目的 调查新疆伊犁地区变应性鼻炎(AR)的流行病学特征及相关因素.方法 2010年7-8月分层整群抽取新疆伊犁地区当地居民,采用问卷调查形式进行流行病学调查,并根据问卷结果筛选出AR患者,分析其流行病学特征并对相关数据进行Logistic回归分析,得出相关影响因素.结果 伊犁地区共调查2 631人,其中AR患者428例,总患病率为16.27%;男、女患病率为分别为16.15%、16.37%,差异无统计学意义(P>0.05);维吾尔族患病率(12.82%)低于汉族患病率(25.87%),差异有统计学意义(P<0.001);不同地区相同民族患病率比较,差异有统计学意义(P<0.001);常年性AR占28.5%,季节性AR占71.5%;其中因冷热刺激诱发AR者最明显,占66.8%,其次为尘螨及花粉,分别占46.7%,41.8%;民族、文化程度、过敏史、吸烟史、家族史与AR发病率密切相关.结论 AR在新疆发病率较高,存在民族差异性.民族、文化程度、吸烟史、过敏史及家族史增加了其发病危险性.
Objective To investigate the epidemiology of allergic rhinitis (AR) and the related risk factors in Yili re-gion of Xinjiang. Methods A stratified cluster sampling was carried out to do epidemiological study in local residents in Yili of Xinjiang from July to August of 2010. AR patients were screened out based on the results of questionnaire to analyze its epidemio- logical features and Logistic regression analysis performed on related data to find its influencing factors. Results A total of 2 631 residents were enrolled in this study in Yili region, including 428 AR patients, total prevalence rate (PR) was 16. 27%, PR of males, females were 16. 15%, 16. 37%, respectively, the difference was not significant (P 〉 0. 05 ). PR of Uighur ( 12. 82% ) was lower than that of Han (25.87%), the difference was significant (P 〈0. 001 ). There was difference in PR between the same national residents from different regions (P 〈 0. 001 ). Perennial AR accounted for 28.5%, seasonal AR for 71.5% , thereinto AR due to cold or hot stimulation accounted for most proportion (66. 8% ) , then followed by dust mites and pollen (46.7%, 41.8%, respectively). Ethnicity, educational level, allergies, smoking history, family history were closely related with AR incidence. Conclusion AR incidence is high in Xinjiang with ethnic differences. Ethnicity, educational level, allergies, smoking history, allergies, smoking history, family history increase its morbid risk.