伴有共病病理的儿童支气管哮喘的临床、统计学特征及危险因素

Il’ya A. Ulischenko, A. Dmitriyev, R. A. Gudkov, V. I. Pak
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引用次数: 0

摘要

摘要:支气管哮喘是一种常见的慢性疾病,儿童合并病理的存在需要特殊的组织方法来为他们提供医疗护理,不仅要考虑临床特点,还要考虑医学和社会特点。目的:探讨儿童支气管哮喘的社会卫生危险因素及共病病理。材料与方法:为研究合并支气管哮喘患儿的医学和社会危险因素,对其父母进行了社会学调查。这项调查涉及368名被诊断患有支气管哮喘的儿童的父母。为了获得儿童的临床和统计特征,我们选择并分析了主要的医疗文件——病史和门诊卡。这是一项单中心、非随机、非对照研究。结果:发现早期合并病理诊断为支气管哮喘的患儿,后者多为未控制和部分控制的病程。最常见的合并症是呼吸器官(支气管哮喘除外)、消化器官、内分泌系统、饮食失调、代谢紊乱、几种过敏性疾病的组合。在可能影响儿童健康的社会卫生因素中,最常见的是家庭吸烟、低收入和住房条件差。结论:获得的信息可作为制定儿童支气管哮喘一级和二级预防措施的依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and Statistical Characteristics and Risk Factors in Children with Bronchial Asthma Having Comorbid Pathology
INTRODUCTION: The existence of combined pathology in children with such a common chronic disease as bronchial asthma requires special organizational approaches to providing them with medical care, taking into account not only clinical, but also medical and social characteristics. AIM: To study social and hygienic risk factors in children with bronchial asthma and comorbid pathology. MATERIALS AND METHODS: To study medical and social risk factors in children with bronchial asthma with comorbid pathology, a sociological survey of their parents was conducted. The survey involved the parents of 368 children diagnosed with bronchial asthma. To obtain clinical and statistical characteristics of children, primary medical documentation was selected and analyzed — medical histories and outpatient cards. This is a single-center, non-randomized and uncontrolled study. RESULTS: It was found that in children of the early age with comorbid pathology, diagnosed with bronchial asthma, the latter mostly takes uncontrolled and partially controlled course. The most common comorbid diseases are diseases of the respiratory organs (except for bronchial asthma), digestive organs, endocrine system, eating disorders, metabolic disorders, a combination of several diseases of allergic origin. Among the socio-hygienic factors potentially affecting the health of children, the most common were smoking in the family, low income, and poor housing conditions. CONCLUSIONS: The information obtained can serve as the basis for the development of measures for primary and secondary prevention of bronchial asthma in childhood.
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