中国儿童哮喘现状.pptxVIP

中国儿童哮喘现状;目 录; 患病率——全国患病率20年对比;不同地区哮喘患病率及与既往比较;;不同年龄儿童以学龄前儿童较高，以4岁儿童最高，其总患病率为4.32%，两年现患率为4.00%， 无论TA/CVA，总患病率/两年现患率，4岁后患病率随着儿童年龄增加而逐渐降低 ;男性儿童哮喘总患病率为3.51%，女性儿童患病率为2.29%，男性儿童显著高于女性儿童(χ2=608.7，p0.01)，以学龄前儿童差别最明显;;儿童哮喘起病 最多发生于2岁和3岁年龄组 其次为1岁和4岁年龄组 3岁：36.6% 5岁：62.8% ;10;;哮喘家族史：20年对比;过敏原;过敏原;病例2-雷暴哮喘;;小结：病例特点;诱发因素;发病规律：诱发因素;儿童哮喘发作诱因：20年对比;Community virus infection vs outcome – COAST study;5岁以下反复喘息儿童病毒感染率;5岁以下不同年龄段儿童病毒感染情况;发病规律：好发季节与时辰;发作 类型;最近一年发作情况： 发作频率、住院次数、看急诊次数;儿童哮喘住院率：20年对比;既往诊断情况;既往诊断情况;哮喘诊断情况：20年对比;哮喘的诊断：GINA 2014;1;咳嗽变异性哮喘(CVA);CVA;儿童哮喘的诊断;过敏性咳嗽 (atopic cough);This child;6岁儿童哮喘的诊断线索;学龄前喘息儿童怀疑哮喘诊断;儿童哮喘治疗药物选择仍不合理，ICS使用不足;;哮喘治疗情况：20年对比;表3 北京市流调随访患儿哮喘控制情况（n=99）;哮喘：经济负担;哮喘负担：对孩子及家庭的影响;J?Asthma.?2016 Sep;53(7):699-706. doi: 10.31092016.1144199. Epub 2016 May 17. Uncontrolled?asthma?and its risk factors in Chinese children: A cross-sectional observational study. Xiang L1,?Zhao J2,?Shen K1. Author information ? RESULTS: Asthma?was uncontrolled in 19.9% of the subjects. High rates of uncontrolled?asthma?were found in subjects with treatment non-adherence (44.1%), concomitant allergic rhinitis (AR) (23.3%), disease duration ≥ 1.5?years (22.8%), and first-degree relatives with AR (21.5%). The risk of uncontrolled?asthma?was much higher in the treatment non-adherence group compared to the complete adherence group (OR = 5.79, p 0.001). Concomitant AR, disease duration ≥ 1.5?years, and first-degree relatives with AR were also confirmed as risk factors associated with uncontrolled?asthma.;Allergy.?2013 Apr;68(4):524-30. Pediatric?asthma?control in Asia: phase 2 of the?Asthma?Insights and Reality in?Asia-Pacific(AIRIAP 2) survey. Wong GW1,?Kwon N,?Hong JG,?Hsu JY,?Gunasekera KD. RESULTS: Most participants had inadequately controlled?asthma?(uncontrolled = 53.4%, 528/988; partly controlled = 44.0%, 435/988). Only 2.5% (25/988) had controlled?asthma. Demand for urgent healthcare services (51.7%, 511/988) and use of short-acting beta-agonists (55.2%, 545/988) was high