重庆市儿童变应性鼻炎的流行病学调查分析

发布时间：2018-02-01 02:03

本文关键词： 儿童变应性鼻炎流行病学患病率　出处：《重庆医学》2017年33期 　论文类型：期刊论文

【摘要】：目的调查重庆市儿童变应性鼻炎(AR)流行病学特征。方法选取2017年3-6月重庆市11所幼儿园及小学儿童(2~12岁)为研究对象,设计AR调查问卷表进行流行病学调查,并进行统计学分析。结果重庆市儿童自报患病率为28.5%(334/1 170),临床诊断率为18.1%(212/1 170),确诊率为17.3%(202/1 170);间歇性AR占36.6%(74/202),持续性AR占63.4%(128/202)。自报患病儿童鼻部症状中鼻痒所占比例最高(70.7%),其次为流清涕(59.3%),鼻塞(56.3%),连续打喷嚏(45.5%);有眼部症状占34.1%,有咳嗽症状占56.9%;最常见的伴发疾病是湿疹(37.7%),其次为过敏性结膜炎(27.5%),鼻窦炎(26.9%),鼻出血(25.1%),哮喘(19.2%),分泌性中耳炎(6.6%)。结论重庆市儿童AR自报患病率较高,持续性AR较间歇性AR常见。
[Abstract]:Objective to investigate the Chongqing children's allergic rhinitis (AR). Methods the epidemiological characteristics of Chongqing city in 2017 3-6 months 11 kindergartens and primary school children (2~12 years old) as the research object, the design of AR questionnaire for epidemiological investigation and statistical analysis. The results of Chongqing city children's self-reported prevalence rate was 28.5% (334/1 170). The clinical diagnosis rate was 18.1% (212/1 170), the diagnosis rate was 17.3% (202/1 170); intermittent AR accounted for 36.6% (74/202), persistent AR accounted for 63.4% (128/202). The prevalence of nasal symptoms of nasal itching in children has the highest proportion (70.7%), followed by runny nose (, (59.3%) 56.3%), sneezing (45.5%); ocular symptoms of cough symptoms accounted for 34.1%, accounting for 56.9%; the most common complication is eczema (37.7%), followed by allergic conjunctivitis (27.5%), sinusitis (26.9%), epistaxis (25.1%), asthma (19.2%), secretory otitis media (6.6%). Conclusion children in Chongqing City The prevalence of self reported AR was higher, and persistent AR was more common than intermittent AR.

【作者单位】：重庆医科大学附属儿童医院耳鼻咽喉头颈外科;
【基金】：国家自然科学基金青年基金项目(81600781) 重庆市社会事业与民生保障科技创新专项(cstc2015shmszx120022) 重庆医科大学科研培育基金项目(201405) 重庆市渝中区科技计划项目(20150118)
【分类号】：R765.21
【正文快照】： 变应性鼻炎(allergic rhinitis,AR)又称过敏性鼻炎,是特应性个体因接触致敏原后主要由IgE介导的鼻黏膜非感染性炎性疾病[1]。患者的生活、学习和工作质量明显降低,同时也加重了个人、家庭及社会经济负担[2-3]。为初步了解重庆地区儿童AR患病状况,笔者对本市2017年3-6月11所幼

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