小儿呼吸道异物术前发生急性呼吸功能不全的危险因素分析

Risk factors of acute respiratory dysfunction in children with respiratory foreign bodies before operation

目的探究小儿呼吸道异物术前发生急性呼吸功能不全的危险因素。方法选择2011年1月至2016年12月湖南省儿童医院耳鼻咽喉-头颈外科收治的并发呼吸功能不全的呼吸道患儿100例为研究对象,为观察组。同期选择未出现呼吸功能不全的呼吸道异物患儿100例作为对照组,收集所有患儿的临床资料,对患儿出现急性呼吸功能不全的危险因素进行单因素及Logistic多因素回归分析。结果经过单因素及Logistic多因素回归分析发现,肺炎、发热以及纵隔皮下积气为主要危险因素。结论肺炎、发热以及纵隔皮下积气是造成小儿呼吸道异物术前急性呼吸功能不全的主要危险因素,在临床治疗中,需要对患儿的实际情况进行分析,针对患儿的病情以及影响因素来制定预防策略,以此来降低小儿呼吸道异物术前发生急性呼吸功能不全的概率。

Objective To investigate the risk factors of acute respiratory dysfunction in children with respiratory foreign bodies before operation.Methods A total of 100 children with respiratory foreign bodies and respiratory dysfunction were included as the research subjects（the observation group）,who received treatment in Hunan Children＇s Hospital from Jan. 2011 to Dec. 2016.Another 100 children with respiratory foreign bodies but without respiratory dysfunction receiving treatment during the same period of time were chosen as the control group.Their clinical data were collected,and the risk factors of acute respiratory dysfunction were analyzed by single-factor and Logistic multi-factor regression analysis.Results Pneumonia,fever and mediastinal subcutaneous pneumatosis were the main risk factors based on the single-factor and Logistic multi-factor regression analysis.Conclusion Pneumonia,fever and mediastinal subcutaneous pneumatosis are the main risk factors of acute respiratory dysfunction in children with respiratory foreign bodies before operation.Therefore,in the clinical treatment,the preventive strategies should be made according to the disease state and the risk factors of the children in order to reduce incidence of acute respiratory dysfunction before operation in children with respiratory foreign bodies.