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題名 | 高屏地區原住民國小學童異位性皮膚炎盛行率現況--與高雄縣與澎湖縣平地國小學童之分析比較=The Prevalence of Atopic Dermatitis in Aboriginal Elementary Schoolchildren in Kaohsiung and Pintung County--In Comparison with That in Nonaboriginal Schoolchildren in Kaohsiung and Penghu County |
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作者 | 黃晟霖; 楊宜倩; 賴志昇; 吳唯銘; 鄭裕文; 王振宇; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 25:3 2007.09[民96.09] |
頁次 | 頁179-185 |
分類號 | 415.712 |
關鍵詞 | 異位性皮膚炎; Atopic dermatitis; Schoolchildren; Aboriginals; Prevalence; |
語文 | 中文(Chinese) |
中文摘要 | 異位性皮膚炎,由婴幼儿時期開始到青春期,是個以反覆且慢性的病程著稱的疾病。它常和上升的E型免疫球蛋白,有異位性皮膚炎、過敏性鼻炎及氧喘的個人或家族病史相關,異位性皮膚炎是由遺傅、環境、藥物、免疫等因子交互作用而造成。絕大多數異位性皮膚炎盛行率的研究来自西方國家;然而在台潜,相關的資訊却很缺乏。異位性皮膚炎盛行率和一個國家或地區的工業化和都市化是否有相關性,仍有争議。因此,我們針對高雄縣及屏東縣山區的原住民學童進行調查。總共有十六個小學被納人這次的研究,在2006年三、四、九及十月,由皮膚科醫師親自篩檢所有的學童。總共檢查了1241個學童,其中有25個被診断爲異位性皮膚炎,點盛行率焉2.01%。我们把這次针封高屏偏遠山區原住民篩檢的結果,進一步舆2004年及2005年對對高雄縣及澎湖縣平地學童篩檢的結果做比較。山區原住民學童的盛行率較澎湖學童為低(2.01% vs. 4.32%, P<0.01),但是和高雄縣平地學童比較則沒有顯著差異(2.01% vs. 1.62%, P=0.341)。我們認為異位性皮膚炎的盛行率和區域及種族之間的關聯性需要更進一步的研究來釐清。 |
英文摘要 | Atopic dermatitis (AD) is famed for its recurrent and chronic course following patients from early childhood into puberty. It is frequently associated with elevated IgE levels and a personal or family history of AD, allergic rhinitis and asthma. Complex interactions among genetic, environmental, pharmacological and immunological factors contribute to AD. Studies on the prevalence of AD have been done mostly in western countries, however, few related information in Taiwan has been acquired. Controversies in terms of the association between AD prevalence and the modernization or industrialization of the area or the country have been repeatedly debated in the Literature. We conduct a survey of the AD prevalence in aboriginal schoolchildren in mountainous areas in Kaohsiung and Pingtung County. Sixteen elementary schools mainly composed of aboriginals were recruited. One thousand two hundred and forty one schoolchildren were all examined by dermatologists in March, April, September, and October, 2006. Twenty-five were diagnosed as having AD. The point-prevalence was 2.01%. We compared the result with that of previous study aiming at schoolchildren in major towns in Kaohsiung and Penghu County in 2004 and 2005. The prevalence of AD in aboriginal schoolchildren was significantly lower than that of schoolchildren in Penhu county (2.01% vs. 4.32%, p<0.0l). However, no difference in prevalence was found between aboriginal schoolchildren and those in the major towns in Kaohsiung county (2.0 1% vs. l.62%, p=0.34l). Further studies are required to elucidate the association of AD prevalence among different areas and ethnic groups. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。