CAJ | 학술논문

目的：了解儿童变应性鼻炎（AR）的发病特点及危险因素，为其早期临床诊断和治疗提供指导。方法采用病例对照研究方法，选取2009年1月至2010年12月确诊的183例AR患儿为病例组，并选取同期非呼吸系统疾病183例儿童为对照组，对病例组AR患儿及家长发放相关问卷进行调查，问卷收回后录入数据库，进行统计分析，对两组进行相关因素分析。结果变应性鼻炎患儿的年龄大多分布在学龄前期（3~7岁），占45.4%（83/183）；有90.7%（166/183）的AR患儿合并哮喘；183例患儿中32.8%（60/183）有药物过敏史，52.5%（96/183）有家族过敏史；家族过敏史、接触花粉和湿疹是AR的主要危险因素。结论有家族过敏史、湿疹史和长期接触花粉的儿童易患AR。早期预防和治疗AR有可能预防哮喘的发生。
목적：료해인동변응성비염（AR）적발병특점급위험인소，위기조기림상진단화치료제공지도。방법채용병례대조연구방법，선취2009년1월지2010년12월학진적183례AR환인위병례조，병선취동기비호흡계통질병183례인동위대조조，대병례조AR환인급가장발방상관문권진행조사，문권수회후록입수거고，진행통계분석，대량조진행상관인소분석。결과변응성비염환인적년령대다분포재학령전기（3~7세），점45.4%（83/183）；유90.7%（166/183）적AR환인합병효천；183례환인중32.8%（60/183）유약물과민사，52.5%（96/183）유가족과민사；가족과민사、접촉화분화습진시AR적주요위험인소。결론유가족과민사、습진사화장기접촉화분적인동역환AR。조기예방화치료AR유가능예방효천적발생。
Objective To understand the clinical features and risk factors of allergic rhinitis(AR) in children,in order to provide guidance for early diagnosis and treatment. Methods A total of 183 children with AR,who received treatment in the hos-pital from January 2009 to December 2010,were selected as case group by cases-control study;meanwhile another 183 children without disease of respiratory system were selected as control group. The related questionnaires were issued among the patients and patients in the case group for investigation. After returning,the results were entered into the database and analyzed statistically. Relative factors analysis in the two groups was conducted. Results The age of children with AR were mainly distributed in pre-school age(3-7 years old),accounting for 45.4%(83/183);90.7%(166/183) of the children with AR was combined with asthma;among the 183 patients,32.8%(60/183) of which had a history of drug allergy,and 52.5%(96/183) had a family history of aller-gies. Family history of allergy,exposure to pollen and eczema were major risk factors for AR. Conclusion The children,who have family history of allergy,history of eczema and long-term exposure to pollen,are susceptible to AR, and early prevention and treatment of AR can prevent the occurrence of asthma.