【摘要】 目的肺炎是全球传染性疾病最主要的死因之一,但中国的肺炎疾病负担还知之甚少,因为很多数据资料都是以非英文文献的形式发表的。方法系统回顾了中国大陆关于肺炎发病率与死亡率的中文和英文文献,这些研究都是具有第一手数据的研究,1985-2008年有37篇论文符合纳入标准。结果各项研究的质量差异较大。5岁以下儿童肺炎发病率为(0.06～0.27)次/人年,肺炎死亡率为184/10万～1 223/10万人口。肺炎的发病率与死亡率随着时间稳定不变或者呈下降趋势,且农村高于城市。结论肺炎仍然是中国儿童的主要公共卫生问题之一。肺炎发病率与死亡率估计的变化差异大。继续降低发病率与死亡率需要可靠的监测数据和新的预防措施的实施,特别是在农村等高发地区。更多还原

【Abstract】 Objective Pneumonia is the leading killer of infectious diseases worldwide,yet the incidence and mortality in China are not widely recognized,as much of the data are published in the non-English literature.Methods We systematically reviewed the Chinese-and English-language literature for clinical and community-based studies with primary data on pneumonia incidence and mortality in China’s mainland.Between 1985 and 2008,37 studies met the inclusion criteria.Results For children <5 years,pneumonia incidence ranged from 0.03 to 0.66 episodes per person-year and mortality from pneumonia ranged from 184 to 1,223 deaths per 100,000 population.Pneumonia incidence and mortality were stable or decreased over the study period and were higher in rural compared to urban areas.Conclusions Pneumonia continues to be a leading public health challenge in China.New prevention efforts and the use of vaccines may be needed to achieve additional declines,especially in areas with higher incidence and mortality such as rural settings.更多还原