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乌鲁木齐市学龄前儿童变应性鼻炎与父母、妊娠及婴幼儿期室内环境有害因素暴露的病例对照研究。

Parental, gestational, and early-life exposure to indoor environmental hazardous factors on allergic rhinitis among preschool children in Urumqi City: a case-control study.

机构信息

Shanghai University of Medicine & Health Sciences, School of Nursing & Health Management, Shanghai, China.

The Fifth Affiliated Hospital of Xinjiang Medical University, Department of Neurology, Urumqi, China.

出版信息

J Pediatr (Rio J). 2023 Jul-Aug;99(4):348-354. doi: 10.1016/j.jped.2022.09.005. Epub 2023 Jan 27.

DOI:10.1016/j.jped.2022.09.005
PMID:36716791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10373157/
Abstract

OBJECTIVE

Allergic rhinitis (AR) is a disease associated with impaired quality of life and heredity. This study aimed to investigate the association of allergic rhinitis in preschool children with exposure to indoor environment-related factors early in life.

METHODS

In August 2019, the authors implemented a study among 2020 preschool children in Urumqi City using a case-control design. The study included parental reports for the occurrence of AR in children, parental history of respiratory disease, and indoor environmental correlates of maternal exposure from 1 year prior to pregnancy until the child's age of 0-1 year.

RESULTS

Mode of birth (cesarean section) (OR = 1.31, 95% CI = 1.02∼1.67), father with AR (OR = 2.67, 95% CI = 2.08∼3.44), mother with AR (OR = 3.70, 95% CI = 2.88∼4.74), mother with asthma (OR = 3.11, 95% CI = 1.18∼8.20), and mother with newly purchased furniture in the parents' residence during pregnancy (OR = 1.49, 95% CI = 1.03∼2.14) were risk factors for AR in children.

CONCLUSIONS

The focus of allergic rhinitis should be on children with a family history of AR and asthma and cesarean delivery. Primary prevention efforts for AR in preschool children are avoiding exposure of children to indoor environmental hazardous factors early in life.

摘要

目的

变应性鼻炎(AR)是一种与生活质量受损和遗传有关的疾病。本研究旨在探讨学龄前儿童变应性鼻炎与生命早期暴露于室内环境相关因素之间的关系。

方法

2019 年 8 月,作者采用病例对照设计,对乌鲁木齐市 2020 名学龄前儿童进行了研究。研究包括儿童 AR 的发生情况、父母的呼吸道疾病史以及母亲从怀孕前 1 年到孩子 0-1 岁期间的室内环境相关因素。

结果

分娩方式(剖宫产)(OR=1.31,95%CI=1.02∼1.67)、父亲患有 AR(OR=2.67,95%CI=2.08∼3.44)、母亲患有 AR(OR=3.70,95%CI=2.88∼4.74)、母亲患有哮喘(OR=3.11,95%CI=1.18∼8.20)和母亲在怀孕期间父母住所内新购买家具(OR=1.49,95%CI=1.03∼2.14)是儿童患 AR 的危险因素。

结论

应关注有 AR 和哮喘家族史以及剖宫产的儿童的变应性鼻炎。预防学龄前儿童 AR 的主要措施是避免儿童生命早期暴露于室内环境有害因素。

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[Relationship between full flowering stages of anemophilous and ligneous plants and consultation rate of allergic rhinitis].[风媒木本植物盛花期与变应性鼻炎就诊率的关系]
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