本文選題：鼻炎 + 變應(yīng)性��； 參考：《吉林大學(xué)》2011年碩士論文

【摘要】：目的探討15歲及以下兒童變應(yīng)性鼻炎(allergic rhinitis, AR)患者的臨床表現(xiàn),誘因,伴發(fā)癥,家族史及生活質(zhì)量情況,分析不同年齡段臨床特點(diǎn),為提高兒童AR患者的綜合診療提供臨床依據(jù)。 方法2008年6月至2010年6月對(duì)148例確診為兒童AR患者進(jìn)行問(wèn)卷調(diào)查及鼻腔�？茩z查,100分制視覺(jué)模擬量表(visual analogue scale, VAS)作為癥狀調(diào)查量表評(píng)價(jià)癥狀的嚴(yán)重程度,將所調(diào)查對(duì)象分組為-6歲學(xué)齡前兒童組(A組,n=43)、-15歲學(xué)齡兒童組(B組,n=105),單個(gè)樣本各癥狀嚴(yán)重程度橫向?qū)Ρ葴p小主觀因素后對(duì)兩組癥狀特點(diǎn)進(jìn)行比較,應(yīng)用SPSS13.0完成統(tǒng)計(jì)分析。 結(jié)果兒童AR患者中噴嚏、鼻涕、鼻堵、鼻癢的發(fā)生率分別為89.19%(132/148)、93.24%(138/148)、91.89%(136/148)、73.65%(109/148),眼癢、充血、腫脹、流淚的發(fā)生率分別為79.73%(118/148)、41.89%(62/148)、22.30%(33/148)、41.22%(61/148),憋氣、喘息、咳嗽、胸部壓迫感發(fā)生率分別為12.84%(19/148)、5.41%(8/148)、47.30%(70/148)、4.05%(6/148)。A組患兒以鼻堵為最嚴(yán)重癥狀發(fā)生率高于B組,差異具有統(tǒng)計(jì)學(xué)意義(x2=29.194,P0.05),噴嚏、鼻癢兩組間無(wú)明顯差異(x2=0.464,x2=0.046,P0.05),B組以鼻涕為最嚴(yán)重癥狀發(fā)生率高于A組,差異有統(tǒng)計(jì)學(xué)意義(x2=16.904,P0.05),伴發(fā)眼部癥狀發(fā)生率者兩組間無(wú)差異(x2=0.086,P0.05),伴發(fā)咳嗽癥狀發(fā)生率A組高于B組,差異有統(tǒng)計(jì)學(xué)意義(x2=12.277,P0.05)。分型分析表明A組以輕度間歇性AR為主,B組以中重度持續(xù)性為主,差異具有統(tǒng)計(jì)學(xué)意義(x2=22.644,x2=26.515,P0.05)。148例患兒中認(rèn)為長(zhǎng)期感冒、被動(dòng)吸煙、家庭裝修、氣候、環(huán)境變化為AR誘因者分別為22.30%(33/148),0%(0/148),5.41%(8/148),16.22%(24/148),3.38%(5/148),其他4.73%(7/148),無(wú)明顯誘因者47.96%(71/148)。父母一方或雙方有過(guò)敏史者11.47%(17/148)。因AR癥狀影響睡眠質(zhì)量者66.22%(98/148),難于集中注意力者占62.16%(92/148)。 結(jié)論6歲及6歲以下兒童AR與6歲以上兒童AR臨床表現(xiàn)特點(diǎn)不相同,獲得了兒童AR伴發(fā)癥狀、誘因等臨床資料,為提高兒童AR綜合診療水平提供參考。
[Abstract]:Objective to investigate the clinical manifestation, inducement, associated disease, family history and quality of life of children aged 15 years or younger with allergic rhinitis (ARG), to analyze the clinical characteristics of different age groups, and to provide clinical basis for improving the comprehensive diagnosis and treatment of children with AR.Methods from June 2008 to June 2010, 148 children with AR were investigated by questionnaire and nasal examination. Visual analogue scale (vas) was used to evaluate the severity of symptoms.The subjects were divided into group A (group A) and group B (group B). The symptom characteristics of each group were compared by SPSS13.0.There was no difference in the incidence of ocular symptoms between the two groups. The incidence of cough symptoms in group A was higher than that in group B, and the difference was statistically significant.Type analysis showed that mild intermittent AR was dominant in group A and moderate to severe persistence in group B, and the difference was statistically significant in 148 children with chronic cold, passive smoking, family decoration and climate, and the difference was statistically significant in 148 cases of children with chronic cold, passive smoking, family decoration, and climate.One or both parents had a history of allergies.Those with AR symptoms affected sleep quality by 98 / 148, and those with difficulty concentrating accounted for 62.16 / 92 / 148.Conclusion the clinical manifestations of AR in children aged 6 and below are different from those in children over 6 years of age. The clinical data such as symptoms and inducements of AR in children are obtained, which provides a reference for improving the comprehensive diagnosis and treatment level of AR in children.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2011
【分類號(hào)】：R765.21

【共引文獻(xiàn)】

中國(guó)博士學(xué)位論文全文數(shù)據(jù)庫(kù) 前1條

1 錢迪;變應(yīng)性鼻炎綜合診治研究[D];重慶醫(yī)科大學(xué);2008年

中國(guó)碩士學(xué)位論文全文數(shù)據(jù)庫(kù) 前8條

1 趙昌謀;大蒜素穴位注射治療變應(yīng)性鼻炎的實(shí)驗(yàn)研究[D];新疆醫(yī)科大學(xué);2008年

2 朱麗敏;銀杏葉提取物對(duì)有遺傳過(guò)敏傾向臍血Th1Th2免疫狀態(tài)的影響[D];重慶醫(yī)科大學(xué);2008年

3 韓勇;石河子市區(qū)三年級(jí)小學(xué)生變應(yīng)性鼻炎的流行病學(xué)調(diào)查研究[D];新疆醫(yī)科大學(xué);2008年

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6 崔忠濤;新疆地區(qū)維吾爾族、漢族變應(yīng)性鼻炎患者HLA-DRB1，，DQB1基因多態(tài)性分析[D];新疆醫(yī)科大學(xué);2010年

7 高榮莉;青島地區(qū)變應(yīng)性鼻炎流行病學(xué)調(diào)查研究[D];青島大學(xué);2012年

8 付敬敏;西寧地區(qū)變應(yīng)性鼻炎患病情況及其相關(guān)因素分析[D];青海大學(xué);2012年

本文編號(hào)：1731473