摘要:目的: 观察RSV毛细支气管炎发生哮喘的发生率、影响因素及吸入激素治疗的预防效果。方法:对1999年11月至2003年3月期间在我院住院的217例RSV毛细支气管炎患儿进行回顾性分析。结果:217例RSV毛细支气管炎患儿中,22例进展为哮喘,哮喘发生率为10.1%。其中急性期症状控制后继续吸入皮质激素6个月组哮喘发生率为2.9%(2/69), 吸入3个月组为6.7%(5/75),急性期症状控制后不作任何干预组为20.5%(15/73)。三组比较差异有非常显著性意义(x2=13.64，P <0.01)。自身过敏体质、接触过敏原、家族遗传性疾病史、父母吸烟的患儿哮喘发生率较无以上因素的患儿高(P <0.05或0.01)。结论: RSV毛细支气管炎易发展为哮喘,应尽量避免高危因素、早期防治。局部吸入糖皮质激素能有效预防RSV毛细支气管炎日后哮喘的发生。

    关键词: 毛细支气管炎; 哮 喘; 糖皮质激素

    Analyzing the Related Factors of Asthma in Children with Respiratory Syncytial Virrus Bronchiolitis

    LV Liang , LIU Jian -ying, et al

    (Centrak Hospitak of Chengde City， Hebei Chengde 067000 ，China)

    Abstract: Objective: To study the incidence, related factors and the preventing effect after inhaling glucocorticoid in asthma children with respiratory syncytial virrus bronchiolitis (RSV ).Method:We reviewed the 217 datas of the children from Nov.1999 to Mar.2003 in our hospital.Result:In all 217 cases , 22 cases were with asthma ,the incidence was 10.1%.Those were inhaled glucocorticoid arfter 6 monthes ,3 monthes and without interference in the acute period were respectively 2.9﹪(2/69),6.7﹪(5/75),20.5﹪(15/73) ......