过敏性哮喘合并鼻炎患者危险因素的Logistic回归分析

发布时间：2018-03-24 09:36

本文选题：过敏性哮喘　切入点：鼻炎　出处：《医学与哲学(B)》2017年01期

【摘要】：探讨过敏性哮喘合并鼻炎(CAARS)患者的危险因素,为临床防治CAARS疾病提供依据。选择确诊为CAARS的患者998例作为观察对象,调查记录CAARS患者和健康者的年龄、性别、职业接触粉尘、家族过敏史、文化程度、上班/上学交通工具、饮食习惯、居住/工作环境等信息。结果证实:文化程度高中、初中者患CAARS疾病的危险分别是本科或研究生的2.822倍和10.146倍,父亲存在过敏性疾病史者患CAARS疾病的危险是父亲无过敏史的11.385倍,母亲存在过敏性疾病史者患CAARS疾病的危险是母亲无过敏史的9.694倍,室内环境不常清洗者患CAARS疾病的危险是常清洗者的3.015倍,花粉过敏者患CAARS疾病的危险是花粉不过敏者的11.220倍。文化程度低、年龄高、父母具有过敏史及环境不经常清洁等为CAARS疾病的危险因素。开窗通风与适宜运动为CAARS疾病的保护性因素。危险因素分析对于CAARS疾病的临床管理和防治具有十分重要的指导意义。
[Abstract]:To explore the risk factors of allergic asthma complicated with rhinitis and provide basis for clinical prevention and treatment of CAARS disease. 998 patients with CAARS were selected as observation objects. The age, sex and occupational exposure dust of CAARS patients and healthy persons were recorded. Family allergies, education, transportation to work / school, eating habits, living / working environment, etc. The results showed that 2.822 and 10.146 times the risk of CAARS disease was found in high school and junior high school students, respectively. The risk of CAARS was 11.385 times higher in fathers with a history of allergic diseases than in those without allergies in fathers, and 9.694 times higher in women with a history of allergic diseases in mothers than in mothers without allergies. The risk of developing CAARS disease was 3.015 times that of regular cleaning group, and 11.220 times that of pollen allergy group, and the risk of CAARS disease was 11.220 times that of pollen allergies. Parents with a history of allergies and environment are risk factors of CAARS disease. Window ventilation and proper exercise are the protective factors of CAARS disease. Risk factor analysis is of great significance for clinical management and prevention and treatment of CAARS disease.
【作者单位】：首都医科大学附属北京世纪坛医院变态反应科;首都医科大学附属北京世纪坛医院呼吸内科;
【分类号】：R562.25;R765.21

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