[The epidemic survey of children rhinosinal inflammatory diseases and their correlation with asthma in Nanjing].

Manjie Jiang, Qiuping Wang, Zeqing Li, Fei Xue, Junfeng Ji
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Abstract

Objective: To realize the epidemic features of rhinosinal inflammatory diseases in children and their correlation with asthma in Nanjing,China.

Method: A questionnaire survey on children chronic rhinosinusitis (CRS) and airway diseases was conducted among 1087 elementary school children, aged from 9 to 10, of seven schools in Nanjing city by random cluster sampling, from March to September, 2004. The questionnaires include such questions as age, gender, family history, basis diseases, inducements, environment, therapy, correlative lower airway diseases and so on. The survey included screening suspects of CRS and allergic rhinitis (AR) by filling up the questionnaires by their parents and then special examination withtion of asthma of children was obtained by inquiring whether children were diagnosed by physician in last 12 months. The results were dealt with statistics.

Result: Nine hundred and eighty nine questionnaires were returned. The response rate was 91% and 942 questionnaires were available. The prevalence rate of CRS of children aged from 9 to 10 was 8.8% in Nanjing city. The prevalence rate of AR was 5.1%. The prevalence rate of asthma of children was 5.3%. The incidences of asthma of children with CRS and AR were 19.3% and 39.6% respectively, while that of children without rhinosinal inflammatory diseases was 1. 8%. The results showed that the differences of the incidences of asthma between children with CRS, AR and without rhinosinal inflammatory diseases were statistically significant( P <0.01).

Conclusion: Chronic rhinosinusitis is a common disease in children. The prevalence rates of CRS and AR in children aged from 9 to 10 in Nanjing city were 8.8% and 5. 1%. The incidence of asthma in children with rhinosinal inflammatory diseases is markedly higher than that in children without these diseases.

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南京市儿童鼻炎性疾病流行病学调查及其与哮喘的相关性
目的:了解南京市儿童鼻炎性疾病的流行特征及其与哮喘的相关性。方法:2004年3月至9月,采用随机整群抽样的方法,对南京市7所学校1087名9 ~ 10岁小学生进行儿童慢性鼻窦炎(CRS)和气道疾病的问卷调查。问卷内容包括年龄、性别、家族史、基础疾病、诱因、环境、治疗、相关下气道疾病等。通过家长填写问卷,筛选CRS和变应性鼻炎(AR)的疑似病例;通过询问儿童近12个月内是否被医生诊断为哮喘,获得儿童哮喘的专项检查资料。结果经过统计学处理。结果:共回收问卷989份。问卷回复率为91%,共回收问卷942份。南京市9 ~ 10岁儿童CRS患病率为8.8%。AR患病率为5.1%。儿童哮喘患病率为5.3%。CRS患儿哮喘发生率为19.3%,AR患儿哮喘发生率为39.6%,无鼻炎性疾病患儿哮喘发生率为1%。8%。结果显示,慢性鼻窦炎患儿、急性鼻窦炎患儿与未患鼻窦炎患儿哮喘发生率比较,差异均有统计学意义(P)。南京市9 ~ 10岁儿童CRS和AR患病率分别为8.8%和5.0%。1%。鼻炎性疾病患儿哮喘发生率明显高于无鼻炎性疾病患儿。
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