中国的喘患病率,风险因素和治疗方法:全国横截面研究
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
概括
喘影响了4.2%的中国成年人,总数为4570万人. 这项研究强调了诊断不足和治疗不足的情况,强调中国需要提高意识和标准化护理.
科学领域:
- 肺部医学
- 流行病学
- 公共卫生
背景情况:
- 喘是全球普遍存在的慢性呼吸道疾病.
- 中国缺乏关于喘患病率,风险因素和管理的全面国家数据.
- 这项研究旨在通过估计中国全国喘患病率来弥补这一差距.
研究的目的:
- 估计中国成年人群中的喘发病率.
- 确定与中国流行喘相关的关键风险因素.
- 评估中国目前的喘管理和治疗状况.
主要方法:
- 一项涉及中国肺部健康 (CPH) 研究的57,779名20岁以上成年人的全国横截面研究.
- 在中国十个省份采用多阶段分层抽样方法招募参与者.
- 根据医生的诊断史或喘息症状来确定喘;肺功能测试评估了空气流量限制.
主要成果:
- 整体喘患病率为4. 2% (4570万成年人);1. 1%的人患有空气流量受限的喘 (130万成年人).
- 风险因素包括吸烟,过敏性鼻炎,儿童肺炎/支气管炎,父母呼吸道疾病史和教育水平低.
- 只有28. 8%的喘患者报告医生诊断,而吸入性皮质类固醇治疗水平较低 (5. 6%).
结论:
- 虽然喘在中国很普遍,
- 迫切需要提高公众意识并实施标准化喘治疗方案.
- 解决风险因素和改善医疗保健是减少中国喘负担的关键.
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