社区早期干预对婴儿湿疹发病率影响研究.docVIP

社区早期干预对婴儿湿疹发病率影响研究 　　[摘要] 目的 探讨社区早期干预对婴儿湿疹发病率的影响。 方法 选择93例有过敏性疾病家族史且脐血IgE1 IU/ml的高风险婴儿作为研究对象，随机分为干预组（48例）和对照组（45例）。干预组给予饮食、环境、护理等影响因素的综合干预，对照组采用常规护理和健康教育。比较两组的婴儿湿疹发病率及两组照顾者的湿疹相关知识合格率。 结果 干预组的湿疹发病率14.58%，显著低于对照组的51.11%，差异有统计学意义（P0.01）。干预组照顾者在饮食、抚触方面的湿疹知识知晓率显著高于对照组，差异有统计学意义（P0.01）。 结论 饮食、护理的社区早期干预可以降低高风险婴儿的湿疹发病率，是预防高风险婴儿发生过敏性疾病的有效初级干预措施。 　　[关键词] 婴儿；湿疹；早期干预 　　[中图分类号] R758.23 [文献标识码] A [文章编号] 1674-4721（2015）02（a）-0180-03 　　Influence research of early intervention in the community on incidence of infant eczema 　　LUO Ling-ying LI Qiu-ling NI Jia-lu YANG Liu-qing 　　Department of Outpatient，the Second People′s Hospital of Panyu District in Guangzhou City，Guangzhou 511430，China 　　[Abstract] Objective To explore the influence of early intervention in the community on incidence of infant eczema. Methods 93 infants with family history of allergic diseases and umbilical cord blood IgE1 IU/ml were selected and randomly divided into the intervention group（48 cases） and the control group（45 cases）.The intervention group was given early comprehensive intervention，including environment，diet and nursing.The control group was given routine nursing and health education.The incidence of infant eczema and the awareness rate of eczema related knowledge of caregiver in two groups was compared. Results The incidence of infant eczema in the intervention group was 14.58%，which was lower than 51.11% in the control group，with significant difference（P0.01）.The awareness rate of eczema related knowledge in diet，touching aspects of caregiver in the intervention group was higher than that in the control group，with significant difference（P0.01）. Conclusion Early intervention of diet and nursing care in the community can reduce the eczema incidence of the high risk infant，which is effective primary prevention interventions in high-risk infants allergic diseases. 　　[Key words] Infant；Eczema；Early intervention 　　婴儿湿疹是婴儿期最常见的皮肤病之一，在出生后2～3个月内就可出现。文献报道，婴儿湿疹具有发病率、复发率双高的特点。林立等[1]的研究显示，出生后6个月内的婴儿湿疹发