小儿支气管哮喘急性发作的相关影响因素研究  

Study on the related influencing factors of acute attack of children with bronchial asthma

作　　者：梁意敏[1] 古奕文[1] 马远平[1] 

机构地区：[1]梅州市人民医院儿科,广东梅州514031

出　　处：《临床肺科杂志》2017年第4期673-675,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的研究小儿支气管哮喘急性发作的相关影响因素。方法选取2014年2月至2016年3月,在我院接受治疗的支气管哮喘急性发作患儿102例为观察组,另取102例健康体检小儿为对照组,对比两组基本资料,分析小儿支气管哮喘急性发作的影响因素。结果观察组过敏病史、哮喘家族史、呼吸道感染史均显著高于对照组;观察组母乳喂养显著低于对照组;观察组被动吸烟史、有害气体接触史均显著高于对照组,上述差异均有统计学意义(均P<0.05)。经Logistic回归分析,影响小儿支气管哮喘急性发作的危险因素为过敏病史、哮喘家族史、呼吸道感染史、母乳喂养、被动吸烟史、有害气体接触史。结论临床工作应重视过敏病史、哮喘家族史、呼吸道感染史、母乳喂养、被动吸烟史、有害气体接触史等与小儿支气管哮喘急性发作相关的危险因素,并采取相应有效措施进行干预,有利于预防小儿支气管哮喘急性发作。Objective To study the related influencing factors of acute attack of bronchial asthma in chil- dren. Methods From February 2014 to March 2016, 102 patients with acute episode of bronchial asthma in our hospital were taken as the observation group, and 102 healthy children were taken as the control group. Their basic data was collected to analyze the influencing factors of acute attack of children with bronchial asthma. Results The observation group ＇ s allergy history, family history of asthma, history of respiratory tract infection were significantly higher than those of the control group, and they were significantly lower in the breast feeding group than in the control group. The observation group＇ s passive smoking history and history of exposure to harmful gases were significantly higher than those of the control group （ P 〈 0. 05 ）. By Logistic regression analysis, the risk factors that influence the acute attack of bronchial asthma in children were allergic history, family history of asthma, history of respiratory tract infection, breast feeding, passive smoking history, and the history of harmful gas contact. Conclusion The clinical work should pay attention to the related risk factors of children with acute asthma, including history of allergy, family history of asthma, history of respiratory tract infection, breastfeeding, passive smoking history, and history of expo- sure to harmful gas, and take the corresponding effective measures to relieve bronchial asthma acute attack.

关 键 词：小儿 支气管哮喘 急性发作 危险因素 LOGISTIC回归分析 

分 类 号：R725.6[医药卫生—儿科]