急性下呼吸道感染患儿喘息发生的相关因素分析

摘要

Objective To detect the risk factors of recurrent wheeze in children with acute lower respiratory tract infections. Methods Clinical data of 1165 children with acute lower respiratory infections were used by univariate and multivariate Logistic re gression analysis. Results Univariate analysis showed children' s age, atopy, RSV, HRV infection, gender are associated with wheezing in children with acute lower respiratory infections;further multivariate Logistic regression analysis showed that small age, atopy,RSV,HRV infection,male are high risk factors of wheeze in children with acute lower respiratory infections. Conclusion The children of acute lower respiratory infections with small age, atopy, RSV, HRV infection, and male have high risk factors of wheeze,and there should be intensive assessment and reasonable control.%目的 探讨急性下呼吸道感染患儿发生喘息的危险因素.方法 对1 165例急性下呼吸道感染患儿的临床资料进行单因素及多因素Logistic回归分析.结果 单因素分析显示急性下呼吸道感染患儿的年龄、是否为特应征体质、呼吸道合胞病毒(RSV)、鼻病毒(HRV)感染、性别与喘息发生有关;进一步多因素Logistic回归分析示发病年龄小、特应征体质、RSV、HRV感染、男性为发生急性下呼吸道感染喘息的高危因素.结论 对于年龄小、特应征体质、RSV、HRV感染、男性的急性下呼吸道感染患者发生喘息的风险性高,应重点评估及合理控制.