目的 通过对容易引起婴幼儿过敏性疾病相关影响因素的研究,为寻求相应有效的预防措施提供依据。方法 选取大连市2014年9月-2015年6月在大连市妇幼保健院儿童保健门诊体检的0～24月龄婴幼儿父母为对象。以问卷调查的方式进行调查研究,运用SPSS 13.0软件对数据进行统计分析。结果 本研究共调查330名婴幼儿,收集完整资料300份。单因素分析结果示:分娩方式、辅食添加时间,喂养方式,孩子接触抽烟环境,孩子接触宠物,孩子接触毛绒玩具,父母有过敏史以及孕期母亲心理压力和孕期接触抽烟环境经统计学分析有意义(P＜0.05)。在多元Logistic回归分析中示:父母有过敏史、添加辅食月龄、孩子接触抽烟环境、喂养方式和孩子接触宠物因素为具有统计学意义的因素(P＜0.05)。结论 父母有过敏史、添加辅食月龄、孩子接触抽烟环境、喂养方式和孩子接触宠物为婴幼儿过敏性疾病最主要的相关因素。
Abstract
Objective To study the factors related to infants allergic diseases,to provide the basis for seeking the effective intervention measures. Methods Parents of 0~24 months infants who taken healthy check-up were chosen as the object between September 2014 and June 2015 in Dalian Maternal and Child Health Care Hospital.A questionnaire survey was conducted,data statistics used the SPSS 13.0 software. Results A total of 330 infants and young children were investigated,300 case completed information collection.The single factor analysis showed:childbirth way,complementary feeding time,feeding way,kids and smoking environment,kids and pets,kids and plush toys,parents have allergies as well as prenatal maternal psychological pressure and environmental exposure to smoking during pregnancy were significant factors by statistical analysis (P<0.05).In the multivariate logistic regression analysis showed:parents have allergies,the months of supplementary food,children's access to smoking environment,feeding Method and kids and pets factors were significant factors (P<0.05). Conclusion Parents have allergy history,the months of supplementary food,children's access to smoking environment,feeding Methods and kids contact pets are the main related factors of infants allergic disease.
关键词
婴幼儿 /
过敏性疾病 /
危险因素
Key words
infants /
allergic disease /
risk factors
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Primary C,Fleischer DM,Sicherer S,et al.Consensus communication on early peanut introduction and the prevention of peanut allergy in high-risk infants s[J].Pediatrics,2015,136(2):258-261
[2] Prescott SL,Smith P,Tang M,et al.The importance of early complementery feeding in the development of oral tolerance:concerns and controversies[J].Pediatris Allergy Immunol,2008,19:375-380.
[3] Dong GH,Wang D,Yang ZH,et a1.Gender-specific differences in effects of prenatal and postnatal environmental tobacco smoke exposure on respiratory symptoms in 23,474 children with and without allergic predisposition:results from 25 districts of northeast China[J].Int J Environ Health Res,2011,21:173-188.
[4] 赵洋,刘玉芹,刘苗苗,等.家养宠物与被动吸烟对儿童呼吸系统疾病及症状影响的交互效应[J].中华儿科杂志,2013,51(2):96-100.
[5] Bergren DR.Environmental tobacco smoke exposure and airway hyperresponsiveness[J].Inflamm Allergy Drug Targets,2009,8:340-347.
[6] Mosconi E,Rekima A,Seitz-Polski B,et al.Breast milk immune complexes are potent inducers of oral tolerance in neonates and prevent asthma development[J].Mucosal Immunol,2010,3(5):461-474.
[7] 刘玉芹,赵洋,刘苗苗,等.母乳喂养与被动吸烟对儿童哮喘及哮喘洋症状的交互作用[J].中华预防医学杂志,2013,47(6):523-528.
[8] 解继胜,邓仕华,李海,等.家养皮毛宠物对儿童哮喘及哮喘样症状影响的流行病学调查[J].中国卫生统计,2010,27(2):161-168.
[9] Kramer MS,Matush L,Bogdanovich N,et al.The low prevalence of allergic disease in Eastern Europe:are risk factors consistent with the hygiene hypothesis?[J].Clin Exp Allergy,2009,39(5):708-716.
[10] Kerkhof M,Wijga AH,Brunekreef B,et al.Effects of pets on asthma development up to 8 years of age:the PIAMA Sttldy[J].Allergy,2009,64(8):1202-1208.
基金
中国疾病预防控制中心妇幼保健中心协作基金项目(2014FY004)
PDF(570 KB)
