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Gautam Kumar1, Saroj Kumar Tripathy2, Sarthak Das3
1MBBS student, All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
乙酸性喘是儿童中最常见的喘类型,过敏性鼻炎是常见的并发症. 疹在非酸性喘内型中显著更高.
科学领域:
- 儿科肺病学 儿科肺病学
- 过敏和免疫学 过敏和免疫学
- 临床医学 临床医学
背景情况:
- 儿童喘表现出多样化的内型,影响临床表现和管理.
- 了解酸性与非酸性喘的患病率和特征对于向治疗至关重要.
- 伴随性疾病经常与儿科喘并存,可能会影响疾病的严重程度和结果.
研究的目的:
- 确定儿科患者中疹性和非疹性 (NEA) 喘内型的比例.
- 为了在儿童中比较乳酸性喘 (EA) 和NEA内型之间的临床,实验室和并发症概况.
- 在儿科队列中识别与每个喘内型相关的特定并发症.
主要方法:
- 一项横截面研究包括150名儿童 (5-14岁) 在印度东部确诊喘.
- 评估完整的血液图,绝对乙酸细胞计数 (AEC),IgE和肺功能测试.
- 根据全球喘倡议 (GINA) 的指导方针记录喘并发症和管理患者.
主要成果:
- 乙酸性喘占病例的88.7%,而非乙酸性喘占11.3%.
- 过敏性鼻炎 (59.3%) 是最常见的并发症,其次是感冒 (42%) 和焦虑 (26.7%).
- 疹与NEA内型 (OR4.0;P=0.02) 的相关性显著更高,而早产也与NEA相关.
结论:
- 乙酸性喘是研究的儿科人口中占主导地位的内型.
- 过敏性鼻炎是与儿科喘相关的最常见的并发症.
- 虽然大多数并发症相似,但疹在非酸性喘内型中明显更为普遍.
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