中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2012年
5期
456-459
,共4页
哮喘%儿童%危险因素%病例对照研究
哮喘%兒童%危險因素%病例對照研究
효천%인동%위험인소%병례대조연구
Asthma%Children%Risk factors%Case-control studies
目的 了解苏州地区儿童支气管哮喘(简称哮喘)发病的影响因素.方法 在2010年9月至2011年4月,采用全国过敏哮喘协作组统一制定的0～14岁儿童哮喘调查表、0～14岁非哮喘儿童调查表,在苏州市平江区进行哮喘流行病学调查,在已筛查出的540例哮喘患儿中抽取271例作为病例组,同时按1:1配对方法选择与病例组年龄相近、性别相同、民族相同的271例非哮喘儿童为对照组,采用χ2检验、logistic回归等进行数据分析.结果 调查对象均为汉族.病例组271例患儿中,男性165例、女性106例,对照组男女人数均与病例组相同.病例组年龄为(7.5±2.3)岁,对照组为(7.8±2.9)岁,年龄差异无统计学意义(P＞0.05).家族过敏史(OR=10.624,95％CI:6.294～18.623)、儿童湿疹史(OR=4.403,95％ CI:8.627 ～ 29.632)、过敏性鼻炎史(OR=6.871,95％ CI:7.658～31.871)、出生前后有家人吸烟(OR=3.323,95％CI:3.541～11.634)、家中霉斑(OR=1.837,95％CI:1.531～ 4.926)为危险因素,母乳喂养(OR =0.513,95％CI:0.418～0.914)为保护因素.结论 家族过敏史、儿童湿疹史、过敏性鼻炎史、家中霉斑、出生前后有无家人吸烟是哮喘的危险因素,母乳喂养为哮喘的保护因素.
目的 瞭解囌州地區兒童支氣管哮喘(簡稱哮喘)髮病的影響因素.方法 在2010年9月至2011年4月,採用全國過敏哮喘協作組統一製定的0～14歲兒童哮喘調查錶、0～14歲非哮喘兒童調查錶,在囌州市平江區進行哮喘流行病學調查,在已篩查齣的540例哮喘患兒中抽取271例作為病例組,同時按1:1配對方法選擇與病例組年齡相近、性彆相同、民族相同的271例非哮喘兒童為對照組,採用χ2檢驗、logistic迴歸等進行數據分析.結果 調查對象均為漢族.病例組271例患兒中,男性165例、女性106例,對照組男女人數均與病例組相同.病例組年齡為(7.5±2.3)歲,對照組為(7.8±2.9)歲,年齡差異無統計學意義(P＞0.05).傢族過敏史(OR=10.624,95％CI:6.294～18.623)、兒童濕疹史(OR=4.403,95％ CI:8.627 ～ 29.632)、過敏性鼻炎史(OR=6.871,95％ CI:7.658～31.871)、齣生前後有傢人吸煙(OR=3.323,95％CI:3.541～11.634)、傢中黴斑(OR=1.837,95％CI:1.531～ 4.926)為危險因素,母乳餵養(OR =0.513,95％CI:0.418～0.914)為保護因素.結論 傢族過敏史、兒童濕疹史、過敏性鼻炎史、傢中黴斑、齣生前後有無傢人吸煙是哮喘的危險因素,母乳餵養為哮喘的保護因素.
목적 료해소주지구인동지기관효천(간칭효천)발병적영향인소.방법 재2010년9월지2011년4월,채용전국과민효천협작조통일제정적0～14세인동효천조사표、0～14세비효천인동조사표,재소주시평강구진행효천류행병학조사,재이사사출적540례효천환인중추취271례작위병례조,동시안1:1배대방법선택여병례조년령상근、성별상동、민족상동적271례비효천인동위대조조,채용χ2검험、logistic회귀등진행수거분석.결과 조사대상균위한족.병례조271례환인중,남성165례、녀성106례,대조조남녀인수균여병례조상동.병례조년령위(7.5±2.3)세,대조조위(7.8±2.9)세,년령차이무통계학의의(P＞0.05).가족과민사(OR=10.624,95％CI:6.294～18.623)、인동습진사(OR=4.403,95％ CI:8.627 ～ 29.632)、과민성비염사(OR=6.871,95％ CI:7.658～31.871)、출생전후유가인흡연(OR=3.323,95％CI:3.541～11.634)、가중매반(OR=1.837,95％CI:1.531～ 4.926)위위험인소,모유위양(OR =0.513,95％CI:0.418～0.914)위보호인소.결론 가족과민사、인동습진사、과민성비염사、가중매반、출생전후유무가인흡연시효천적위험인소,모유위양위효천적보호인소.
Objective This study aimed to investigate risk influencing factors of asthma for children in Suzhou City,China.Methods A survey of asthma was conducted on children aged 0 - 14 with or without asthma from September 2010 to April 2011 in Pingjiaag district of Suzhou city.A total of 271 children diagnosed with asthma were considered as a case group,and 271 non-asthmatic children with the same age,sex and living region formed the control group.Risk factors were analyzed with χ2 test and logistic regression analysis.Results All children were Han.The case group was composed of 165 boys and 106 girls,so was the case group.The average age was ( 7.5 ± 2.3 ) years for the case group and ( 7.8 ± 2.9 ) years for the control group,which did not showed any significant difference(P ＞0.05 ).Family history of allergy( OR =10.624,95％ CI:6.294 - 18.623 ),history of children's eczema ( OR =4.403,95 ％ CI:8.627 - 29.632 ),history of allergic rhinitis( OR =6.871,95％ CI:7.658 - 31.871 ),passive smoking when baby was born ( OR =3.323,95 ％ CI:3.541 - 11.634 ),mold contamination ( OR =1.837,95 ％ CI:1.531 - 4.926 ) were the risk factors,and breast-feeding ( OR =0.513,95％ CI:0.418 - 0.914) was the protective factor.Conclusion Family history of allergy,history of children's eczema,history of allergic rhinitis,passive smoking,and old contamination are the risk factor,and breast-feeding is the protective factor.
