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中国临床研究:2021,34(3):346-349
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儿童反复呼吸道感染的影响因素分析
(唐山市协和医院儿科,河北 唐山 063000)
Influencing factors of recurrent respiratory tract infections in children
(Department of Paediatrics,Tangshan Union Medical College Hospital,Tangshan,Hebei 063000,China)
摘要
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投稿时间:2020-08-15   网络发布日期:2021-03-20
中文摘要: 目的 探讨儿童反复呼吸道感染(RRTIs)的危险因素及维生素A、维生素D、维生素E与其的相关性。方法 选取唐山市协和医院2018年9月至2019年9月儿科RRTIs的儿童174例,为RRTIs组;选择同期进行体检的儿童,按照病例对照原则进行1∶1匹配,最终选取174例作为对照组。通过一般人口学资料、血液检查结果进行单因素和多因素Logistic分析。结果 多因素Logistic回归分析显示,户外活动>2 h(OR=0.244,95%CI:0.116~0.514)、维生素A适宜(OR=0.098,95%CI:0.047~0.206)、维生素D适宜(OR=0.360,95%CI:0.143~0.903)、维生素E适宜(OR=0.390,95%CI:0.191~0.797)是儿童RRTIs的保护因素(P<0.05);滥用抗生素(OR=4.533,95%CI:2.385~8.615)是儿童RRTIs的危险因素(P<0.05)。结论 RRTIs患儿可通过饮食摄入足够的维生素A、维生素D、维生素E,每日增加户外活动时间2 h以上,避免滥用抗生素,以降低呼吸道感染的发病率。
Abstract:Objective To investigate the risk factors of recurrent respiratory tract infections (RRTIs) in children and the correlation between vitamin A,vitamin D and vitamin E and RRTIs. Methods A total of 174 children with RRTIs in Tangshan Union Medical College Hospital from September 2018 to September 2019 were selected as observation group.According to the principle of 1[DK]∶1 matched case-control study,174 children undergoing physical examination were selected as control group at the same time.Univariate and multivariate Logistic analysis were performed on the general demographic data and blood test results to study the risk factors of RRTIs. Results Logistic regression analysis showed that outdoor activities for more than 2 hours (OR=0.244,95% CI:0.116-0.514),suitable vitamin A (OR=0.098,95% CI:0.047-0.206),suitable vitamin D (OR=0.360,95% CI:0.143-0.903),suitable vitamin E (OR=0.390,95% CI:0.191-0.797) were the preventing factors of RRTIs in children (all P<0.05).Antibiotic abuse (OR=4.533,95% CI:2.385-8.615) was the risk factor of RRTIs in children (P<0.05). Conclusion The incidence rate of RRTIs in children can be reduced by adequate intake of vitamin A,vitamin D and vitamin E,outdoor activity for more than 2 h per day and avoiding abuse of antibiotics.
文章编号:     中图分类号:    文献标志码:B
基金项目:河北省卫生健康委员会项目(20191633)
引用文本:
胡丹,邢佳,李霞,高志华,张全新.儿童反复呼吸道感染的影响因素分析[J].中国临床研究,2021,34(3):346-349.

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