Allergic rhinitis, School-age childrenThe quality of life,"/> <span style="font-size:14px;line-height:2;">过敏性鼻炎儿童发病情况及其生活质量的</span><span style="font-size:14px;line-height:2;">调查研究</span><span style="font-size:14px;line-height:2;"></span>
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发育医学电子杂志  2022, Vol. 10 Issue (2): 132-136    DOI: 10.3969/j.issn.2095-5340.2022.02.009
  生长发育   论著 |
过敏性鼻炎儿童发病情况及其生活质量的调查研究
安家 李霞 李霄梦 李秋平
1. 解放军总医院第七医学中心儿科医学部 儿童门急诊,北京 100700;2. 出生缺陷防控关键技术国家工程实验室,北京100700;3. 儿童器官功能衰竭北京市重点实验室,北京 100700;4. 锦州医科大学附属第三医院 儿科,辽宁 锦州 121000)
Investigation on the incidence and quality of life in children with allergic rhinitis
An Jia, Li Xia, Li Xiaomeng,et al
1. Department of Pediatric Outpatient and Emergency,Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital, Beijing 100700,China; 2. National Engineering Laboratory for Birth Defects Prevention and Control of Key Technology,Beijing 100700, China; 3. Beijing Key Laboratory of Pediatric Organ Failure, Beijing 100700, China; 4.Department of Pediatric, The Third Affiliated Hospital of Jinzhou Medical University, Jinzhou 121000,Liaoning, China
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摘要 【摘要】 目的  调查过敏性鼻炎儿童发病情况及其生活质量,为防治该疾病提供参考。 方法 采用整群抽样法选取辽宁锦州地区5 所学校3 600 名学龄儿童,由调查人员进行过敏性鼻炎问卷调查,统计患病率。由家长填写“儿童生存质量测定量表”,并评估过敏性鼻炎儿童的生活质量。统计学方法采用t检验、χ2 检验。 结果  有效问卷数为3 560 份,经调查发现,过敏性鼻炎发病例数248 例,占6.97%(248/3 560);轻度过敏性鼻炎142 例,中- 重度过敏性鼻炎106 例,男、女过敏性鼻炎占比率比较,差异无统计学意义(P>0.05)。生活质量评分:过敏性鼻炎组与无过敏性鼻炎组儿童学校表现[ (76.2±6.4)与(82.5±6.0)分] 、社会功能[(84.1±5.4)与(90.0±6.1)分]、生理功能[(85.1±5.4)与(89.5±5.5)分]与情感功能[(79.0±6.5)与(83.1±6.7)分]比较,过敏组均低于无过敏性鼻炎组(t
值分别为16.033,14.636,12.174,9.444,P 值均<0.05)。中- 重度与轻度过敏性鼻炎组学校表现[(72.6±4.3)与(80.1±5.0)分]、社会功能[ (80.4±6.0)与(85.5±6.4)分]、生理功能[ (81.1±5.4)与(86.0±5.4)分]与情感功能[(74.0±6.6)与(80.6±6.4)分]比较,中- 重度组均低于轻度过敏性鼻炎组(t值分别为12.333,6.808,7.106,7.899,P均<0.05)。中- 重度过敏性鼻炎组成绩表现优率[7.5%(8/106)与20.4%(29/142)低于轻度过敏性鼻炎组,差率[24.5%(26/106)与12.0%(17/142)]高于轻度过敏性鼻炎组,睡眠打鼾发生率[20.8%(22/106)与8.5%(12/142)]高于轻度过敏性鼻炎组,注意力不集中[22.6%(24/106)与12.7%(8/142)]、起床困难[18.8%
(20/106)与9.2%(13/142)]、症状令人烦恼发生率[20.8%(22/106)与9.2%(13/142)]高于轻度过敏性鼻炎组,差异有统计学意义(χ2 值分别为6.945,5.829,6.762,4.964,8.971,P 值均<0.05)。Spearman 相关性分析,过敏性鼻炎与生活质量呈负相关,病情程度越高,生活质量越差(r=-0.542,P=0.024)。 结论 学龄儿童存在较高的过敏性鼻炎发生比例,病情越重,儿童生活质量越差,临床及家长需要重视过敏性鼻炎的防治、干预。
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关键词:  过敏性鼻炎  学龄儿童  生活质量    
Abstract: 【Abstract】 Objective To investigate the incidence of allergic rhinitis in children and explore the changes of their quality of life, provide reference for preventing the disease. Method A total of 3 600 school-agechildren from 5 schools in the Jinzhou region of Liaoning were selected by cluster sampling. Allergic rhinitisquestionnaires were conducted by investigators, the prevalence rate was counted, and the child quality of lifescale was filled by parents. The quality of life of children with allergic rhinitis was evaluated. t test, χ2 