支气管哮喘病儿控制状况影响因素

INFLUENCING FACTORS OF BRONCHIAL ASTHMA CONTROL IN CHILDREN

目的研究影响支气管哮喘病儿控制状况的相关因素。方法采用问卷调查方式调查达到和未达到有效控制的193例支气管哮喘病儿,对可能影响其控制状况的相关因素进行分析。结果多因素Logistic(for-ward)回归分析显示,预防药物的应用、父母受教育程度、对哮喘本质的认识、过敏原检测、家庭经济状况与支气管哮喘病儿病情的控制状况呈正相关(OR=1.700~83.289,β=0.539~6.852);而首次喘息年龄、被动吸烟情况、病情程度与其呈负相关(OR=0.004~58.24,β=-7.862^-3.419)。结论支气管哮喘病儿病情的控制状况一方面与预防药物的应用(吸入性糖皮质激素和β2受体激动剂)、病情程度、发病年龄及过敏原检测结果密切相关;另一方面还与病儿父母受教育程度、家庭环境、家庭的经济状况等社会因素相关。

Objective To study the correlated factors in control of asthma in children.Methods A questionnaire was used to investigate 193 children with asthma,controlled or uncontrolled,and analyze the factors that possibly impact the control status.Results Multivariate logistic regression analysis（forward） showed that the following factors,such as application of prophylactic agent,parents＇ education background,awareness of the essence of asthma,allergen detection,economic status of the family,were positively correlated with the control status of the disease（OR=1.700-83.289,β=0.539-6.852）;and the age of the first attack,passive smoking,and state of the illness were negatively correlated（OR=0.004-58.24,β=-7.862——3.419）.Conclusion Asthma control status in kids is closely related with the use of prophylactic medicines（inhaled corticosteroids and β2-receptor agonist）,patient＇s condition,age of onset and detection of allergens on one hand;and education background of parents,home environment and familiar economic status on the other.