CAJ | 학술논문

目的：探讨二手烟与儿童哮喘的关系。方法选择2012年2~5月在广州市妇女儿童医疗中心呼吸科接受治疗的80例哮喘患儿(哮喘组)和保健科门诊80名健康儿童(对照组)作为研究对象。其中，哮喘组患儿年龄为1~14岁，均符合《儿童支气管哮喘诊断与防治指南》(2008年版)标准，对照组由同期来医院保健科门诊就诊的年龄1~14岁的健康儿童中随机抽取所得。所有接受调查的儿童家长或监护人在签署了知情同意书后，采用问卷调查法进行调查，结果采用字2检验和多因素非条件Logistic回归进行分析。结果哮喘组被动吸烟的比例明显高于对照组，哮喘组家居霉斑较对照组明显少，差异均有统计学意义(P<0.05)，而两组饲养宠物和母乳喂养的情况则差异无统计学意义(P>0.05)。另外，环境香烟烟雾的暴露与哮喘相关只是在男孩中发现(P<0.05)，在女孩中没有相关性(P>0.05)。结论作为医务工作者除了在哮喘发生后给予相应的药物治疗外，应对患儿及其家长进行哮喘教育，增加他们的健康相关知识，使其懂得避免危险因素的接触，尤其是环境香烟烟雾的暴露，主动采取预防措施，将危害降到最低。
목적：탐토이수연여인동효천적관계。방법선택2012년2~5월재엄주시부녀인동의료중심호흡과접수치료적80례효천환인(효천조)화보건과문진80명건강인동(대조조)작위연구대상。기중，효천조환인년령위1~14세，균부합《인동지기관효천진단여방치지남》(2008년판)표준，대조조유동기래의원보건과문진취진적년령1~14세적건강인동중수궤추취소득。소유접수조사적인동가장혹감호인재첨서료지정동의서후，채용문권조사법진행조사，결과채용자2검험화다인소비조건Logistic회귀진행분석。결과효천조피동흡연적비례명현고우대조조，효천조가거매반교대조조명현소，차이균유통계학의의(P<0.05)，이량조사양총물화모유위양적정황칙차이무통계학의의(P>0.05)。령외，배경향연연무적폭로여효천상관지시재남해중발현(P<0.05)，재녀해중몰유상관성(P>0.05)。결론작위의무공작자제료재효천발생후급여상응적약물치료외，응대환인급기가장진행효천교육，증가타문적건강상관지식，사기동득피면위험인소적접촉，우기시배경향연연무적폭로，주동채취예방조시，장위해강도최저。
Objective To investigate the risk relationship between second-hand smoking and pediatric asthma. Meth-ods 80 children with asthma from Department of Respiration in Guangzhou Women and Children's Medical Center be-tween February and May in 2012 were chosen as the treatment group and 80 children without asthma as the control group. Among them, the treatment group patients were between 1 year and 14 years old, conforming to the standard of Children Bronchial Asthma Diagnosis and Treatment Guidelines (2008 edition). Children in the control group were also aged between 1 to 14, who were randomly chosen from those coming to see the doctor in the Department of Health Care in the same period. All the parents or custodians were surveyed by questionnaire after signing the informed consent. The results were analyzed via chi-square statistics and multi-factor unconditioned Logistic regression analysis. Results The proportion of second-hand smoking in the treatment group was obviously higher than that in the control group;home furnishing mildew index of the treatment group was lower than that of the control group; the differences were sta-tistically significant (P<0.05). There was no significant difference between the two groups in terms of raising pets and breast feeding (P>0.05). Besides, the second hand smoking was associated with asthma in boys (P< 0.05), but not in girls (P>0.05). Conclusion Apart from treating patients with medicines after children infecting asthma, doctors should educate children and their parents about the prevention of asthma and enhance their health awareness so as to make them avoid being exposed to health-threatening factors, especially those of smoking or smog, thus ensuring them to tak-ing initiative in prevention and minimizing the harmful effects.