小儿反复呼吸道感染发病的易感因素及预防和治疗措施的Logistic回归分析  

Logistic Regression Analysis of Risk Factors,Prevention and Treatment of Recurrent Respiratory Tract Infection in Children

作　　者：黄滔进 张瑞霞[1] 黄海波[1] 邱荣华 HUANG Tao-jin;ZHANG Rui-xia;HUANG Hai-bo;QIU Rong-hua(Department of Pediatrics,Xinyi people’s Hospital,Maoming,Guangdong 525000)

机构地区：[1]信宜市人民医院儿科二区,广东茂名525000

出　　处：《智慧健康》2021年第26期60-62,共3页Smart Healthcare

摘　　要：目的探讨小儿反复呼吸道感染发病的易感因素及预防和治疗措施的Logistic回归分析。方法2019年1月至2020年1月选择100例反复呼吸道感染患儿为A组,选取同期健康儿童100例为B组,详细统计所有患儿及家属的一般资料,包括分娩方式、早产情况、过敏体质、父母吸烟情况、使用抗生素情况等,分析疾病预防措施,随后将A组患儿分为两组,分别为参照组与研究组,各50例,参照组实施头孢唑林钠治疗,研究组添加阿奇霉素治疗,对比治疗效果,进行统计学分析。结果两组儿童在母亲生育年龄、早产、自然分娩、过敏体质、父母吸烟、长期使用抗生素、合理蔬菜量、出门佩戴口罩与疾病中差异有统计学意义,P<0.05。使用Logistic回归分析,疾病易感因素包括母亲生育年龄、早产、自然分娩、过敏体质、父母吸烟、长期使用抗生素、合理蔬菜量、出门佩戴口罩。研究组治疗有效率明显高于参照组,差异有统计学意义P<0.05。结论小儿反复呼吸道感染发病易感因素包括母亲生育年龄、早产、自然分娩、过敏体质、父母吸烟、长期使用抗生素、合理蔬菜量、出门佩戴口罩,需结合实际情况进行预防,并采用头孢唑林钠联合阿奇霉素治疗,从而有效提高治疗效果。Objective To explore the risk factors of recurrent respiratory tract infection in children and the Logistic regression analysis of prevention and treatment measures.Methods From January 2019 to January 2020,100 children with recurrent respiratory tract infection were selected as group A,and 100 healthy children in the same period were selected as group B.The general data of all children and their families were collected in detail,including the mode of delivery,premature delivery,allergic constitution,parents smoking,use of antibiotics,etc.to analyze the disease prevention measures.And then the children in group A were divided into two groups:control group and study group,with 50 cases in each group.The control group was treated with cefazolin sodium,the study group was treated with azithromycin,and the therapeutic effects were compared and statistically analyzed.Results There were significant differences between the two groups in maternal childbearing age,premature delivery,natural delivery,allergic constitution,parents’smoking,long-term use of antibiotics,reasonable amount of vegetables,wearing masks and diseases(P<0.05).Using Logistic regression analysis,the risk factors of disease included maternal childbearing age,premature delivery,natural delivery,allergic constitution,parents’smoking,long-term use of antibiotics,reasonable amount of vegetables and wearing masks when going out.The effective rate of the study group was significantly higher than that of the control group(P<0.05).Conclusion The risk factors of recurrent respiratory tract infection in children include maternal childbearing age,preterm delivery,natural delivery,allergic constitution,parents’smoking,longterm use of antibiotics,reasonable amount of vegetables and wearing masks,which should be prevented according to the actual situation.Cefazolin sodium combined with azithromycin was used to effectively improve the therapeutic effect.

关 键 词：小儿反复呼吸道感染 易感因素 预防措施 阿奇霉素 头孢唑林 

分 类 号：R725.6[医药卫生—儿科]