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 ›› 2018, Vol. 10 ›› Issue (3): 210-212.doi: 10.3969/j.issn.1674-3865.2018.03.008

• 临床研究 • 上一篇    下一篇

小儿呼吸道异物术前发生急性呼吸功能不全的危险因素分析

黄敏，彭湘粤，陶礼华，赵斯君，李赟，胡彬雅，赵东吉慧，匡玉婷   

  1. 410007长沙，湖南省儿童医院耳鼻咽喉-头颈外科
  • 出版日期:2018-06-25 发布日期:2018-11-19
  • 通讯作者: 赵斯君，E-mail：zhaosj3991@ sohu.com
  • 作者简介:黄敏（1977-），女，医学硕士，副主任医师。研究方向：小儿耳鼻咽喉-头颈外科疾病的诊治
  • 基金资助:
    湖南省科技厅资助项目（2016K3025）；湖南省卫生和计划生育委员会资助项目（2015-123）

Risk factors of acute respiratory dysfunction in children with respiratory foreign bodies before operation

HUANG Min, PENG Xiangyue, TAO Lihua, ZHAO Sijun, LI Yun, HU Binya, ZHAO Dongjihui, KUANG Yuting   

  1.  Department of Otorhinolaryngology, Head and Neck Surgery, Hunan Children's Hospital, Changsha 410007, China
  • Online:2018-06-25 Published:2018-11-19

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摘要：
目的
探究小儿呼吸道异物术前发生急性呼吸功能不全的危险因素。
方法
选择2011年1月至2016年12月湖南省儿童医院耳鼻咽喉头颈外科收治的并发呼吸功能不全的呼吸道患儿100例为研究对象，为观察组。同期选择未出现呼吸功能不全的呼吸道异物患儿100例作为对照组，收集所有患儿的临床资料，对患儿出现急性呼吸功能不全的危险因素进行单因素及Logistic多因素回归分析。
结果
经过单因素及Logistic多因素回归分析发现，肺炎、发热以及纵隔皮下积气为主要危险因素。
结论
肺炎、发热以及纵隔皮下积气是造成小儿呼吸道异物术前急性呼吸功能不全的主要危险因素，在临床治疗中，需要对患儿的实际情况进行分析，针对患儿的病情以及影响因素来制定预防策略，以此来降低小儿呼吸道异物术前发生急性呼吸功能不全的概率。

关键词: 急性呼吸功能不全, 呼吸道异物术, 危险因素, 儿童

Abstract:
Objective
To investigate the risk factors of acute respiratory dysfunction in children with respiratory foreign bodies before operation.
Methods
A total of 100 children with respiratory foreign bodies and respiratory dysfunction were included as the research subjects(the observation group), who received treatment in Hunan Children's Hospital from Jan. 2011 to Dec. 2016. Another 100 children with respiratory foreign bodies but without respiratory dysfunction receiving treatment during the same period of time were chosen as the control group. Their clinical data were collected, and the risk factors of acute respiratory dysfunction were analyzed by single-factor and Logistic multi-factor regression analysis.
Results
Pneumonia, fever and mediastinal subcutaneous pneumatosis were the main risk factors based on the singlefactor and Logistic multi-factor regression analysis.
Conclusion
Pneumonia, fever and mediastinal subcutaneous pneumatosis are the main risk factors of acute respiratory dysfunction in children with respiratory foreign bodies before operation. Therefore, in the clinical treatment, the preventive strategies should be made according to the disease state and the risk factors of the children in order to reduce incidence of acute respiratory dysfunction before operation in children with respiratory foreign bodies.

Key words: Acute respiratory dysfunction, Surgery for respiratory foreign body, Risk factors, Child