【摘要】 目的 探讨哮喘控制不良患儿的影响因素，为预防对策的制定提供参考。方法 回顾性分析2020年1月—2022年2月我院收治的125例哮喘患儿的临床资料，按照哮喘控制情况分为控制组(哮喘控制良好者)46例和未完全控制组(哮喘控制不佳者)79例，对两组患者的一般情况和临床资料进行比较，并通过多因素Logistic回归分析影响哮喘控制的危险因素。结果 两组患儿年龄、鼻炎情况、尘螨过敏情况、呼吸道感染情况、吸入糖皮质类固醇(ICS)治疗依从性、母亲教育水平、疾病严重程度比较有显著差异(χ~2=4.830～20.928,P<0.05);多因素Logistic回归分析显示，年龄≤6岁、鼻炎、尘螨过敏、呼吸道感染、ICS治疗依从性差、母亲教育水平低、重度哮喘是影响哮喘控制的危险因素(P<0.05)。结论 年龄、鼻炎、尘螨过敏、呼吸道感染、ICS治疗依从性、母亲教育水平、哮喘严重程度均为影响哮喘患儿控制的危险因素，临床上需加强对以上因素的干预，以改善哮喘患儿的控制质量。更多还原

【Abstract】 Objective To investigate the factors affecting poor asthma control in children, and to provide a reference for preventive strategies. Methods The clinical data of 125 children with asthma who were treated in our hospital from January 2020 to February 2022 were retrospectively analyzed. According to the situation of asthma control, the children were divided into good control group(46 cases) and poor control group(79 cases). General information and clinical data were compared between the two groups. Multivariable logistic regression analysis was performed to determine the factors influencing asthma control. ResultsThere were significant differences between the two groups in terms of age, rhinitis, dust mite allergy, respiratory infection, compliance with inhaled corticosteroid(ICS) treatment, maternal education level, and the severity of asthma(χ~2=4.830-20.928,P<0.05). The multivariable logistic regression analysis found that age no more than six years, rhinitis, dust mite allergy, respiratory infection, poor compliance with ICS treatment, low maternal education level, and severe asthma were risk factors for poor asthma control(P<0.05). Conclusion Age, rhinitis, dust mite allergy, respiratory infection, compliance with ICS treatment, maternal education level, and the severity of asthma are factors influencing asthma control in children, which should be well managed to improve asthma control in children.更多还原