ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (4): 335-339.doi: 10.3969/j.issn.1674-3865.2022.04.015

• 临床研究 • 上一篇    下一篇

儿童咳嗽变异性哮喘的发病相关因素分析

沈湘晴, 陈艳霞, 郭凯   

  1. 100102 北京,中国中医科学院望京医院儿科
  • 收稿日期:2021-10-08 出版日期:2022-08-25 上线日期:2023-11-29
  • 通讯作者: 陈艳霞,E-mail:yansia@sina.com
  • 基金资助:
    北京市科学技术委员会首都临床特色应用研究与成果推广项目(Z171100001017109)

Analysis of pathogenic factors of cough variant asthma in children

SHEN Xiangqing, CHEN Yanxia, GUO Kai   

  1. Pediatric Department of Wangjing Hospital of Chinese Academy of Chinese Medical Sciences,Beijing 100102,China
  • Received:2021-10-08 Published:2022-08-25 Online:2023-11-29
  • Contact: CHEN Yanxia,E-mail:yansia@sina.com

摘要: 目的 探究儿童咳嗽变异性哮喘(CVA)发病相关因素,以期对临床工作提供参考。方法 选择2019年6月至2021年5月就诊于中国中医科学院望京医院儿科的CVA患儿40例为研究对象,为观察组,同期选择本院体检的健康儿童40例为对照组,填写发病相关因素调查问卷,包括性别,年龄,体质量指数,生产方式,喂养方式,过敏性鼻炎病史,特应性皮炎病史,过敏性结膜炎病史,反复呼吸道感染病史,1、2级家长哮喘或慢性咳嗽病史,1、2级家长特应性体质(荨麻疹、湿疹、鼻炎),烟雾暴露史(包括被动吸烟、厨房油烟、污染空气),家中饲养宠物或种植花草,家中铺设地毯,末稍血嗜酸性粒细胞等,先进行单因素分析,剔除无关因素后进行Logistic回归分析,最终得到儿童CVA的发病相关因素。结果 经过单因素分析和Logistic回归分析后,过敏性鼻炎病史(P=0.002)、反复呼吸道感染病史(P=0.015)和喂养方式(P=0.049)这三个因素是儿童CVA的发病相关因素。结论 儿童CVA发病与过敏性鼻炎病史、反复呼吸道感染病史和无母乳喂养史相关,在临床工作中应该向家长做好科普宣传,提倡母乳喂养,避免反复的呼吸道感染,积极治疗过敏性鼻炎,从而预防儿童CVA的发生。 

关键词:

咳嗽变异性哮喘, 发病因素, Logistic回归, 儿童

Abstract:

Objective To explore the related factors of cough variant asthma(CVA) in children in order to provide reference for clinical workMethods Select 40 children with cough variant asthma and 40 healthy children to ask them to fill out a questionnaire on related factors,including gender,age,body mass index,history of allergic rhinitis,history of atopic dermatitis,history of allergic conjunctivitis,history of recurrent respiratory tract infections,history of asthma or chronic cough in grade 1,2 parents,atopic physique (urticaria,eczema,rhinitis) of grade 1,2 parents,history of smoke exposure (including passive smoking,kitchen oil fume,air pollution),keeping pets or planting flowers and plants at home,laying carpets at home,delivery mode,feeding methods and peripheral blood eosinophils,etc.First perform single factor analysis to remove irrelevant factors,and then perform Logistic regression analysis,and finally get the factors related to the onset of cough variant asthma in children.Results After univariate analysis and logistic regression analysis,history of allergic rhinitis(P=0.002),history of recurrent respiratory infections(P=0.015) and feeding methods(P=0.049) were related factors for the onset of cough variant asthma in children. Conclusion The onset of cough variant asthma in children is related to history of allergic rhinitis,history of recurrent respiratory infections and no history of breastfeeding.In clinical work,parents should be educated about public science,pay attention to breastfeeding,avoid recurrent respiratory infections,and actively receive treatment for allergic rhinitis in order to prevent the occurrence of CVA in children.



Key words:

Cough variant asthma, Pathogenic factor, Logistic regression, Child