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支气管哮喘患儿急性发作的影响因素

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目的:分析支气管哮喘患儿急性发作的影响因素。方法:选取 2021 年 8 月至 2022 年 1 月该院收治的 99 例支气管哮喘患儿进行前瞻性研究,收集患儿临床资料,检测血清维生素D水平,并根据是否急性发作将患儿分为发作组与未发作组。采用Logistic回归分析支气管哮喘患儿急性发作的影响因素。结果:99 例支气管哮喘患儿急性发作 21 例,发生率 21。21%;两组性别、年龄、病程、被动吸烟史比较,差异均无统计学意义(P>0。05);发作组病情严重程度为中重度、有花粉接触史、近期呼吸道感染、维生素D缺乏、有哮喘家族史、居住地为城市、发病季节为秋冬季的患儿占比均高于未发作组,差异有统计学意义(P<0。05);Logistic回归分析结果显示,病情严重程度为中重度、有花粉接触史、近期呼吸道感染、维生素D缺乏、有哮喘家族史、居住地为城市、发病季节为秋冬季均为支气管哮喘患儿急性发作的危险因素(OR>1,P<0。05)。结论:病情严重程度为中重度、有花粉接触史、近期呼吸道感染、维生素D缺乏、有哮喘家族史、居住地为城市、发病季节为秋冬季均为支气管哮喘患儿急性发作的危险因素。
Influencing factors of acute attack in children with bronchial asthma
Objective:To analyze influencing factors of acute attack in children with bronchial asthma.Methods:A prospective study was conducted on 99 children with bronchial asthma admitted to this hospital from August 2021 to January 2022.The clinical data of these children were collected.The serum vitamin D level was detected.These children were divided into the occurrence group and the non-occurrence group according to whether the acute attack occurred.Logistic regression was used to analyze the influencing factors of acute attack in the children with bronchial asthma.Results:There were 21 cases of acute attack in the 99 children with bronchial asthma with an incidence of 21.21%.The proportions of the children with moderate to severe illness,history of pollen contact,recent respiratory infections,vitamin D deficiency,family history of asthma,urban residence,and onset season in autumn and winter in the incidence group was higher than that in the non-incidence group,and the differences were statistically significant(P<0.05).The Logistic regression analysis showed that moderate to severe illness,history of pollen contact,recent respiratory infections,vitamin D deficiency,family history of asthma,urban residence,and onset season in autumn and winter were all risk factors for acute attacks in the children with bronchial asthma(OR>1,P<0.05).Conclusions:Moderate to severe illness,history of pollen contact,recent respiratory infections,vitamin D deficiency,family history of asthma,urban residence,and onset season in autumn and winter are the risk factors for acute attacks in the children with bronchial asthma

Bronchial asthmaChildrenAcute attackInfluencing factor

朱运青、李帆

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郑州大学第三附属医院发热门诊,河南 郑州 450000

支气管哮喘 儿童 急性发作 影响因素

2023

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2023.35(23)
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