学龄前儿童气质与哮喘发生的队列研究

发布时间：2018-06-30 06:32

本文选题：学龄前儿童气质 + 哮喘发生　；参考：《中国儿童保健杂志》2013年12期

【摘要】：目的了解学龄前儿童气质类型与哮喘发生之间的关系。方法采用队列研究的方法,选取2010年1月1日-2010年12月31日在本院入园体检、随访满1年的8 824例3~6岁儿童为研究对象,采用自制的学龄前儿童气质调查表进行基线调查和气质类型评估,如随访过程中诊断为哮喘则纳入专案管理。结果 8 824例儿童中,男童4 738例,女童4 086例,男女比例为1.16∶1,3~4岁儿童居多(94.38%)。E型气质(35.19%)和I-E型气质(28.32%)占多数,D型气质最少(7.74%)。D型和I-D型气质的儿童哮喘发病率较高(7.17%,5.53%),S型气质的儿童哮喘发病率最低(1.12%)。遗传因素对学龄前儿童发病起重要作用,D型和S型气质与哮喘的发病存在较强的因果相关性(RR=1.53和0.26)。结论充分发挥气质的积极情绪反应,尽量避免消极情绪反应和冲动行为,才能最大限度地避免哮喘的发病。
[Abstract]:Objective to investigate the relationship between temperament type and asthma in preschool children. Methods from January 1, 2010 to December 31, 2010, a total of 8 824 children aged 3 to 6 years were followed up in our hospital from January 1, 2010 to December 31, 2010. Self-made temperament questionnaire for preschool children was used to carry out baseline survey and temperament type assessment, such as asthma diagnosed during follow-up was included in project management. Results of the 8,824 children, 4,738 were boys and 4,086 were girls. The prevalence of asthma was higher in children (94.38%), E-type (35.19%), I-E temperament (28.32%) and I-E temperament (28.32%). The incidence of asthma in children with S temperament was the lowest (1.12%). Genetic factors play an important role in the pathogenesis of preschool children. There is a strong causal correlation between D and S temperament and asthma (RRN 1.53 and 0.26). Conclusion only by giving full play to the positive emotional reaction of temperament and avoiding negative emotional reaction and impulsive behavior can asthma be avoided as far as possible.
【作者单位】：武汉市妇女儿童医疗保健中心呼吸内科;
【分类号】：R395.1

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