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在南圣卡塔琳娜大学综合教育医学诊所接受治疗的过敏性鼻炎儿科患者的生活质量

Quality of Life in Pediatric Patients with Allergic Rhinitis treated at the Medical Clinic of Integrated Education - Unisul.

作者信息

Dziekanski Mariana, Marcelino Taíse de Freitas

机构信息

Medical School, Campus Tubarão Ringgold Standard Institution, Universidade do Sul de Santa Catarina - Unisul, Tubarão, SC, Brazil.

Otorhinolaryngology, Medical School, Unisul, Tubarão, SC, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2017 Oct;21(4):371-376. doi: 10.1055/s-0037-1599095. Epub 2017 Mar 15.

Abstract

Allergic rhinitis is a common disease among children and adolescents, reaching up to 40% of the population. During childhood, it is usually underdiagnosed because it has nonspecific symptoms. It has a negative impact on quality of life and may predispose to comorbidities. The diagnosis is clinical and treatment aims prevention.  The objective of this study is to evaluate the quality of life in pediatric patients with allergic rhinitis. This is an observational study with cross-sectional design. The population consisted of pediatric patients with allergic rhinitis treated at the Medical Clinic of Integrated Education (MCIE) - Universidade do Sul de Santa Catarina - Unisul, Tubarão, SC, Brazil. We collected data from March to June 2016 through the application of the Sociodemographic and Health Questionnaire, rhinitis module of the International Study of Asthma and Allergies in Childhood Questionnaire and the Rhinoconjunctivitis Quality of Life Questionnaire Modified.  Out of the 69 respondents, 52.2% were boys with a mean age of 10.13 years old. The predominant education level of parents/guardians was incomplete second grade and average income level was two minimum wages. 81.2% said they had previous treatment for AR, 30.4% had asthma and 7.2% eczema. Incidence of patients smoking was absent and family (parents/guardians) smoking was 17.4%. March to July were the months of highest symptom occurrence, slightly disturbing daily activities. The mean value of severity was 51.9, nasal symptoms were the most uncomfortable, and nasal itchiness was the most cited.  Our results highlight that allergic symptoms negatively impact the life of people with allergic rhinitis, with a predominance of nasal symptoms, especially nasal itchy, representing a poor quality of life of the interviewed.

摘要

变应性鼻炎是儿童和青少年中的常见疾病,发病率高达40%。在儿童期,由于其症状不具特异性,该病通常诊断不足。它对生活质量有负面影响,并可能引发合并症。诊断依靠临床症状,治疗旨在预防。 本研究的目的是评估变应性鼻炎患儿的生活质量。 这是一项采用横断面设计的观察性研究。研究对象为在巴西南圣卡塔琳娜大学南圣卡塔琳娜综合教育医学诊所(MCIE)接受治疗的变应性鼻炎患儿,该诊所位于巴西南圣卡塔琳娜州图巴朗市。我们于2016年3月至6月期间,通过应用社会人口学与健康调查问卷、儿童哮喘与变应性疾病国际研究问卷的鼻炎模块以及改良的鼻结膜炎生活质量问卷来收集数据。 在69名受访者中,52.2%为男孩,平均年龄为10.13岁。父母/监护人的主要教育水平为小学二年级未毕业,平均收入水平为两份最低工资。81.2%的受访者表示他们之前接受过变应性鼻炎治疗,30.4%患有哮喘,7.2%患有湿疹。患者中无人吸烟,家庭(父母/监护人)吸烟率为17.4%。3月至7月是症状出现最多的月份,对日常活动稍有干扰。严重程度的平均值为51.9,鼻部症状最令人不适,鼻痒是提及最多的症状。 我们的研究结果表明,过敏症状对变应性鼻炎患者的生活有负面影响,其中鼻部症状最为突出,尤其是鼻痒,这表明受访者的生活质量较差。

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本文引用的文献

1
Allergic Rhinitis in Children: A Randomized Clinical Trial Targeted at Symptoms.儿童过敏性鼻炎:一项针对症状的随机临床试验
Indian J Otolaryngol Head Neck Surg. 2014 Dec;66(4):386-93. doi: 10.1007/s12070-014-0708-4. Epub 2014 Feb 11.
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Prevalence of rhinitis among 6 and 7-year old students in Fortaleza.福塔莱萨6至7岁学生的鼻炎患病率。
Rev Assoc Med Bras (1992). 2014 Jul;60(4):357-64. doi: 10.1590/1806-9282.60.04.0015.
3
Allergic rhinitis quality of life in urban children with asthma.哮喘城市儿童变应性鼻炎生活质量。
Ann Allergy Asthma Immunol. 2014 Apr;112(4):365-70.e1. doi: 10.1016/j.anai.2014.02.002. Epub 2014 Feb 28.
9
Impact of allergic rhinitis in school going children.过敏性鼻炎对学龄儿童的影响。
Asia Pac Allergy. 2012 Apr;2(2):93-100. doi: 10.5415/apallergy.2012.2.2.93. Epub 2012 Apr 30.

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