儿童喘息性疾病影响因素分析  

Analysis of influencing factors of asthmatic diseases in children

作　　者：武玉华 李芳君[2] 菅旭禾 张猛 孙晓栋 张承芳[4] WU Yuhua;LI Fangjun;JIAN Xuhe;ZHANG Meng;SUN Xiaodong;ZHANG Chenfang(Department of Preventive Medicine,Medical College,Shihezi University,Shihezi,Xinjiang 832000,China;The First Affiliated Hospital,School of Medicine,Shihezi University Shihezi,Xinjiang 832000,China;Tianjing Third Central Hospital,Tianjin 300170 China;Taian City Central Hospital,Taian,Shandong 271000,China)

机构地区：[1]石河子大学医学院临床医学系,新疆石河子832000 [2]石河子大学医学院第一附属医院,新疆石河子832000 [3]天津市第三中心医院,天津300170 [4]泰安市中心医院,山东泰安271000

出　　处：《现代医药卫生》2020年第13期1970-1972,1976,共4页Journal of Modern Medicine & Health

摘　　要：目的研究对石河子地区喘息性疾病的相关影响因素,为石河子地区喘息性疾病的预防及控制提供理论依据。方法选择2018年6月至2019年6月石河子大学第一附属医院儿科门急诊及住院部收治的呼吸系统疾病患儿382例作为研究对象,将其随机分为喘息组(158例)和参照组(224例)。对两组儿童的家族史、出生及喂养方式、呼吸系统患病情况、居住环境等资料进行统计分析。结果年龄:1岁(OR=17.079,95%CI 2.284~10.140)、2岁(OR=9.593,95%CI 1.552~7.058)、3岁(OR=16.783,95%CI 2.797~18.456)、生产方式(OR=3.287,95%CI 1.416~7.630)、1岁内湿疹(OR=2.140,95%CI 1.215~3.771)、被动吸烟(OR=2.371,95%CI 1.356~4.144)、室内常有鲜花(OR=2.217,95%CI 1.239~3.965)为独立危险因素,而单独房间(OR=0.427,95%CI 0.215~0.849)、经常更换床单(OR=0.322,95%CI 0.161~0.645)为喘息性疾病发生的保护因素。结论儿童喘息性疾病的发生与年龄、生产方式、1岁以内湿疹、被动吸烟、居住环境、室内鲜花、儿童拥有单独房间、经常更换床单相关,这对避免危险因素、加强保护因素和疾病防控有重要意义。Objective To study the related influencing factors of asthmatic diseases in shihezi area,and to provide theoretical basis for prevention and control of asthmatic diseases in shihezi area.Methods A total of 382 pediatric patients with respiratory diseases admitted to the outpatient,emergency department and inpatient department of the First Affiliated Hospital of Shihezi University from June 2018 to June 2019 were selected as study subjects and randomly divided into wheezing group(158 cases)and control group(224 cases).Statistical analysis was conducted on the family history,birth and feeding patterns,respiratory diseases and living environment of the two groups of children.Results Age:1 year old(OR=17.079,95%CI 2.284-10.140),2 year old(OR=9.593,95%CI 1.552-7.058),3 year old(OR=16.783,95%CI 2.416-7.456),fresh flowers were often found in the room(OR=2.217,95%CI 1.239-3.965)as independent risk factors,while separate rooms(OR=0.427,95%CI 0.215-0.849)and frequent change of bed sheets(OR=0.322,95%CI 0.161-0.645)were protective factors for the occurrence of asthmatic diseases.Conclusion The incidence of asthmatic diseases in children is related to age,mode of production,eczema within the age of 1 year,passive smoking,living environment,indoor flowers,children having a separate room,changing bedsheets frequently,avoiding risk factors and strengthening protective factors,which are of great significance for disease prevention and control.

关 键 词：儿童喘息性疾病 影响因素 居住环境 哮喘 

分 类 号：R562.1[医药卫生—呼吸系统] R725.6[医药卫生—内科学]