儿童支气管哮喘急性发作195例回顾性分析
发布时间：2019-04-24 09:40
【摘要】：目的儿童支气管哮喘是近年来十分引人关注的全球公共健康问题，也是儿童最常见的慢性疾病，严重影响儿童的健康及生长发育。儿童哮喘的发病率约为5%～l0％，流行病学资料显示其发病率和病死率都有上升趋势。本研究拟通过对195例支气管哮喘急性发作儿童的临床资料进行分析，探讨不同年龄组哮喘急性发作儿童的临床特点。 方法回顾性分析2006年1月至2010年12月在我院儿科住院的195例哮喘急性发作患儿的临床资料，，病例入选标准参照中华医学会儿科分会呼吸学组2008年“儿童支气管哮喘诊断与防治指南”所规定的确诊标准。比较5岁前和5岁后2个年龄组患儿的临床特点，采用SPSS13.0统计软件进行统计学分析，呈正态分布的计量资料以χ±s表示，两组间比较用t检验；计数资料用χ2检验，检验水准取α=0.05,以P＜0.05为差异有统计学意义。 结果与≥5岁组患儿相比，＜5岁组患儿在秋冬季发病率更高（72.13%vs54.79%），具有血小板计数高（287.86±90.12vs255.71±65.87）、住院时间长（7.37±2.83vs5.57±2.62）、合并肺炎率高（27.87%vs6.85%）及支原体感染率高（13.11%vs2.74%），过去1年喘息发作的次数多（6.03±2.40vs0.61±1.00），哮喘及时诊断率低(19.67%vs61.64%)和治疗率低的特点（25.00%vs71.11%）（P＜0.05）。 结论＜5岁组患儿在哮喘急性发作时炎症反应表现较重，更易并发肺炎和支原体感染，哮喘及时诊断率较低，治疗依从性较差。
[Abstract]:Objective bronchial asthma in children is a global public health problem which attracts much attention in recent years. It is also the most common chronic disease in children, which seriously affects children's health, growth and development. The incidence of asthma in children is about 5% and 10%. Epidemiological data show that the incidence and mortality of asthma are on the rise. In this study, the clinical data of 195 children with acute attack of bronchial asthma were analyzed to explore the clinical characteristics of children with acute attack of asthma in different age groups. Methods the clinical data of 195 children with acute asthma attack who were hospitalized in our hospital from January 2006 to December 2010 were analyzed retrospectively. According to the diagnostic and preventive criteria of bronchial asthma in 2008, the respiratory group of Pediatrics Branch of Chinese Medical Association was referred to the criteria of diagnosis and treatment of bronchial asthma. The clinical characteristics of two age groups before and after 5 years old were compared. The statistical analysis was carried out by SPSS13.0 statistical software. The measurement data with normal distribution were expressed as 卤s, and the t test was used between the two groups. The counting data were measured by 蠂 2 test. The level of the test was 伪 = 0.05, P < 0.05. There was a significant difference between the two groups (P < 0.05). Results compared with the group of 鈮
本文编号：2464344
[Abstract]:Objective bronchial asthma in children is a global public health problem which attracts much attention in recent years. It is also the most common chronic disease in children, which seriously affects children's health, growth and development. The incidence of asthma in children is about 5% and 10%. Epidemiological data show that the incidence and mortality of asthma are on the rise. In this study, the clinical data of 195 children with acute attack of bronchial asthma were analyzed to explore the clinical characteristics of children with acute attack of asthma in different age groups. Methods the clinical data of 195 children with acute asthma attack who were hospitalized in our hospital from January 2006 to December 2010 were analyzed retrospectively. According to the diagnostic and preventive criteria of bronchial asthma in 2008, the respiratory group of Pediatrics Branch of Chinese Medical Association was referred to the criteria of diagnosis and treatment of bronchial asthma. The clinical characteristics of two age groups before and after 5 years old were compared. The statistical analysis was carried out by SPSS13.0 statistical software. The measurement data with normal distribution were expressed as 卤s, and the t test was used between the two groups. The counting data were measured by 蠂 2 test. The level of the test was 伪 = 0.05, P < 0.05. There was a significant difference between the two groups (P < 0.05). Results compared with the group of 鈮
本文编号：2464344
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