小儿支气管肺炎进展为支气管哮喘的相关危险因素分析  

Analysis of risk factors related to the progression of bronchopneumonia to bronchial asthma in children

作　　者：梅馨莲 饶苗苗 Mei Xinlian;Rao Miaomiao(Department of Pediatrics,Jiu Jiang N0.1 People's Hospital,Jiujiang,Jiangxi 332000,China)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《首都食品与医药》2024年第4期20-22,共3页Capital Food Medicine

摘　　要：目的探讨小儿支气管肺炎进展为支气管哮喘(BA)的危险因素.方法选取2020年1月-2021年6月九江市第一人民医院收治的支气管肺炎患儿86例,评估所有患儿进展为BA情况,根据结果分为进展组与未进展组,设计基线资料调查表,详细统计两组患儿基线资料,重点分析小儿支气管肺炎进展为BA的危险因素.结果经评估86例支气管肺炎患儿进展为BA24例,占比27.91%(24/86);进展组与未进展组患儿肥胖、反复呼吸道感染史、家属吸烟史、抗生素使用史比较,差异有统计学意义(P<0.05),组间其他资料比较,差异无统计学意义(P>0.05);经Logistic回归分析结果显示,肥胖、反复呼吸道感染史、家属吸烟史、抗生素使用史均是小儿支气管肺炎进展为BA的危险因素(OR>1,P<0.05).结论小儿支气管肺炎进展为BA的风险较高,肥胖、反复呼吸道感染史、家属吸烟史、抗生素使用史均是小儿支气管肺炎进展为BA的危险因素.Objective To explore the risk factors for the progression of bronchopneumonia to bronchial asthma(BA)in children.Methods 86 children with bronchopneumonia treated in the hospital from January 2020 to June 2021 were selected to evaluate the progression of all children to BA.According to the results,they were divided into progression group and non progression group.The baseline data questionnaire was designed,the baseline data of the two groups were counted in detail,and the risk factors of the progression of bronchopneumonia to BA were analyzed.Results After evaluation,24 of 86 children with bronchopneumonia progressed to BA,accounting for 27.91%(24/86):there was significant difference in obesity,history of recurrent respiratory tract infection,smoking history of family members and history of antibiotic use between the progressive group and the non progressive group(P<0.05),but there was no significant difference in other data between the groups(P>0.05);the results of logistic regression analysis showed that obesity,history of recurrent respiratory tract infection,smoking history of family members and history of antibiotic use were the risk factors for the progression of bronchopneumonia to BA in children(OR>1,P<0.05).Conclusion The risk of progression from bronchopneumonia to BA in children is high.Obesity,history of recurrent respiratory tract infection,family smoking and antibiotic use are the risk factors of progression from bronchopneumonia to BA in children.

关 键 词：小儿支气管肺炎 支气管哮喘 肥胖 吸烟史 抗生素 

分 类 号：R562.25[医药卫生—呼吸系统]