小儿反复呼吸道感染500例相关危险因素分析

辛静

（陕西榆林市吴堡县医院，陕西 榆林，718299）

浏览次数：152次 下载次数：381次

摘要：

目的 探讨和分析小儿反复呼吸道感染的相关危险因素。方法 选取2010年6月至2015年6月在我院接受临床治疗的500例反复呼吸道感染患儿作为研究组，选取同期在我院进行健康体检的500例健康儿童作为对照组，使用调查问卷分析两组儿童的临床资料。结果 研究组患儿的母孕期患病例数、母孕期被动吸烟例数、剖宫产例数、早产儿例数、营养不良例数、非母乳喂养例数分别为68、125、87、112、46、93 例，均高于对照组健康儿童的20、43、33、31、15、30例，差异具有统计学意义 （P<0.05）；研究组患儿的血液中的铁含量、锌含量、VitA含量、IgG含量分别为（10.98±1.63）mmol/L、（10.42±0.52）mmol/L、（237.25±16.84）mmol/L、（8.76±0.42）g/L，均低于对照组健康儿童的（15.63±2.57）mmol/L、（16.03±2.64）mmol/L、（317.35 ±34.52）mmol/L、（13.06±1.32）g/L，差异具有统计学意义（P<0.05）。结论 小儿反复呼吸道感染相关危险因素有多种，主要和母孕期患病、母孕期被动吸烟、剖宫产、早产儿、营养不良、非母乳喂养以及患儿自身血液中铁、锌、VitA、IgG含量较低有关。

关键词：小儿；反复呼吸道感染；危险因素

中图分类号：R725.6文献标志码：A文章编号：2096-1413(2017)14-0103-02

Related risk factor analysis of 500 children with recurrent respiratory infection
XIN Jing
(Wubu County Hospital, Yulin 718299, China)

ABSTRACT: Objective To analyze the related risk factor in children with recurrent respiratory infection. Methods Five hundred cases of children with recurrent respiratory infection in our hospital from June 2010 to June 2015 were selected as the research group. At the same time, 500 cases of healthy children in our hospital for physical examination were selected as the control group. The clinical data of children of the two groups were analyzed by questionnaire. Results The cases of illness during mother pregnancy, maternal passive smoking during pregnancy, cesarean section, premature, malnutrition, not breast fed of the research group were 68, 125, 87, 112, 46 and 93 cases respectively, which were significant more than 20, 43, 33, 31, 15 and 30 cases of the control group, the difference was statistically significant (P<0.05). The content level of iron,zinc, VitA and IgG in blood of the research group were (10.98±1.63) mmol/L, (10.42±0.52) mmol/L, (237.25±16.84) mmol/L, (8.76±0.42) g/L respectively, which were less than (15.63±2.57) mmol/L, (16.03±2.64) mmol/L, (317.35±34.52) mmol/L, (13.06±1.32) g/L of the control group, the differences were statistically significant (P<0.05). Conclusion The risk factor of children with recurrent respiratory infection include illness during mother pregnancy, maternal passive smoking during pregnancy, cesarean section, premature, malnutrition, not breast fed and lowe content levels of iron, zinc, VitA and IgG in blood.
KEYWORDS: children; recurrent respiratory infection; risk factor

参考文献：
[1] 钟喜标.影响小儿反复呼吸道感染的危险因素研究[J].国际医药卫生导报,2012,18(22):3290-3292.
[2] VAN-DE POL AC,VAN-DER GUGTEN AC, VAN-DER ENT CK, et al.Referrals for recurrent respiratory tract infections including otitis media in young children[J].Int 允 Pediatri Otorhinolaryngology,2013,77 (6):906-910.
[3] 张淑敏,薛玲,庞淑兰,等.小儿反复呼吸道感染危险因素分析[J].中国妇幼保健,2012,27(4):536-538.
[4] PATRIA MF,ESPOSITO S.Recurrent lower respiratory tract infections in children: a practical approach to diagnosis[J]. Paediatr Respir Rev,2013,14(1):53-60.
[5] NAZZARI E,TORRETTA S,PIGNATARO L,et al.Role of biofilm in children with recurrent upper respiratory tract infections[J].Eur J Clin Microbiol Infect Dis,2015,34(3):421-429.
[6] 潘海玲.小儿反复呼吸道感染高危因素的调查与分析[J].临床合理用药杂志,2015,11(27):10-11.
[7] 赵枫.小儿反复呼吸道感染情况及其影响因素调查分析[J].临床医学,2013,33(12):64-65.
[8] 金洪星,李海峰,邹艳,等.学龄前儿童反复呼吸道感染病例对照研究[J].中国公共卫生,2012,28(6):737-739.
[9] 马生清,王金芬,马小梅,等.儿童反复呼吸道感染148例相关因素调查[J].宁夏医学杂志,2013,35(7):641-643.
[10] 李红.坝上地区儿童反复呼吸道感染影响因素分析[J].中国临床研究,2015,28(5):636-638.