基于身体素质、健康行为养成探究儿童反复肺炎支原体感染的风险因素及应对策略  

Risk Factors and Coping Strategies for Recurrent Mycoplasma Pneumonia Infection in Children Based on Physical Fitness and Healthy Behavior Development

作　　者：卢少彩 秦瑞娟 LU Shaocai;QIN Ruijuan(Department of Pediatrics,the Third People’s Hospital of Henan Province,Zhengzhou 450000,China)

机构地区：[1]河南省直第三人民医院儿科,河南郑州450000

出　　处：《河南医学研究》2024年第19期3506-3509,共4页Henan Medical Research

摘　　要：目的基于身体素质、健康行为养成探究儿童反复肺炎支原体(MP)感染的风险因素及应对策略。方法将2022年1月至2023年10月于河南省直第三人民医院就诊的208例反复MP感染儿童纳入反复感染组,按1∶2比例选择同期门诊体检的416例健康儿童纳入健康组,调查两组一般资料、身体素质、健康行为、是否缺乏微量元素、25-羟基维生素D[25(OH)D]水平,采用单因素、Lasso回归、logistic回归方程分析儿童反复MP感染影响因素。结果年龄≤6岁、身体素质不及格、每日视屏时间≤63.84 min、未每日开窗通风、手卫生不规范、每周运动时间≤2.6 h、出门未戴口罩、偏食/挑食、爱吃油炸/快餐类食品、缺乏微量元素、25(OH)D水平≤32.30μg·L^(-1)是儿童发生反复MP感染的影响因素(P<0.05)。结论年龄较小、身体素质差、每日视屏时间长、不经常开窗通风、手卫生不规范、每周运动时间短、出门不戴口罩、偏食/挑食、爱吃油炸/快餐类食品、缺乏微量元素及维生素D是儿童发生反复MP感染的危险因素,临床可据此制定针对性防治措施,预防反复MP感染。Objective To explore the risk factors and coping strategies for recurrent Mycoplasma pneumoniae(MP)infection in children based on physical fitness and healthy behavior development.Methods A total of 208 children with recurrent MP infection who visited the Third People’s Hospital of Henan Province from January 2022 to October 2023 were included in the recurrent infection group,and 416 healthy children who underwent physical examination in outpatient department during the same period were included in the health group according to a ratio of 1∶2.General information,physical fitness,health behavior,lack of trace elements and 25-hydroxyvitamin D[25(OH)D]levels of the two groups were investigated.Factors affecting children’s recurrent MP infection were analyzed using univariate,Lasso regression and logistic regression equations,and a column graph model predicting the risk of recurrent MP infection in children was drawn using R language.Results Age≤6 years,physical fitness failing to meet standards,daily screen time≤63.84 minutes,failure to open windows for ventilation daily,irregular hand hygiene,weekly exercise time≤2.6 hours,failure to wear masks when going out,partial or picky eating,preference for fried/fast food,deficiency in trace elements,and 25(OH)D level≤32.30μg·L^(-1) were influencing factors for recurrent MP infection in children(P<0.05).Conclusion Young age,poor physical fitness,long daily video screen time,infrequent window ventilation,irregular hand hygiene,short weekly exercise time,do not wear a mask when going out,partial/picky eating,love to eat fried/fast food,lack of trace elements and vitamin D are the risk factors for recurrent MP infection in children.The nomogram constructed based on the risk factors of recurrent MP infection has reliable predictive value,which can be used to formulate targeted prevention and treatment measures to prevent recurrent MP infection.

关 键 词：身体素质 健康行为 反复肺炎支原体感染 风险因素 应对策略 

分 类 号：R725.6[医药卫生—儿科]