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6岁以下学龄前儿童过敏性鼻炎的危险因素、致敏原分布及相关脱敏干预对策研究
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Risk Factors,Allergen Distribution and Related Desensitization Intervention Strategies for Allergic Rhinitis in Preschool Children Under 6 Years Old
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    摘要:

    目的? 探讨 6 岁以下学龄前儿童过敏性鼻炎的危险因素、致敏原分布情况及干预对策研究。方法? 选取 2017 年 7 月至 2020年 2 月张家港市第三人民医院收治的 6 岁以下学龄前儿童过敏性鼻炎患儿 85 例为观察组,并选择同期在本院进行健康体检的儿童76 例为对照组,均行致敏原调查,分析其危险因素。结果? 85 例过敏性鼻炎患儿中以屋尘螨、花粉、粉尘螨及动物毛为主要吸入性过敏原,牛奶、鸡蛋及虾为主要食入性过敏原;观察组过敏史,哮喘史,父、母患过敏性鼻炎,流动人口,饲养宠物所占比例高于对照组,每日开窗通风及经常打扫、经常体育锻炼所占比例低于对照组(P < 0.05)。经 Logistic 分析,过敏史、哮喘史、流动人口、饲养动物及父、母患过敏性鼻炎为过敏性鼻炎发生的危险因素(OR > 1,P < 0.05);经常体育锻炼及每日开窗通风及经常打扫为过敏性鼻炎发生的保护因素(OR < 1,P < 0.05)。结论? 6 岁以下学龄前儿童过敏性鼻炎患者以屋尘螨、花粉为主要过敏原,且过敏史、哮喘史、流动人口、饲养宠物及父、母患过敏性鼻炎为其发生的危险因素,经常体育锻炼及每日开窗通风及经常打扫为保护因素。

    Abstract:

    Objective? To investigate the risk factors,allergen distribution and intervention countermeasures for allergic rhinitis in preschool children under 6 years of age. Methods? Totally 85 children under 6 years old preschool children with allergic rhinitis who were admitted to the Third People's Hospital of Zhangjiagang City from July 2017 to February 2020 were selected as the observation group,and 76 children who underwent health examination in the same The Third People's Hospital of Zhangjiagang City during the same period were selected as the control group,all of whom underwent allergen investigation and analysis of their risk factors. Results? Among 85 cases of patients with allergic rhinitis,house dust mite,pollen,dust mites and animal hair were the main inhalation allergens,and milk,eggs and shrimp were the main ingestive allergens. The allergic history,history of asthma,parental and maternal allergic rhinitis,floating population,and pets were higher in the observation group than in the control group. The proportion of daily window ventilation and frequent cleaning and regular physical exercise was lower than that of the control group(P<0.05).Logistic analysis showed that allergic history,history of asthma,floating population,feeding animals,and allergic rhinitis in fathers and mothers were risk factors for allergic rhinitis(OR>1,P<0.05);Regular physical exercise and daily window ventilation and frequent cleaning were protective factors for allergic rhinitis(OR<1,P<0.05). Conclusion? Allergic rhinitis in preschool children under 6 years old is dominated by house dust mites and pollen,and allergic history,history of asthma,floating population,pets,and allergic rhinitis in fathers and mothers are the risk factors,physical exercise and daily window ventilation and frequent cleaning are protective factors.

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  • 在线发布日期: 2021-09-14
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