| 摘要: |
| 目的：分析2016-2018年某院因哮喘急性发作住院患儿的危险因素。方法：回顾性收集2016-2018年某院因诊断支气管哮喘急性发作而住院的儿童临床资料，采用统计学方法分析儿童哮喘急性发作住院的危险因素。结果：0~3岁儿童哮喘急性发作比例最高，为51.2%。哮喘急性发作患儿在春夏秋冬分别占20.0%、22.4%、43.8%、13.8%。随年龄增长，哮喘急性发作住院患儿中男性比例、合并呼吸道感染比例逐渐下降，而合并过敏史、鼻炎的比例及既往确诊哮喘后不规律用药的比例逐渐上升，差异有统计学意义（P<0.05）。在<6岁患儿中，合并过敏史及呼吸道合胞病毒（RSV）、卡他莫拉菌检出率在不同严重度哮喘急性发作上的差异有统计学意义（P<0.01）；>6岁儿童哮喘急性发作的严重度与既往确诊哮喘后不规律用药的差异有统计学意义（P<0.05）。结论：0~3岁儿童相比其他年龄段更易因哮喘急性发作而住院。秋季是哮喘急性发作住院的高峰期。不同年龄段儿童哮喘急性发作的危险因素存在差异。哮喘急性发作的严重度在不同年龄段其危险因素也存在差异 |
| 关键词: 支气管哮喘急性发作 危险因素 儿童 |
| DOI：10.13407/j.cnki.jpp.1672-108X.2022.03.013 |
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| 基金项目: |
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| Risk Factors of Hospitalized Children with Acute Attack of Bronchial Asthma in a Hospital from 2016 to 2018 |
| Zheng Mingsheng, Peng Donghong |
| (Children’s Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing 400014, China) |
| Abstract: |
| Objective: To analyze the risk factors of hospitalized children with acute attack of bronchial asthma in a hospital from 2016 to 2018. Methods: The clinical data of children with acute attack of bronchial asthma in a hospital from 2016 to 2018 were retrospectively analyzed. Risk factors of children with acute attack of bronchial asthma were statistically analyzed. Results: Children from 0 to 3 years old had the highest proportion of acute attack of bronchial asthma at 51.2%. Children with acute attack of bronchial asthma accounted for 20.0%, 22.4%, 43.8% and 13.8% in spring, summer, autumn and winter respectively. With the increase in age, the proportion of boys and combined respiratory tract infection in children with acute attack of bronchial asthma decreased, while the proportion of combined allergic history or rhinitis and irregular drug use for previously diagnosed asthma increased, with statistically significant differences (P<0.05). In children <6 years old, there were statistically significant differences in the combined allergic history and detection rate of respiratory syncytial virus (RSV) and Moraxella catarrhala in different severity of acute attack of bronchial asthma (P<0.01). In children >6 years old, there was statistically significant differences between the severity of acute attack of bronchial asthma and the irregular drug use after previous asthma diagnosis (P<0.05). Conclusion: Children from 0 to 3 years old are more likely to be hospitalized for acute attack of bronchial asthma than other age groups. Autumn is the peak period of hospitalization due to acute attack of bronchial asthma. Risk factors for acute attack of bronchial asthma in children vary by age. The severity of acute attack of bronchial asthma also varies in its risk factors across different age groups |
| Key words: acute attack of bronchial asthma risk factors children |
