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评估变应性鼻炎对泰国学生生活质量的影响。

Evaluating the impact of allergic rhinitis on quality of life among Thai students.

作者信息

Sapsaprang Siwaporn, Setabutr Dhave, Kulalert Prapasri, Temboonnark Panipak, Poachanukoon Orapan

机构信息

Department of Pediatrics, Thammasat University, Bangkok, Thailand.

Department of Otolaryngology-Head and Neck Surgery, Thammasat University, Chulabhorn International College of Medicine, Bangkok, Thailand.

出版信息

Int Forum Allergy Rhinol. 2015 Sep;5(9):801-7. doi: 10.1002/alr.21540. Epub 2015 Apr 21.

Abstract

BACKGROUND

The prevalence of allergic rhinitis (AR) in Thailand continues to rise. We report the prevalence and evaluate its impact upon quality of life (QoL) in students on a metropolitan campus.

METHODS

From March 2013 to February 2014, 222 students from Thammasat University Medical School were evaluated using the International Study of Asthma and Allergies in Childhood Questionnaire (ISAAC) questionnaire and the rhinoconjunctivitis QoL questionnaire (Rcq-36) to assess subjective symptoms. Those students with clinical symptoms of AR underwent skin prick testing (SPT) using 5 common allergens found in Thailand. The association between AR and QoL was then determined using a paired t test.

RESULTS

A total of 222 students were enrolled in the study; 86 (38.7%) were men. There were 183 (81.9%) students with AR symptoms and 130 (71.4%) students with positive results for SPT. The students' QoL as defined by the Rcq-36 revealed a significant worsening in students who self-reported rhinitis symptoms within the past 12 months. Compared to the non-AR group, in those with AR, eye symptoms were significantly more common.

CONCLUSION

The prevalence of AR at a college campus was 58.5%. The presence of rhinitis symptoms was the highest predictor of the presence of AR, with 67.7% having subsequent positive SPT. Students with AR had poorer scores in every dimension of QoL as defined by the Rcq-36 when compared to their non-AR counterparts. Educational performances among the 2 groups were unaffected.

摘要

背景

泰国过敏性鼻炎(AR)的患病率持续上升。我们报告了一所大都市校园内学生中AR的患病率,并评估了其对生活质量(QoL)的影响。

方法

2013年3月至2014年2月,对泰国法政大学医学院的222名学生使用儿童哮喘和过敏国际研究问卷(ISAAC问卷)及鼻结膜炎生活质量问卷(Rcq-36)进行评估,以评估主观症状。那些有AR临床症状的学生使用在泰国发现的5种常见过敏原进行皮肤点刺试验(SPT)。然后使用配对t检验确定AR与QoL之间的关联。

结果

共有222名学生参与了该研究;其中86名(38.7%)为男性。有183名(81.9%)学生有AR症状,130名(71.4%)学生SPT结果为阳性。Rcq-36所定义的学生生活质量显示,在过去12个月内自我报告有鼻炎症状的学生生活质量显著恶化。与非AR组相比,AR组学生眼部症状明显更常见。

结论

大学校园内AR的患病率为58.5%。鼻炎症状的存在是AR存在的最强预测因素,67.7%的有鼻炎症状者随后SPT呈阳性。与非AR的同龄人相比,AR学生在Rcq-36所定义的生活质量的各个维度上得分更低。两组学生的学业表现未受影响。

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