中国城市儿童哮喘诊治状况十年对比

中国城市儿童哮喘诊治状况十年对比

沙莉;刘传合;邵明军;陈育智

【期刊名称】《中华儿科杂志》

【年(卷),期】2016(054)003

【摘要】Objective To compare the changes of diagnosis,treatment and control of 0-14 years old urban asthma children during 10 years.Method The questionnaires were given to diagnosed asthmatic children during the national epidemiological survey of asthma in children in 2000 and 2010 to understand the diagnosis and treatment of asthma and the status of the disease control.Children with asthma of a total of 36 cities were involved in this study,and the diagnosed asthma children in recent 2 years were 6 128 and 8 174,separately.Data were stored using epi-info software by double entry,V19.0 of SPSS was used to do the statistical analysis,x2 test was used.Result The proportion of correct diagnosis of asthma before investigation in 2010 was 64.6％,while it was 70.7％in 2010,which showed a significant increase (x2 =59.3,P ＜0.01).Diagnosis rate of asthma onset within 1 year was separately 50.8％ and 78.6％ in 2000 and 2010.The early diagnostic rate was significantly higher in 2010 than that in 2000 (x2 =817.7,P ＜ 0.01).In 2000 and 2010 children with asthma medication in the use of inhaled corticosteroids was 36.3％ and 61.7％,it increased by 0.7 times in 2010 (x2 =907.5,P ＜0.01).Systemic corticosteroids utilization rate was separately 74.2％ and 39.1％ (x2 =1