Kang Xue, Tu Hailuo, Tian Tengfei, Huang Zhiqun, Luo Liping, Shen Li, Ye Jing
Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Nanchang University, Nanchang, China.
Department of Otorhinolaryngology Head and Neck Surgery, Xinjian District People's Hospital of Nanchang, Nanchang, China.
Int J Pediatr Otorhinolaryngol. 2019 Mar;118:47-52. doi: 10.1016/j.ijporl.2018.12.015. Epub 2018 Dec 14.
Risk factors in relation to allergic rhinitis (AR) remain unclear despite considerable interest. This study aimed to analysis the relationship between home environment and diseases in early life and AR.
In a case-control survey, 242 AR patients and 258 healthy persons responded to questionnaires designed to capture pre-pregnancy/pregnancy diseases, maternal medication usage, diseases in early life of participants, family allergic history and home environmental factors. Forty risk factors potentially connected with AR were investigated and analyzed with chi-square test and logistic regression.
There was no correlation between mother's disorders such as periodontitis, chronic rhinitis, diabetes etc. and AR (p > 0.05). A logistic regression analysis showed that neonatal jaundice (p < 0.001), respiratory system infection (p < 0.001), diarrhea (p < 0.01), eczema (p < 0.01) in the early life and home environmental factors such as house decoration (p < 0.01), mold environment (p < 0.001), keeping flowers and plants (p < 0.001), passive smoking (p < 0.01) were associated with AR.
Diseases in early life and home environment are closely associated with AR.
尽管人们对变应性鼻炎(AR)相当关注,但其相关危险因素仍不明确。本研究旨在分析家庭环境与早期生活中的疾病及AR之间的关系。
在一项病例对照研究中,242例AR患者和258名健康人对旨在获取孕前/孕期疾病、母亲用药情况、参与者早期生活中的疾病、家族过敏史和家庭环境因素的问卷进行了回复。对40个可能与AR相关的危险因素进行调查,并采用卡方检验和逻辑回归分析。
母亲的疾病如牙周炎、慢性鼻炎、糖尿病等与AR之间无相关性(p>0.05)。逻辑回归分析显示,早期生活中的新生儿黄疸(p<0.001)、呼吸系统感染(p<0.001)、腹泻(p<0.01)、湿疹(p<0.01)以及家庭环境因素如房屋装修(p<0.01)、霉菌环境(p<0.001)、养花种草(p<0.001)、被动吸烟(p<0.01)均与AR相关。
早期生活中的疾病和家庭环境与AR密切相关。