小儿喘息性气管炎的影响因素分析

摘要

目的:探讨小儿喘息性气管炎的影响因素.方法:选择2012年1月至2016年12月在陕西省安康市妇幼保健院儿科住院确诊为喘息性气管炎的205例患儿作为病例组,随机选取同期在本院儿科住院的急性上呼吸道感染、气管炎(非喘息性)患儿205例作为对照组,收集两组临床资料,采用单因素和多因素Logistic回归分析方法分析小儿喘息性气管炎的影响因素.结果:两组呼吸道合胞病毒(RSV)感染、肺炎支原体(MP)感染、过敏史、父母过敏史、分娩方式、住房装修时间＜2年、床褥经常晾晒、居住地靠近公路等因素比较,差异均有统计学意义(均P＜0.05).进一步行多因素分析,结果显示:RSV感染、MP感染、过敏史、父母过敏史、居住地靠近公路是小儿喘息性气管炎的独立危险因素(均P＜0.05).结论:RSV感染、MP感染、过敏史、父母过敏史、居住地靠近公路均是小儿喘息性气管炎的独立危险因素,加强对上述影响因素的检查及监测可降低小儿喘息性气管炎的发病率.%Objective:To explore the risk factors for asthmatic bronchitis in children.Methods:205 children with asthmatic bronchitis in our hospital from January 2012 to December 2016 were selected as a study group,and 205 children with acute upper respiratory infection and non-asthmatic trachitis were enrolled as a control group.Results:The effects of pediatric asthmatic bronchitis univariate analysis showed that RSV infection,MP infection,allergy history,parental allergy history,mode of delivery,housing renovation time less than 2 years,the mattress often dry,residence near the highway were all influencing factors of children with asthmatic bronchitis.Multivariate analysis showed that RSV infection and MP infection,allergy history,parental allergy history,residence near the highway were all influencing factors of children with asthmatic bronchitis (P＜0.05).Conclusion:RSV infection,MP infection,allergy history,parental allergy history,residence near the highway are all influencing factors of children with asthmatic bronchitis,to strengthen the inspection and monitoring of the above factors,in order to reduce the incidence of pediatric asthmatic bronchitis.