Objective To investigate the risk factors for children asthma in Baoji city. Method A two-stage stratified cluster random sampling survey methods was used to select 1 029 children under 14 years old from Jintai district,Weibin district and Chencang district in Baoji city for investigating on risk factors of children asthma,χ2 test and non-conditional Logistic Regression were used to analyse factors of asthma. Results Univariate analysis showed that the personal history of drug allergy,family history of allergies,cesarean section,room decoration,etc,27 factors at total were statistically significant (P<0.05);Multivariate unconditional logistic regression analysis presented that in the case of no cold or flu,children had sneezing,runny nose,nasal congestion,nasal itching or eye itching phenomenon,and repeated skin itching or joint flexor side rash,allergic rhinitis,allergic symptoms or similar allergies after eating some foods,caesarean,plus protein food within six months,history of using antibiotics,room wall using paint,doors and windows were made from plastic steel,coolingwith natural ventilation in summer,feculae bombycis pillow were independent risk factors for asthma (P<0.05 );Heater useing in winter heating,ventilation or cooling using fans in summer and down duvets were protective factors of asthma (P<0.05). Conclusion There are many risk factors of childhood asthma,children with asthma should avoid exposuring to risk factors,breastfeed was recommended for infants under 6 months;It is great significance for the prevention and control of children asthma.
Key words
asthma /
children /
risk factors
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Sy HY,Ko FW,Chu HY,et al.Asthma and bronchodilator responsiveness are associated with polymorphic markers of ARG1,CRHR2 and chromosome 17q21[J].Pharmacogenet Genomics,2012,22(7):517-524.
[2] 陈敏慧,江伟健.近8年中国儿童哮喘与室内空气污染、呼吸道感染和母乳喂养的病例对照研究Meta分析[J].中国儿童保健杂志,2011,19(9):837-840.
[3] 李上淼,李绍锦,胡伟国,等.诱发儿童哮喘的家庭环境危险因素分析[J].中国妇幼保健,2012,27(18):2772-2774.
[4] 金岩,张丽颖.国内儿童哮喘流行病学调查的回归分析[J].中华中医药学刊,2012,30(6):1399-1401.
[5] 中华医学会儿科学会呼吸学组.儿童支气管哮喘诊断与防治指南[J].中华儿科杂志,2008,46(10):745-753.
[6] Zhang Q,Illing R,Hui CK,et al.Bacteria in sputum of stable severe asthma and increased airway wall thickness[J].Respir Res,2012,13(4):35.
[7] 金哲,王金凤,李红,等.北京地区儿童生活方式、免疫状态及ORMDL3基因SNPs与哮喘发生的相关性研究[J].医学研究杂志,2010,39(11):21-24.
[8] 罗茂红,来则民,王栋,心身因素与儿童哮喘关系的研究[J].中国心理卫生杂志,2001,16(1):58-59.
[9] Schatz M,Zeiger RS.Telephone-based environmental control interventions in asthmatic patients:what are patients willing to do?[J].Ann Allergy Asthma Immunol,2012,109(2):99-102.
[10] Wolff PT,Arison L,Rahajamiakatra A,et al.High asthma prevalence and associated factors in urban malagasy schoolchildren[J].J Asthma,2012,49(6):575-580.