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.

• 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

  

  • 出版日期:2022-08-25 上线日期:2023-11-29

Analysis of pathogenic factors of cough variant asthma in children

  • Published:2022-08-25 Online:2023-11-29

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:

ObjectiveTo explore the related factors of cough variant asthma(CVA) in children in order to provide reference for clinical work.MethodsSelect 40 children with cough variant asthma and 40 healthy children to ask them to fill out a questionnaire on related factorsincluding genderagebody mass indexhistory of allergic rhinitishistory of atopic dermatitishistory of allergic conjunctivitishistory of recurrent respiratory tract infectionshistory of asthma or chronic cough in grade 12 parentsatopic physique (urticariaeczemarhinitis) of grade 12 parentshistory of smoke exposure (including passive smokingkitchen oil fumeair pollution)keeping pets or planting flowers and plants at homelaying carpets at homedelivery modefeeding methods and peripheral blood eosinophilsetc.First perform single factor analysis to remove irrelevant factorsand then perform Logistic regression analysisand finally get the factors related to the onset of cough variant asthma in children.ResultsAfter univariate analysis and logistic regression analysishistory 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.ConclusionThe onset of cough variant asthma in children is related to history of allergic rhinitishistory of recurrent respiratory infections and no history of breastfeeding.In clinical workparents should be educated about public sciencepay attention to breastfeedingavoid recurrent respiratory infectionsand 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