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摘要: 目的:儿童变应性鼻炎和哮喘被认为具有相似的发病机制,但目前关于儿童变应性鼻炎伴哮喘患病率的大样本研究较少,因此该文借助循证医学的方法通过Meta分析了解儿童变应性鼻炎伴哮喘的患病率。方法:系统检索Pubmed、Science、Springer、Elsevier、Embase、BMJ Journals、万方数据库、维普数据库、中国生物医学文献数据库、中国期刊全文数据库等数据库查找关于儿童变应性鼻炎伴哮喘患病率的文献,同时追索纳入文献的参考文献。采用R3.2.3软件对各研究结果进行分析。结果:共纳入15篇Cross-sec-tional studies。Meta分析结果显示,中国变应性鼻炎患儿中伴哮喘的患病率高达35.01%(95% CI 32.32%~37.70%),国外变应性鼻炎患儿中伴哮喘的患病率达31.59%(95% CI 28.02%~35.16%)。结论:变应性鼻炎患儿伴哮喘的患病率高,中国变应性鼻炎患儿伴哮喘的患病率高于国外。Abstract: Objective: Pathogenesis of allergic rhinitis(AR) is thought to be related with asthma in children. However, lager scaled reports concerned on the co-morbidity of this two diseases in children are rare. In this meta-analysis, we aim to clarify the morbidity of asthma in children with AR.Method: Pubmed, Science, Springer, Elsevier, Embase, BMJ Journals, Wanfang data, VIP, CBM and CNKI were searched for relevant studies.The prevalences of asthma in children with AR were retrieved from individual studies and the pooled estimates generated by R3.2.3.Result: Fifteen cross-sectional studies were included in the meta-analysis. The results showed that the incidences of asthma in AR children were 35.01%(95%CI 32.32%-37.70%) in China and 31.59%(95% CI 28.02%-35.16%) in foreign countries.Conclusion: Comorbidity of AR and asthma was high in children. The incidence of asthma is higher in children with AR in China than that in foreign countries.
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Key words:
- rhinitis, allergic /
- asthma /
- Meta-analysis /
- morbidity
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[1] PAWANKAR R,BUNNAG C,KHALTAEV N,et al.Allergic rhinitis and its impact on asthma in Asia Pacific and the ARIA update 2008[J].World Allergy Organ J,2012,5:212-217.
[2] ZVEZDIN B,HROMIŠ,KOLAROV V,et al.Allergic asthma and rhinitis comorbidity[J].Vojnosanit Pregl,2015,72:1024-1031.
[3] 王斐,王辰.支气管哮喘与变应性鼻炎的关系[J].中华哮喘杂志,2009,3(3):223-225.
[4] LIBERATI A,ALTMAN D G,TETZLAFF J,et al.The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions:explanation and elaboration[J].BMJ,2009,339:b2700-b2700.
[5] CROMBIE I.Pocket guide to critical appraisal[M].London:John Wiley&Sons,1996:113-113.
[6] 王媛,曹春婷,漆可,等.北京市中小学生变应性鼻炎患病率调查[J].中国耳鼻咽喉头颈外科,2015,22(9):465-469.
[7] 苏亮,林鸣国,姜立波,等.舟山海岛儿童变应性鼻炎多学科相关性研究[J].中国中西医结合耳鼻咽喉科杂志,2015,23(1):26-30.
[8] 黄雁萍,李纲,陈明,等.儿童变应性鼻炎流行病学调查及相关危险因素分析[J].西部医学,2010,22(1):126-127.
[9] 黄穗,王金华,黄顺开,等.广州市儿童变应性疾病流行病学调查分析[J].实用儿科临床杂志,2011,26(21):1629-1631.
[10] 陈燕.广州城市和农村地区儿童支气管哮喘和变应性鼻炎流行病学研究[D].广州:广州医学院,2011.
[11] 吴军,匡嘉丽,张平,等.珠海市小学生变应性鼻炎的流行病学调查[J].山东大学耳鼻喉眼学报,2008,22(1):69-70.
[12] 江满杰,王秋萍,李泽卿,等.南京市9-10岁儿童变应性鼻炎的相关调查[J].中国耳鼻咽喉头颈外科,2006,13(2):107-109.
[13] 卢迪卿,赖荷,于陆,等.儿童变应性鼻炎和支气管哮喘关系的研究[C].中华医学会第七次全国呼吸病学术会议暨学习班论文汇编.2006:459-459.
[14] AYMERICH J G,BENET M,SAEYS Y,et al.Phenotyping asthma,rhinitis and eczema in MeDALLpopulation-based birth cohorts:an allergic comorbidity cluster[J].Allergy,2015,70:973-784.
[15] HONG S,SON D K,LIM W R,et al.The prevalence of atopic dermatitis,asthma,and allergic rhinitis and the comorbidity of allergic diseases in children[J].Environ Health Toxicol,2012,27:e2012006-e2012006.
[16] WESTMAN M,STJÄRNE P,ASARNOJ A,et al.Natural course and comorbidities of allergic and nonallergic rhinitis in children[J].J Allergy Clin Immunol,2012,129:403-408.
[17] YAMAUCHI K,TAMURA G,AKASAKA T,et al.Analysis of the comorbidity of bronchial asthma and allergic rhinitis by questionnaire in 10,009 patients[J].Allergol Int,2009,58:55-61.
[18] AIT-KHALED N,ODHIAMBO J,PEARCE N,et al.Prevalence of symptoms of asthma,rhinitis and eczema in 13-to 14-year-old children in Africa:the International Study of Asthma and Allergies in Childhood PhaseⅢ[J].Allergy,2007,62:247-258.
[19] BURGESS J A,WALTERS E H,BYRNES G B,et al.Childhood allergic rhinitis predicts asthma incidence and persistence to middle age:a longitudinal study[J].J Allergy Clin Immunol,2007,120:863-869.
[20] KUYUCU S,SARACLAR Y,TUNCER A,et al.Epidemiologic characteristics of rhinitis in turkish children:the international study of asthma and allergies in childhood(ISAAC)phase 2[J].Pediatr Allergy Immunol,2006,17:269-277.
[21] 董震.重视环境因素对变应性鼻炎发病的影响[J].中华耳鼻咽喉头颈外科杂志,2013,48(7):529-531.
[22] 陈洁,李幼瑾,江帆.儿童变应性鼻炎气象环境因素研究[J].临床耳鼻咽喉头颈外科杂志,2014,14(28):1015-1019.
[23] 何金根,潘家华,倪陈,等.环境因素与儿童变应性鼻炎-哮喘综合征及哮喘的关系[J].实用儿科临床杂志,2008,23(4):269-271.
[24] CLAUDIA G,MANUELA D S,ANNIBALE B,et al.Changes in prevalence of asthma and allergies among children and adolescents in Italy:1994-2002[J].Pediatrics,2006,117:34-42.
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