CAJ | 학술논문

我国调查显示约有90.33%支气管哮喘(简称哮喘)儿童首次喘息发生在5岁及以前，虽然临床上有如此高的患病率，但5岁以下反复喘息儿童因难以获得肺通气功能等客观的哮喘评估指标，临床诊断需基于患儿的病史、临床表现及其对平喘药物的治疗反应来确定。故目前有关5岁及以下年幼儿哮喘的诊断手段十分有限。本文通过对患儿的出生史、喂养营养史、家居环境因素、遗传因素、过敏原及病原微生物分析，了解5岁及以下哮喘患儿的既往危险因素及导致其持续发展的危险因素，对5岁及以下儿童哮喘的早期识别诊断、早期治疗提供理论依据。
아국조사현시약유90.33%지기관효천(간칭효천)인동수차천식발생재5세급이전，수연림상상유여차고적환병솔，단5세이하반복천식인동인난이획득폐통기공능등객관적효천평고지표，림상진단수기우환인적병사、림상표현급기대평천약물적치료반응래학정。고목전유관5세급이하년유인효천적진단수단십분유한。본문통과대환인적출생사、위양영양사、가거배경인소、유전인소、과민원급병원미생물분석，료해5세급이하효천환인적기왕위험인소급도치기지속발전적위험인소，대5세급이하인동효천적조기식별진단、조기치료제공이론의거。
Survey shows that about 90.33% of children with wheezing occurred in the first 5 years,although such a high prevalence,but recurrent wheezing children under 5 years old is difficult to obtain the data with pulmonary function and other objective asthma evaluation index,the clinical diagnosis is based on history,clinical manifestations and drug reactions.So currently about the diagnosis of asthma in 5 years old is very limited.Through the history of children′s birth,feeding and nutritional history, environmental factors,genetic factors,allergens and pathogens factors to understand the risk factors of past and developing with asthma in the first 5 years,it can provide the theoretical basis of early diagnosis and early treatment with asthma in the first 5 years.