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目的分析151例小儿慢性咳嗽的发病影响因素。方法以151例慢性咳嗽患儿为观察组,以150例健康儿童为对照组。参照Faniran慢性咳嗽评估问卷调查两组患儿的一般资料、居住环境及父母情况;在发病影响因素[性别、年龄、体质量指数(BMI)、有无新生儿期痰鸣、室内是否有墙壁霉斑、室内通风状况、卫生清洁周期是否≥3次/周、室内灰尘程度、父母有无过敏史、父母有无吸烟史]分析上先予以单因素分析,对单因素分析中差异有统计学意义(P≤0.05)的变量予以多因素非条件Logistic回归分析。结果单因素分析结果显示,BMI、新生儿期痰鸣、室内通风状况、卫生清洁周期是否≥3次/周、室内灰尘程度、父母吸烟史均是影响小儿慢性咳嗽发病的重要因素(P<0.05)。多因素分析结果显示,新生儿期痰鸣、室内通风状况差、室内灰尘多及父母有吸烟史均是影响小儿慢性咳嗽发病的高危因素(P<0.05)。结论新生儿期痰鸣、室内通风状况差、室内灰尘多及父母有吸烟史易增加小儿慢性咳嗽的发病风险。
Objective To analyze the influencing factors of the incidence of chronic cough in 151 children. Methods 151 cases of chronic cough children as observation group, 150 healthy children as control group. According to the Faniran Chronic Cough Assessment Questionnaire, the general information, living environment and parents’ condition of two groups of children were analyzed. According to the factors influencing the onset of the disease (gender, age, body mass index (BMI), phlegm in neonatal period, Spot, indoor ventilation, sanitary cleaning cycle is ≥ 3 times / week, the degree of indoor dust, parents have no history of allergies, parents have no history of smoking] analysis was first univariate analysis of univariate analysis, the difference was statistically significant (P≤0.05) were analyzed by multivariate non-conditional logistic regression analysis. Results The results of univariate analysis showed that BMI, neonatal phlegm, indoor ventilation, hygienic cleaning cycle ≥ 3 beats / week, indoor dust level and smoking history were all important factors affecting children with chronic cough (P <0.05 ). Multivariate analysis showed that neonatal phlegm, poor ventilation, indoors dust and smoking history were the risk factors for children with chronic cough (P <0.05). Conclusion Neonatal phlegm, poor ventilation, indoor dust and parents have a history of smoking is easy to increase the risk of chronic cough in children.