testwere used for statistical method. Result The investigation showed that there were 248 cases of allergicrhinitis from 3 560 valid questionnaires, accounting for 6.97% (248/3 560); 142 cases of mild allergic rhinitis,106 cases of moderate-severe allergic rhinitis, and the proportions of male and female allergic rhinitis werecompared, there was no statistically significant difference (P>0.05). The school performance[(76.2±6.4)vs(82.5±6.0) points], social functions [(84.1±5.4) vs (90.0±6.1) points], physiological functions[(85.1±5.4) vs (89.5±5.5) points] and emotional functions [(79.0±6.5) vs (83.1±6.7) points] of the casesin life quality score in the allergic rhinitis group were lower than those of the non-allergic rhinitis group(t=16.033, 14.636, 12.174, 9.444, all P<0.05). The school performance [(72.6±4.3)vs (80.1±5.0) points],social functions [(80.4±6.0) vs (85.5±6.4) points], physical functions [(81.1±5.4) vs (86.0±5.4) points]and emotional functions [(74.0±6.6) vs (80.6±6.4) points] in the moderate-severe group were lower thanthose of the mild group (t=12.333, 6.808, 7.106, 7.899, all P<0.05); The excellent performance rate [7.5%(8/106) vs 20.4% (29/142) in the moderate-severe group was lower than those of the mild group. The badperformance rate [24.5% (26/106) vs 12.0% (17/142) in the moderate-severe group was higher than that of themild group. The incidence of sleep snoring [20.8% (22/106) vs 8.5%(12/142)] in the moderate-severe groupwas higher than that of the mild allergic rhinitis group, and the incidences of inattention [22.6% (24/106)vs 12.7% (8/142)], difficulty getting up [18.8% (20/106) vs 9.2% (13/142)], and troublesome symptoms[20.8% (22/106) vs 9.2% (13/142)] were higher than those of the mild allergic rhinitis group, and there wasstatistically significant difference(χ2=6.945, 5.829, 6.762, 4.964, 8.971, all P<0.05). Spearman correlationanalysis showed that allergic rhinitis was negatively correlated with quality of life. The higher the severity ofallergic rhinitis, the worse the quality of life (r=-0.542, P=0.024). Conclusion There is a high proportionof allergic rhinitis in school-age children, and the more severe the disease, the worse the quality of life ofchildren. Clinicians and parents need to pay attention to the prevention and treatment of allergic rhinitis and intervention.
Key words:  Allergic rhinitis')" href="#">Allergic rhinitis    ')" href="#"> School-age children     The quality of life
收稿日期:  2021-04-25                     发布日期:  2022-03-31     
通讯作者:  李秋平    E-mail:  zhjhospital@163.com
引用本文:    
安家 李霞 李霄梦 李秋平. 过敏性鼻炎儿童发病情况及其生活质量的调查研究[J]. 发育医学电子杂志, 2022, 10(2): 132-136.
An Jia, Li Xia, Li Xiaomeng, et al. Investigation on the incidence and quality of life in children with allergic rhinitis. Journal of Developmental Medicine(Electronic Version), 2022, 10(2): 132-136.
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