【摘要】 目的探讨家居环境因素对封开地区农村儿童哮喘控制的影响情况。方法选取2014年6月至2014年12月在封开县慢性病防治站门诊诊治的179例农村哮喘患儿为病例组,按1∶1配对选择同时期同群体非呼吸系统和(或)合并哮喘等疾病179例为对照组。采用自制的调查问卷调查与儿童哮喘相关的因素,收集数据应用SPSS17.0软件进行单因素和非条件多因素Logistic回归分析。结果单因素分析结果显示,居住条件情况(周围有工厂、邻近公路、儿童同房人数、人均居住面积小、客厅或儿童卧室漏水发霉)和家庭生活方式(儿童被动吸烟、饲养宠物、绒毛玩具)的比例,病例组明显高于对照组,差异均有统计学意义(P<0.05)。非条件多因素Logistic回归模型显示,居住地邻近公路、人均居住面积小、房间拥挤、客厅或儿童卧室发霉、儿童被动吸烟和饲养宠物是本农村地区诱发哮喘的主要家居环境危险因素,其OR值分别为4.234、5.966、7.045、4.855、4.023和0.488。结论多种家居环境因素均会对儿童哮喘的控制产生不利影响,但采取一些控制家居环境因素手段的组合将有利于更好地控制儿童哮喘发生或发作。更多还原

【Abstract】 Objective To investigate the impact of home-based environmental factors on children’s asthma in Fengkai rural areas.Methods A case-control study was conducted in rural children,179 children with asthma who were diagnosed in outpatient department of the station from June2014 to December 2014 were selected as case group,the ill children without respiratory tract diseases during the same period were selected as control group.The related factors of children’s asthma were studied using unified questionnaire survey,the data were analyzed by univariate analysis and multivariate Logistic regression analysis with SPSS17.0.Results Univariate analysis showed living conditions(around the factory,near highway,number of children in the same room,small per capita living space,leaking moldy of living room or children’s bedroom)and family life style(passive smoking,raising animals,plush toys)in case group were significantly higher than those in control group(P<0.05).No-conditional multiple Logistic regression model showed near highway,small per capita living space,crowded rooms,leaking moldy of living room or children’s bedroom,passive smoking and raising animal were significantly related to children’s asthma with values of 4.234,5.966,7.045,4.855,4.023,0.488,respectively.ConclusionMany home-based environmental factors can have adverse effects on children’s asthma control,but some control of home-based environmental factors by means of the combination will help us better control of asthmatic occurrence or attack.更多还原