中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2014年
7期
530-532
,共3页
儿童%支气管哮喘%慢性咳嗽%上呼吸道咳嗽综合征%鼻窦炎%变应性鼻炎
兒童%支氣管哮喘%慢性咳嗽%上呼吸道咳嗽綜閤徵%鼻竇炎%變應性鼻炎
인동%지기관효천%만성해수%상호흡도해수종합정%비두염%변응성비염
Child%Asthma%Chronic cough%Upper airway cough syndrome%Sinusitis%Allergic rhinitis
目的 探讨鼻窦炎患病率在儿童支气管哮喘(哮喘)控制不良因素中的意义.方法 收集湖南省人民医院儿童哮喘专科门诊就诊的支气管哮喘患儿临床资料,选择107例儿童哮喘治疗后仍咳嗽超过4周的患儿作为研究对象,选择同期儿科哮喘专科门诊就诊的105例哮喘初诊患儿作为对照组.结果 1.观察组鼻窦炎发病率为81.3％(87/107例),对照组鼻窦炎发病率为51.4％(54/105例),2组比较差异有统计学意义(x2=21.242,P＜0.05);2.鼻窦炎组患有鼻塞症状的患儿占80.5％(70/87例),非鼻窦炎组为50.0％(10/20例),2组间比较差异有统计学意义(x2=7.997,P＜0.05);3.鼻窦炎组中上颌窦炎发病率最高,为69.2％(74/107例),额窦与蝶窦发生率较低,4组鼻窦均发生炎症的发生率为10.3％(11/107例).4组鼻窦中变应性鼻炎症状出现频率差异无统计学意义(P＞0.05).结论 儿童哮喘规范化治疗后的慢性咳嗽与鼻窦炎及上呼吸道咳嗽综合征有关.
目的 探討鼻竇炎患病率在兒童支氣管哮喘(哮喘)控製不良因素中的意義.方法 收集湖南省人民醫院兒童哮喘專科門診就診的支氣管哮喘患兒臨床資料,選擇107例兒童哮喘治療後仍咳嗽超過4週的患兒作為研究對象,選擇同期兒科哮喘專科門診就診的105例哮喘初診患兒作為對照組.結果 1.觀察組鼻竇炎髮病率為81.3％(87/107例),對照組鼻竇炎髮病率為51.4％(54/105例),2組比較差異有統計學意義(x2=21.242,P＜0.05);2.鼻竇炎組患有鼻塞癥狀的患兒佔80.5％(70/87例),非鼻竇炎組為50.0％(10/20例),2組間比較差異有統計學意義(x2=7.997,P＜0.05);3.鼻竇炎組中上頜竇炎髮病率最高,為69.2％(74/107例),額竇與蝶竇髮生率較低,4組鼻竇均髮生炎癥的髮生率為10.3％(11/107例).4組鼻竇中變應性鼻炎癥狀齣現頻率差異無統計學意義(P＞0.05).結論 兒童哮喘規範化治療後的慢性咳嗽與鼻竇炎及上呼吸道咳嗽綜閤徵有關.
목적 탐토비두염환병솔재인동지기관효천(효천)공제불량인소중적의의.방법 수집호남성인민의원인동효천전과문진취진적지기관효천환인림상자료,선택107례인동효천치료후잉해수초과4주적환인작위연구대상,선택동기인과효천전과문진취진적105례효천초진환인작위대조조.결과 1.관찰조비두염발병솔위81.3％(87/107례),대조조비두염발병솔위51.4％(54/105례),2조비교차이유통계학의의(x2=21.242,P＜0.05);2.비두염조환유비새증상적환인점80.5％(70/87례),비비두염조위50.0％(10/20례),2조간비교차이유통계학의의(x2=7.997,P＜0.05);3.비두염조중상합두염발병솔최고,위69.2％(74/107례),액두여접두발생솔교저,4조비두균발생염증적발생솔위10.3％(11/107례).4조비두중변응성비염증상출현빈솔차이무통계학의의(P＞0.05).결론 인동효천규범화치료후적만성해수여비두염급상호흡도해수종합정유관.
Objective To investigate the prevalence of sinusitis in poorly controlled asthma children.Methods Asthmatic children from the Asthma Specialist Department of Hunan Provincial People's Hospital were selected as the study cases,of which 107 children coughing for more than 4 weeks after treatment were allocated to the research group and 105 newly diagnosed asthmatic children were selected as the control group.Results 1.The CT confirmed sinusitis prevalence was 81.3％ (87/107 cases) in research group and 51.4％ (54/105 cases) in the control group,respectively.The 2 groups were significantly different (x2 ＝ 21.242,P ＜ 0.05).2.The patient complained nasal obstruction in sinusitis group was 80.5％ (70/87 cases) compared to 50.0％ (10/20 cases) in non sinusitis group,and the difference between 2 groups was statistically significant (x2 =7.997,P ＜ 0.05).3.In the research group,69.2％ (74/107 cases) suffered from maxillary sinusitis,61.7％ (66/107 cases) ethmoid sinusitis,14.0％ (15/107 cases) frontal sinusitis,and 30.8％ (33/107 cases) sphenoid sinusitis.All the 4 nasosinus involved was 10.3％ (11/107 cases).The frequency of allergic rhinitis symptoms in 4 groups of sinuses had no significant difference (P ＞ 0.05).Conclusions Chronic cough in poorly controlled asthma children is related to sinusitis and upper airway cough syndrome.
