比較差異有統計學意義(x2=25.13,P＜0.01).患者中規律藥物治療者僅佔35.86％(52例).經ACT評估,規律治療患者完全控製者佔38.46％ (20/52),未接受規律治療患者完全控製者佔30.11％(28/93),兩者比較差異無統計學意義(x2=1.05,P＞0.05).結論 河南省哮喘總體患病率較低,大部分患者未接受規律的治療,併且治療方案療效總體欠佳.
목적 탐토하남성지기관효천적류행현상,평고당지효천적공제상태.방법 채취다계단분층정군수궤추양법,우2010년1-6월추취하남성5 000호주호,19 878인.조직、배훈전업조사조,채용조사문권방법진행입호조사,대효천환자진행상세문권조사,이용효천공제평분(ACT)평고질병공제상태.결과 전성공회수유효문권19 861빈,기중효천환자145례,환병솔위(0.73±0.12)％,남녀환병비위1.3:1.성시거민효천환병솔위(1.10±0.23)％,농촌환병솔위(0.48±0.12)％,량자비교차이유통계학의의(x2=25.13,P＜0.01).환자중규률약물치료자부점35.86％(52례).경ACT평고,규률치료환자완전공제자점38.46％ (20/52),미접수규률치료환자완전공제자점30.11％(28/93),량자비교차이무통계학의의(x2=1.05,P＞0.05).결론 하남성효천총체환병솔교저,대부분환자미접수규률적치료,병차치료방안료효총체흠가.
Objective To investigate the prevalence of bronchial asthma in Henan Province and to assess the management of asthma.Methods A stratified multi-stage cluster random sampling method was used to sample 5 000 households,including about 20 000 people.Professional investigators were trained to carry out the household survey with a detailed questionnaire for patients with asthma.Asthma control score(ACT) was used to evaluate the status of asthma control.Results A total of 19 861 valid questionnaires were collected,145 cases were diagnosed as asthma,and the prevalence rate was (0.73 ± 0.12)％,and the prevalence ratio of male to female was 1.3:1.The prevalence of asthma in urban area was(1.10 ± 0.23)％ and (0.48 ± 0.12)％ in rural area,with a statistically significant difference between them (x2 =25.13,P＜0.01).Only 35.86％ (52 cases) of asthma patients followed drug protocol on a regular basis.The ACT assessment showed that the rate of asthma under control was 38.46％ (20/52) in patients receiving regular drug treatment and 30.11％ (28/93) in patients who did not take pills regularly,without a significant difference between them (x2=1.05,P＞0.05).Conclusions The overall prevalence of asthma in Henan Province is relatively low,but most of the patients do not receive regular treatment,and the effect of treatment is poor.
