摘要
目的通过分析上海某三甲儿童医院哮喘患儿康复效果及预后不佳的影响因素,为儿童哮喘的预防和治疗提供参考。方法随机选取2020年1月1日-2023年12月31日在上海某三甲儿童医院门诊就诊的符合纳入标准的200例哮喘患儿为研究对象,根据《儿童支气管哮喘诊断与防治指南(2016年版)》中哮喘患儿预后标准将患儿分为预后良好组138例和预后不良组62例,收集患儿基本信息及患病相关资料,采用单因素方差分析和二元Logistic回归分析哮喘患儿预后不佳的影响因素。结果200例哮喘患儿中预后不良者62例,占31.00%。二元Logistic回归分析结果显示,超重或肥胖、环境暴露、特异性体质、病情严重程度分级较高、急性哮喘发作及维生素D缺乏是哮喘患儿预后不良的危险因素(P<0.05)。结论哮喘患儿预后不良比例处于较高水平,临床应积极关注患儿体重、自身体质、所处环境、病情严重程度、发病缓急及维生素D水平等相关预后影响因素,针对不同患儿情况,及时采取针对性综合干预措施,以改善患儿预后。
Objectives To analyze the influencing factors for poor prognosis and rehabilitation effects of children with asthma in a Three A and Tertiary Children's Hospital in Shanghai from 2020 to 2023,and provide reference for the prevention and treatment of childhood asthma.Methods 200 children with asthma who met the inclusion criteria and treated in A tertiary children's hospital in Shanghai from January 1st,2020 to December 31st,2023 were selected randomly as the research subjects,the prognosis of the children was statistically analyzed.They were divided into a good prognosis group and a poor prognosis group according to the prognostic criteria for children with asthma in the Diagnosis and Treatment Guidelines for Childhood Bronchial Asthma(2016 Edition).Data on the children were collected,including gender,age,age of initial onset,place of residence,overweight or obesity,environmental exposure,specific constitution,severity of the condition,presence of acute asthma attacks,number of respiratory infections within one year,premature birth,mode of delivery,breastfeeding,per capita family income,history of food allergies,rhinitis,family history of asthma,vitamin D nutritional status,etc.Using one-way analysis of variance and binary Logistic regression to analyze the influencing factors of poor prognosis in children with asthma.Results 62 cases had poor prognosis among 200 children with asthma,accounting for 31.00%.The results of binary Logistic regression analysis showed that overweight or obesity,environmental exposure,specific constitution,higher severity grading of the condition,acute asthma attacks and vitamin D deficiency were risk factors for poor prognosis in children with asthma(P<0.05).Conclusions The proportion of poor prognosis in children with asthma was relatively high,clinical attention should be actively paid to prognostic factors,such as the child's weight,physical condition,environment,severity of the disease,onset of the disease,and vitamin D levels.Based on the different situations of pediatric patients,targeted comprehensive intervention measures should be taken in a timely manner to improve the prognosis of children with asthma.
作者
吴平
张佳慧
庄蕾
赵然
胡禕静
Wu Ping;Zhang Jiahui;Zhuang Lei;Zhao Ran;Hu Tingjing(Department of Respiratory,Shanghai Children's Hospital,Shanghai 200062,China;不详)
出处
《中国病案》
2024年第12期70-73,共4页
Chinese Medical Record
基金
上海交通大学“交大之星”计划医工交叉研究基金(YG2021QN113)
2023年度市级医院诊疗技术推广及优化管理项目(SHDC12023622)。
关键词
儿童哮喘
康复效果
预后不良
影响因素
Childhood asthma
Rehabilitation effect
Poor prognosis
Influence factor
