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目的探讨急性下呼吸道感染患儿发生喘息的危险因素。方法对1 165例急性下呼吸道感染患儿的临床资料进行单因素及多因素Logistic回归分析。结果单因素分析显示急性下呼吸道感染患儿的年龄、是否为特应征体质、呼吸道合胞病毒(RSV)、鼻病毒(HRV)感染、性别与喘息发生有关;进一步多因素Logistic回归分析示发病年龄小、特应征体质、RSV、HRV感染、男性为发生急性下呼吸道感染喘息的高危因素。结论对于年龄小、特应征体质、RSV、HRV感染、男性的急性下呼吸道感染患者发生喘息的风险性高,应重点评估及合理控制。
Objective To investigate the risk factors of wheezing in children with acute lower respiratory tract infection. Methods The clinical data of 1 165 children with acute lower respiratory tract infection were analyzed by single factor and multivariate Logistic regression analysis. Results The univariate analysis showed that the age of children with acute lower respiratory tract infection was related to the characteristics of SARS, respiratory syncytial virus (RSV) and rhinovirus (HRV) infection, and gender and wheezing. Further multivariate logistic regression analysis showed that the age at onset Small, extra-trait constitution, RSV, HRV infection, male risk factors for wheezing in acute lower respiratory tract infection. Conclusions The risk of wheezing in acute lower respiratory tract infections in men is high and should be evaluated and controlled reasonably in young patients with special symptoms, RSV and HRV infection.