ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (5): 454-456.doi: 10.3969/j.issn.1674-3865.2017.05.030

• 调查研究 • 上一篇    下一篇

环境烟草烟雾暴露对儿童哮喘控制的影响

冯庆国，凌万里，唐建东，洪怡   

  1. 215500 江苏 常熟，常熟市中医院儿科
  • 出版日期:2017-10-25 发布日期:2017-12-18
  • 通讯作者: 冯庆国，E-mail：view1997@sina.com
  • 作者简介:冯庆国（1972-），男，副主任医师。研究方向：小儿呼吸系统疾病的诊治

Impact of environmental tobacco smoke on the control of pediatric asthma

FENG Qingguo,LING Wanli,TANG Jiandong,HONG Yi   

  1. Changshu TCM Hospital,Changshu 215500,China
  • Online:2017-10-25 Published:2017-12-18

PDF (PC)

130

摘要：
目的
探讨有无环境烟草烟雾暴露对儿童哮喘控制的影响。
方法
2012年1月至12月常熟市中医院儿科门诊首次确诊轻至中度支气管哮喘患儿80例，按是否有暴露因素分为无暴露组（家庭中无吸烟者，且来访者也主动放弃在患儿家中吸烟）38例和暴露组（在家属中存在吸烟者，且在家中有不同程度的吸烟情况）42例。患儿确诊哮喘后按《儿童支气管哮喘诊断与治疗指南》进行规范化治疗。首次确诊哮喘后第1个月、第3个月、第6个月为必须复诊时间，复诊时均进行哮喘控制测试（C-ACT）问卷调查。比较两组治疗后6个月哮喘患儿C-ACT评分。
结果
治疗6个月后暴露组完全控制率为47.6%（20/42），显著低于无暴露组76.3%（29/38），差异有统计学意义（P<0.05）。
结论
环境烟草烟雾暴露对儿童哮喘的控制起到了至关重要的影响，避免烟草烟雾暴露是儿童哮喘防治中的重点。

关键词: 哮喘, 烟草烟雾暴露, 儿童

Abstract:
Objective
To explore the impact of environmental tobacco smoke on control of pediatric asthma.
Methods
A total of 80 children with mild to moderate bronchial asthma, who were first diagnosed in Changshu TCM Hospital from Jan. 2012 to Dec. 2012,were divided into two groups: no-exposure group(no smokers in the family, and visitors stopped smoking at their house,38 children),and exposure group(there were family members who smoked in their house,42 children).These children received standardized treatment after being diagnosed according to the Guideline to Diagnosis and Treatment of Pediatric Bronchial Asthma. They were required to visit doctors respectively at one month,3 months and 6 months after first diagnosis, and complete the questionnaire of child asthma control test(C-ACT).Compare the C-ACT scores between the two groups after 6 months of treatment.
Results
The complete control rate of exposure group was 47.6%(20/42) after 6 months of treatment, significantly lower than that of no-exposure group(76.3%，29/38)，the difference being statistical(P<0.05).
Conclusion
Environmental tobacco smoke has a significant impact on pediatric asthma control. Avoiding exposure to environmental tobacco smoke is the key to the prevention and cure of pediatric asthma.

Key words: Asthma, Tobacco smoke exposure, Child