中国における喘息の流行,危険因子,治療:全国的横断研究
Kewu Huang1, Ting Yang2, Jianying Xu3
1Beijing Key Laboratory of Respiratory and Pulmonary Circulation Disorders, Department of Pulmonary and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China; Beijing Institute of Respiratory Medicine, Beijing, China.
Lancet (London, England)
|June 25, 2019
まとめ
喘息は中国の成人の4.2%で,合計4570万人です. この研究は,診断と治療の不足を明らかにし,中国における意識の向上と標準化された治療の必要性を強調しています.
科学分野:
- 肺医学
- 流行病学について
- 公衆衛生
背景:
- 喘息は 世界的に広範囲に広がる慢性的な呼吸道疾患です
- 中国では,喘息の流行,リスク要因,管理に関する包括的な国内データがない.
- この研究は,中国の全国の喘息の流行率を推定することで,このギャップを埋めることを目的とした.
研究 の 目的:
- 中国の成人の集団における全国の喘息の有病率を推定する.
- 中国で流行する喘息に関連する主要な危険因子を特定する.
- 中国における喘息の管理と治療の現状を評価する.
主な方法:
- 中国肺健康 (CPH) 研究から20歳以上の57,779人の成人を対象とした全国的横断研究.
- 参加者は10の中国の省で多段階の分層抽選法を使用して採用されました.
- 喘息は医師の診断歴や喘息症状によって決定され,肺機能検査では空気流量制限が評価された.
主要な成果:
- 全体的な喘息の罹患率は4. 2% (成人4570万人) で,喘息の罹患率は1. 1% (成人1310万人) であった.
- 危険因子には,喫煙,アレルギー性鼻炎,小児性肺炎/呼吸器炎,親の呼吸器疾患歴,低教育が含まれています.
- 呼吸用コルチコステロイドによる治療は低かった (5. 6%).
結論:
- 喘息は中国では非常に一般的ですが 診断も治療も十分にされていません
- 緊急に公衆の意識を高め 標準化された喘息治療プロトコルを実施する必要があります
- 中国で喘息の負担を軽減するには リスク要因に対処し 医療へのアクセスを改善することが不可欠です
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