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儿童支气管异物发病率的季节相关性及因果分析

Seasonal correlation and causal analysis of the incidence of bronchial foreign bodies in children.

作者信息

Xiaowei Sun, Jianji Zhang, Li Zhao, Liang Zhao Qiu, Li Shi, Zhongtao Gai, Chunhong Duan

机构信息

Otolaryngology of Qilu Children's Hospital of Shandong University, Jinan, Shandong 250022, China; Otolaryngology of Qilu Hospital of Shandong University, Jinan, Shandong 250022, China.

Otolaryngology of Qilu Children's Hospital of Shandong University, Jinan, Shandong 250022, China.

出版信息

Int J Pediatr Otorhinolaryngol. 2014 Oct;78(10):1567-70. doi: 10.1016/j.ijporl.2014.03.017. Epub 2014 May 22.

Abstract

OBJECTIVE

To explore the seasonal correlation of the incidence of bronchial foreign body.

METHOD

Conduct retrospective analysis on clinical data of 1819 cases with bronchial foreign bodies in our hospital within an eight-year period (from January 2005 to January 2012), with cases classified into 12 groups by admission time (calculated by the Gregorian calendar in months, from January to December) and 4 groups by the Gregorian calendar in seasons (spring from March to May, summer from June to August, autumn from September to November, and winter from December to February), and observe whether the number of inpatients indicates any monthly or seasonal correlation.

RESULTS

The months of November and December indicated the highest number of inpatients, with 263 cases and 274 cases, which accounted for 12.7% and 13.2% of all reported cases, respectively. On the other hand, June and July had the lowest number of inpatients, with 96 cases and 75 cases, which accounted for 4.6% and 3.6%, respectively. Based on season, 749 cases were admitted in autumn, accounting for 35.1%; 636 cases were admitted in winter, accounting for 29.8%; 474 cases were admitted in spring, accounting for 22.2%; and 275 cases were admitted in summer, accounting for 12.9%. The number of inpatients was periodic, with 12 months as a cycle, and significant difference (P<0.01) was determined by comparing the numbers of inpatients in winter and spring and those in summer and spring.

CONCLUSIONS

The number of child in patients with bronchial foreign bodies is monthly periodic, with 12 months as a cycle, and respectively reaching the peak in November and December, and the valley in June and July; the seasonal characteristic was apparently related to the monthly characteristic, with the numbers of inpatients in autumn and winter each year being significantly higher than in the spring and summer, and the incidence showing apparent seasonal correlation. The results allow for the proposal of relevant precautionary measures against bronchial foreign bodies in children.

摘要

目的

探讨支气管异物发病率的季节相关性。

方法

对我院8年间(2005年1月至2012年1月)1819例支气管异物患者的临床资料进行回顾性分析,按入院时间(按公历月份计算,1月至12月)将病例分为12组,按公历季节分为4组(3月至5月为春季,6月至8月为夏季,9月至11月为秋季,12月至次年2月为冬季),观察住院人数是否存在月度或季节相关性。

结果

11月和12月住院人数最多,分别为263例和274例,各占报告病例总数的12.7%和13.2%。另一方面,6月和7月住院人数最少,分别为96例和75例,各占4.6%和3.6%。按季节划分,秋季入院749例,占35.1%;冬季入院636例,占29.8%;春季入院474例,占22.2%;夏季入院275例,占12.9%。住院人数呈周期性,以12个月为一个周期,通过比较冬季与春季、夏季与春季的住院人数,差异有统计学意义(P<0.01)。

结论

支气管异物患儿住院人数呈月度周期性,以12个月为一个周期,分别在11月和12月达到高峰,6月和7月为低谷;季节特征与月度特征明显相关,每年秋冬季节住院人数明显高于春夏季节,发病率呈现明显的季节相关性。该结果有助于提出针对儿童支气管异物的相关预防措施。

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