小儿喘息高危因素分析

Analysis of high risk factors for pediatric wheezing

目的探讨小儿喘息的相关危险因素,为其防治提供参考。方法 102例喘息患儿(疾病为支气管肺炎、支气管炎、毛细支气管炎)作为研究组,同期102例同疾病但无喘息症状患儿作为对照组,采用问卷调查方式收集患儿的资料,采用回归分析法分析小儿喘息的相关危险因素。结果 1通过单因素分析结果发现,两组生产方式、父母过敏史、肺炎支原体(MP)感染、患儿自身过敏史、呼吸道合胞病毒(RSV)感染对比差异均具有统计学意义(P<0.05);2通过多因素分析结果发现,父母过敏史、MP感染、RSV感染是小儿喘息的独立危险因素。结论患儿的生产方式、父母过敏史、MP感染、患儿自身过敏史、RSV感染与小儿喘息存在相关性,其中父母过敏史、MP感染、RSV感染是其独立危险因素,需做好相应的防治措施。

Objective To investigate related risk factors for pediatric wheezing, and to provide reference for prevention and treatment. Methods There were 102 wheezing children（with bronchopneumonia, bronchitis, capillary bronchitis） as research group, and another 102 children having the same disease without wheezing as control group. Questionnaire survey was applied to collect data, and regression analysis was used to analyze related risk factors for pediatric wheezing. Results 1 Univariate analysis showed statistically significant differences of delivery ways, parents allergic history, mycoplasma pneumonia（MP） infection, self allergic history and respiratory syncytial virus（RSV） infection between the two groups（P〈0.05）. 2 Multivariate analysis showed parents allergic history, MP infection and RSV infection as independent risk factors for pediatric wheezing. Conclusion Pediatric wheezing is correlated with delivery ways, parents allergic history, MP infection, self allergic history and RSV infection. Parents allergic history, MP infection and RSV infection are independent risk factors. Corresponding prevention and treatment is necessary.