摘要
目的探讨安徽省立医院儿科就诊的儿童哮喘急性发作诱因及其多因素分析。方法通过自行设计问卷调查表,连续收集2012年3月—2015年3月安徽省立医院儿科就诊的支气管哮喘患儿临床资料541例,其中哮喘急性发作273例,哮喘控制至少3个月以上268例。利用Logistic多因素回归分析等方法分析患儿哮喘急性发作与性别、年龄、呼吸道感染、依从性差、用药技巧性差、过度运动劳累、接触过敏原、情绪波动、伴随疾病(如鼻炎、鼻窦炎)控制不佳、其他(如接触油烟漆、过度凉食甜食等)等因素的相关性。结果儿童哮喘急性发作与年龄、性别无关,与呼吸道感染、依从性差、用药技巧性差、过度运动劳累、明确接触过敏原、情绪波动、伴随疾病(如鼻炎、鼻窦炎)、其他(接触油烟漆、过度凉食甜食等)因素具有相关性,其中病人依从性差、用药技巧性差、呼吸道感染最显著。结论呼吸道感染、依从性差、用药技巧性差、过度运动劳累、接触过敏原、情绪波动、伴随疾病(鼻炎、鼻窦炎)、其他(接触油烟漆、过度凉食甜食等)均为引起儿童哮喘急性发作的诱因。其中依从性差,用药技巧性差、呼吸道感染是儿童哮喘发作的主要因素,加强医患沟通,充分指导家长、患儿治疗和预防感染有利于降低儿童哮喘的急性发作。
Objective To discuss clinical and multivariate motivations of asthmatic exacerbation in children.Methods541cases were collected in pediatric outpatient from March2012to March2015.273cases of exacerbation and268cases of controlled.We investigate the influence factor from gender,age,respiratory tract infection,non-compliance,technical fouls,hyperkinesia,allergen exposure,affective disorder,concomitant illnesses uncontrolled and rest(such as oil,smoke and lacquer exposure,over take cool and sweet food,etc.).Results Gender,age have no statistical significance in exacerbation.The rest factors have statistical significance.Non-compliance,technical fouls and respiratory tract infection have significant influences.Conclusion Respiratory tract infection,non-compliance,technical fouls,hyperkinesia,allergen,exposure,affective disorder,concomitant illnesses uncontrolled,rest factors are the motivations of asthmatic exacerbation in children.Non-compliance,technical fouls and respiratory tract infection are the main factors cause acute asthmatic attack in children.So on the prevention,doctors should do well in doctor-patient communication,treatment and prevention for the children and their parents.Meanwhile,the children,parents and school also should cooperate with the doctors.In a word,we should work together aim to let asthma no exacerbation or the least
作者
曹芳
潘家华
CAO Fang;PAN Jiahua(Anhui Pronvicial Tumor Hospital,Hefei,Anhui 230031, China;Anhui Pronvicial Hospital,Hefei,Anhui 230001, China)
出处
《安徽医药》
CAS
2017年第8期1452-1456,共5页
Anhui Medical and Pharmaceutical Journal
