婴幼儿哮喘与气质等因素的Logistic回归分析

The Logistic Regress Analyse Between Infant Asthma and Their Temperament.

【目的】 为了探讨婴幼儿哮喘与气质等因素的关系。 【方法】 我们对按病例 1∶3对照的 3 2 0名婴幼儿进行气质等有关因素的问卷调查 ,并用条件Logistic回归模型对多因素进行分析。 【结果】 困难型气质的婴儿发生婴幼儿哮喘的机会将增加 3倍多 ,同时困难型气质与被动吸烟、特异性体质和父母过敏史也有关系。气质与 4个因素密切相关 ,它们分别为①被动吸烟 ;②环境污染 ;③婴幼儿特异性体质 ;④父母过敏史。 【结论】 应该把困难型气质儿童作为重点对象进行干预和管理。对每个儿童进行常规的筛查和分析是非常有必要的 ,气质可能与哮喘的遗传易感性有关 ,并对哮喘患儿的心理和行为产生深远的影响。

To observe the relationship of infant asthma and their temperament. Questionnaire for 320 (comparison model of rate 1:3) from 4 to 8 month old infants about the temperament related factors.And analysis by condition logistic regress model. The children with difficult temperament had more than three times chance to suffer from the asthma.The difficult temperament related to the factors of passive smoking and child atopy and parents atopy.Four high related factors to infant asthma,there are:①passive smoking(OR=1.039,95%CI 1.003～1.076);②environment pollution(OR=2.527,95%CI 1.049～6.127);③child atopy(OR=3.597,95%CI 1.825～7.088);④parents atopy(OR=2.539,95%CI 1.050～6.138). [Conclusions] The children with difficult temperament must be intervened and administered as emphasis.It is important to make regular child temperament tests for every child,especially for difficult temperament one.The temperament is a individual nature character being congenital and hereditary,and has common area with making mechanism of asthma.The temperament may be related to asthma in hereditary susceptibility.There will make farreaching influence about psychology and behavior for asthma's child.