3岁以下婴幼儿喘息的危险因素分析

发布时间：2018-09-06 18:39

【摘要】：目的探讨3岁以下婴幼儿喘息的危险因素。方法选取3岁以下喘息患儿152例为观察组,同期非喘息患儿152例为对照组,采用调查问卷的形式收集资料,分析3岁以下喘息患儿的危险因素。结果单因素分析显示,3岁以下喘息患儿可能与遗传因素(父母过敏史)、孕产情况(分娩方式)、患儿情况[呼吸道合胞病毒(RSV)感染、肺炎支原体(MP)感染、爱哭]、个人体质(个体过敏史)、环境因素(家中宠物、被动吸烟、临近马路、周围工厂)等有关,与基础资料(年龄、性别)、孕产情况(孕龄、烟草暴露、补充维生素D、妊高征、吸氧、使用呼吸机、母乳喂养不足3个月)、患儿情况(参加日托)、环境因素(同胞、家中铺地板、房屋油漆味、居住地潮湿、厨房油烟、毛绒玩具)、其他因素(母亲文化程度)等无关。多因素分析显示,遗传因素(父母过敏史)、孕产情况(分娩方式)、患儿情况(RSV感染、MP感染、爱哭)、个人体质(个体过敏史)、环境因素(家中宠物、被动吸烟、临近马路、周围工厂)均是3岁以下婴幼儿喘息的独立危险因素。结论 3岁以下婴幼儿喘息的发病可能与多因素(遗传因素、孕产情况、患儿情况、个人体质、环境因素)相关,严格控制危险因素,将有助于提高患儿生活质量。
[Abstract]:Objective to explore the risk factors of wheezing in infants under 3 years old. Methods 152 children under 3 years of age were selected as observation group and 152 non-asthmatic children as control group. The data were collected by questionnaire and the risk factors of children under 3 years of age were analyzed. Results univariate analysis showed that children with wheezing under 3 years old may be associated with genetic factors (allergic history of parents), pregnancy and childbirth (mode of delivery), children [respiratory syncytial virus (RSV) infection, mycoplasma pneumoniae (MP) infection]. Personal health (individual allergies), environmental factors (pets at home, passive smoking, proximity to roads, surrounding factories) were associated with basic data (age, sex), pregnancy and childbirth (gestational age, tobacco exposure, etc.). Vitamin D supplementation, PIH, oxygen intake, ventilator use, breast-feeding less than 3 months), child condition (attending day care), environmental factors (sibling, home flooring, house paint smell, wet residence, kitchen fume, Plush toys, other factors (mother's education), etc. Multivariate analysis showed that genetic factors (parental allergies), pregnancy and childbirth (mode of delivery), children (RSV infection with MP infection, crying), personal health (individual allergies), environmental factors (family pets, passive smoking, near the road), Nearby factories) are independent risk factors for wheezing in infants under 3 years of age. Conclusion the incidence of wheezing in infants under 3 years of age may be related to multiple factors (genetic factors, pregnancy and childbirth, children's condition, personal physical condition, environmental factors). Strict control of risk factors will help to improve the quality of life of children.
【作者单位】：华北理工大学生命科学学院;唐山市妇幼保健院儿科;华北理工大学公共卫生学院;
【分类号】：R725.6

【相似文献】