CAJ | 학술논문

目的：探讨室内环境影响因素对支气管哮喘(简称哮喘)的影响。方法采用现场问卷调查的方法，选择在我院哮喘门诊规律就诊的患者，调查室内环境因素对哮喘控制水平的影响。结果实际完成调查问卷440份，其中男性197例，女性243例，平均年龄(35.861±10.063)岁。达到哮喘控制人数112例(25.45%)，部分控制人数252例(57.27%)，未控制人数76例(17.27%)。采用多因素 Logistic回归分析去除相互影响后的结果显示：使用地毯、饲养带毛宠物、主动吸烟、被动吸烟、近1年内家庭装修这5个因素将会对哮喘的控制产生不利影响。同时采用每周热水清洗床上用品加上防螨枕套或空气净化器的任何两种方法的组合将会改善哮喘的控制情况，预测发生控制水平为3级的风险的相对危险度分别为 OR 0.322(95% CI 0.116~0.892)及 OR 0.378(95% CI 0.148~0.969)。结论多种环境因素均会对哮喘的控制产生不利影响，但一些控制环境因素手段的组合将有利于我们更好的控制哮喘。
목적：탐토실내배경영향인소대지기관효천(간칭효천)적영향。방법채용현장문권조사적방법，선택재아원효천문진규률취진적환자，조사실내배경인소대효천공제수평적영향。결과실제완성조사문권440빈，기중남성197례，녀성243례，평균년령(35.861±10.063)세。체도효천공제인수112례(25.45%)，부분공제인수252례(57.27%)，미공제인수76례(17.27%)。채용다인소 Logistic회귀분석거제상호영향후적결과현시：사용지담、사양대모총물、주동흡연、피동흡연、근1년내가정장수저5개인소장회대효천적공제산생불리영향。동시채용매주열수청세상상용품가상방만침투혹공기정화기적임하량충방법적조합장회개선효천적공제정황，예측발생공제수평위3급적풍험적상대위험도분별위 OR 0.322(95% CI 0.116~0.892)급 OR 0.378(95% CI 0.148~0.969)。결론다충배경인소균회대효천적공제산생불리영향，단일사공제배경인소수단적조합장유리우아문경호적공제효천。
Objective Identify home environmental exposures associated with poor control of bronchial asthma (asthma).Methods This cross-sectional study using the method of questionnaire investigation,selected in our hospital outpatient asthma visits with law during Oct.2009 to Mar.2012.The indoor environmental factors and asthma control level were recorded.Results Actually completed the questionnaire 440,there were 1 97 males,243 females,mean age (35.861 ± 10.063 )years.Among 440 patients,the percentages of controlled,partly controlled,uncontrolled asthma assessed by current symptom were 25.45%,57.27%,and 1 7.27% respectively.Using multivariate logistic regression analysis to remove the mutual influence of the results showed that:the use of carpets,keeping pet with hair,active smoking,passive smoking,nearly 1 year home decoration these 5 factors will have adverse effects on asthma control.At the same time,using weekly hot water wash bedding and anti-mite pillowcase or air purifier is any combination of the two methods will improve asthma control,predictive control level of 3 class risk relative risk were OR 0.322 (95% CI 0.1 1 6-0.892 )and OR 0.378 (95% CI 0.148-0.969 ). Conclusions Many environmental factors can have adverse effects on asthma control,but some control of environmental factors by means of the combination will help us better control of asthma.