儿童支气管哮喘控制不良因素中鼻窦炎患病率观察  

Prevalence of sinusitis in poorly controlled asthma children

作　　者：刘李军[1] 李云[2] 肖旭平[3] 

机构地区：[1]南华大学医学院,湖南衡阳421001 [2]湖南省人民医院儿科医学中心 [3]湖南省人民医院耳鼻喉科

出　　处：《中华实用儿科临床杂志》2014年第7期530-532,共3页Chinese Journal of Applied Clinical Pediatrics

摘　　要：【摘要】目的探讨鼻窦炎患病率在儿童支气管哮喘（哮喘）控制不良因素中的意义。方法收集湖南省人民医院儿童哮喘专科门诊就诊的支气管哮喘患儿临床资料，选择107例儿童哮喘治疗后仍咳嗽超过4周的患儿作为研究对象，选择同期儿科哮喘专科门诊就诊的105例哮喘初诊患儿作为对照组。结果1．观察组鼻窦炎发病率为81．3％（87／107例），对照组鼻窦炎发病率为51．4％（54／105例），2组比较差异有统计学意义（x2=21．242，P〈0．05）；2．鼻窦炎组患有鼻塞症状的患儿占80．5％（70／87例），非鼻窦炎组为50．0％（10／20例），2组间比较差异有统计学意义（x2=7．997，P〈0．05）；3．鼻窦炎组中上颌窦炎发病率最高，为69．2％（74／107例），额窦与蝶窦发生率较低，4组鼻窦均发生炎症的发生率为10．3％（11／107例）。4组鼻窦中变应性鼻炎症状出现频率差异无统计学意义（P〉0．05）。结论儿童哮喘规范化治疗后的慢性咳嗽与鼻窦炎及上呼吸遭咳嗽综合征有关。Objective To investigate the prevalence of sinusitis in poorly eontrolled asthma children. Methods Asthmatic children from the Asthma Speeialist Department of Hunan Provincial People＇s Hospital were selected as the study cases ,of which 107 children coughing for more than 4 weeks after treatment were allocated to the research group and 105 newly diagnosed asthmatic children were selected as the control group. Results 1. The CT confirmed sinusitis prevalence was 81.3% （87/107 eases） in research group and 51.4% （54/105 cases） in the control group, respectively. The 2 groups were significantly different （X2 =21. 242 ,P 〈0.05 ）. 2. The patient complained nasal ob- struetion in sinusitis group was 80.5% （70/87 eases） compared to 50.0% （10/20 eases） in non sinusitis group,and the difference between 2 groups was statistically significant （X2 = 7. 997 ,P 〈 0.05 ）. 3. In the research group,69.2% （74/107 eases） suffered from maxillary sinusitis,61.7% （66/107 cases） ethmoid sinusitis, 14.0% （ 15/107 cases） frontal sinusitis,and 30.8% （33/107 eases） sphenoid sinusitis. All the 4 nasosinus involved was 10.3% （ 11/107 cases）. The frequency of allergic rhinitis symptoms in 4 groups of sinuses had no significant difference （ P 〉 0.05 ）. Conlusions Chronic cough in poorly controlled asthma children is related to sinusitis and upper airway cough syndrome.

关 键 词：儿童 支气管哮喘 慢性咳嗽 上呼吸道咳嗽综合征 鼻窦炎 变应性鼻炎 

分 类 号：R725.6[医药卫生—儿科]