单纯性肥胖伴哮喘患儿自身BMI变化对哮喘发作的影响

发布时间：2018-06-12 07:26

本文选题：哮喘 + 肥胖症　；参考：《重庆医学》2017年26期

【摘要】：目的探讨单纯性肥胖伴哮喘患儿自身BMI变化对哮喘发作的影响。方法选择2013年5月至2014年5月就诊于本院儿科哮喘专科门诊的患儿102例,随访1年,经减肥治疗1年;减肥前后收集雾化次数,用药情况,发作情况,体质量及身高情况并根据患儿哮喘控制测试(ACT)评分进行疗效评估。将收集数据分为健康组(随访前)、健康组(随访后),肥胖组(随访前),肥胖组(随访后)。结果肥胖组治疗前后在哮喘控制,呼吸道感染次数,雾化次数,急诊就诊次数比较差异无统计学意义(P0.05),但全身激素用量比较差异有统计学意义(P0.05)。健康组治疗前后在呼吸道感染次数,雾化次数,急诊就诊次数、全身激素用量及哮喘控制情况比较差异有统计学意义(P0.05)。治疗后,两组在呼吸道感染次数,雾化次数,急诊就诊次数、全身激素用量及哮喘控制情况比较差异有统计学意义(P0.05)。结论肥胖可能是影响哮喘患儿治疗效果的重要因素,通过减肥降低患儿体质指数可以改善肥胖患儿哮喘的治疗效果。
[Abstract]:Objective to investigate the effect of self-BMI on asthma attack in children with simple obesity and asthma. Methods 102 children with asthma from May 2013 to May 2014 were selected and followed up for one year. Body mass and height were evaluated according to asthma control test (ACT) score. The collected data were divided into healthy group (pre-follow-up group), healthy group (post-follow-up group), obesity group (pre-follow-up group, obesity group (post-follow-up group). Results before and after treatment, there was no significant difference in asthma control, respiratory infection, nebulization and emergency treatment in obese group, but there was significant difference in the dosage of systemic hormone. There were significant differences in respiratory infection times, atomization times, emergency visits, systemic hormone dosage and asthma control before and after treatment in the healthy group (P 0.05). After treatment, there were significant differences between the two groups in respiratory infection times, atomization times, emergency visits, systemic hormone dosage and asthma control. Conclusion Obesity may be an important factor affecting the therapeutic effect of asthmatic children. Reducing body mass index can improve the therapeutic effect of asthma in obese children.
【作者单位】：川北医学院附属医院儿科;
【基金】：四川省教育厅重点项目(16ZA0227) 川北医学院重点项目(CBY13-A-ZD05)
【分类号】：R725.6

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