吸烟与儿童哮喘的相关性研究.docVIP

吸烟与儿童哮喘的相关性研究 　　[摘要] 目的 探讨二手烟与儿童哮喘的关系。 方法 选择2012年2~5月在广州市妇女儿童医疗中心呼吸科接受治疗的80例哮喘患儿（哮喘组）和保健科门诊80名健康儿童（对照组）作为研究对象。其中，哮喘组患儿年龄为1~14岁，均符合《儿童支气管哮喘诊断与防治指南》（2008年版）标准，对照组由同期来医院保健科门诊就诊的年龄1~14岁的健康儿童中随机抽取所得。所有接受调查的儿童家长或监护人在签署了知情同意书后，采用问卷调查法进行调查，结果采用χ2检验和多因素非条件Logistic回归进行分析。 结果 哮喘组被动吸烟的比例明显高于对照组，哮喘组家居霉斑较对照组明显少，差异均有统计学意义（P 0.05）。另外，环境香烟烟雾的暴露与哮喘相关只是在男孩中发现（P 0.05）。 结论 作为医务工作者除了在哮喘发生后给予相应的药物治疗外，应对患儿及其家长进行哮喘教育，增加他们的健康相关知识，使其懂得避免危险因素的接触，尤其是环境香烟烟雾的暴露，主动采取预防措施，将危害降到最低。 　　[关键词] 环境香烟烟雾；二手烟；儿童；哮喘 　　[中图分类号] R725[文献标识码] A[文章编号] 1673-7210（2014）06（a）-0116-03 　　 　　Study on relationship between second hand smoking and pediatric asthma 　　WU Peiqiong1 LING Rujuan1 DENG Li1 GUO Suhua2 　　1.Department of Respiration, Guangzhou Women and Childrens Medical Center, Guangdong Province, Guangzhou 510623, China; 2.Department of Pediatrics, Guangdong Maternal and Child Care Service Centre, Guangdong Province, Guangzhou 510010, China 　　[Abstract] Objective To investigate the risk relationship between second-hand smoking and pediatric asthma. Methods 80 children with asthma from Department of Respiration in Guangzhou Women and Childrens Medical Center between February and May in 2012 were chosen as the treatment group and 80 children without asthma as the control group. Among them, the treatment group patients were between 1 year and 14 years old, conforming to the standard of Children Bronchial Asthma Diagnosis and Treatment Guidelines (2008 edition). Children in the control group were also aged between 1 to 14, who were randomly chosen from those coming to see the doctor in the Department of Health Care in the same period. All the parents or custodians were surveyed by questionnaire after signing the informed consent. The results were analyzed via chi-square statistics and multi-factor unconditioned Logistic regression analysis. Results The proportion of second-hand smoking in the treatment group was obviously higher than that in the control group; home furnishing mildew index of the treatment