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儿童张口呼吸及相关危险因素的调查研究

发表时间:2018-03-15  浏览量:1277  下载量:337
全部作者: 雷晓静,任卫萍,郭昱,刘承灵,栗震亚
作者单位: 兰州大学口腔医学院;甘肃省人民医院口腔正畸科
摘 要: 目的:了解儿童张口呼吸情况及相关危险因素,为家长和临床医生及时发现、正确认识及干预张口呼吸提供一定指导。方法:采取分层整群随机抽样方法,于兰州市城关区选取的2所小学及2所幼儿园中共抽取1 012名儿童作为调查对象。主要采用现场集中对儿童家长发放自制问卷的调查方法。结果:存在张口呼吸的儿童402人(42.9%),性别、年龄方面无差异。儿童俯卧睡姿时(59.4%)张口呼吸发生率高于仰卧、侧卧和混合方式(P=0.008);肥胖儿童(53.7%)相比正常、超重和低体重儿童更容易出现张口呼吸(P=0.036);患有哮喘、鼻炎或鼻窦炎、慢性扁桃体炎、腺样体肥大的儿童相比未患病儿童也易出现张口呼吸(P<0.01)。Logistic回归分析发现,俯卧睡姿、肥胖、哮喘、鼻炎或鼻窦炎、腺样体肥大是张口呼吸的危险因素。结论:兰州市城关区儿童张口呼吸发生率较高,应该引起社会及家长的高度关注;同时提示临床医生可以从相关危险因素方面着手干预儿童张口呼吸。
关 键 词: 口腔医学;张口呼吸;儿童;回归分析;危险因素
Title: Investigation on the situation of mouth breathing and its related dangerous factors in children
Author: LEI Xiaojing, REN Weiping, GUO Yu, LIU Chengling, LI Zhenya
Organization: School of Stomatology, Lanzhou University; Department of Orthodontics, Gansu Provincial Hospital
Abstract: Objective: To describe the status of mouth breathing and explore its related dangerous factors in children, and provide scientific reference for parents and clinicians of timely detection, correct understanding and intervention on mouth breathing. Methods: Taking the stratified random cluster sampling method, a total of 1 012 children were selected from 2 primary schools and 2 kindergartens in Chengguan district of Lanzhou city. The investigation method of self-made questionnaire to parents of children was mainly distributed by field concentration. Results: 402 children had mouth breathing (42.9%) with no differences on gender and age. When sleeping in prone position (59.4%), the incidence of mouth breathing was higher than that of supine, lateral and mixed ways (P=0.008). Obese children (53.7%) were more likely to have mouth breathing than normal, overweight and low weight children (P=0.036). Asthma, rhinitis or sinusitis, chronic tonsillitis and adenoid hypertrophy in children were susceptible to achieve mouth breathing (P<0.01). Logistic regression analysis was discovered that the prone position, obesity, asthma, rhinitis or sinusitis, adenoid hypertrophy were risk factors for mouth breathing. Conclusion: The prevalence of mouth breathing is very high in children in Chengguan district of Lanzhou city, and much attention should be paid on it. At the same time, clinicians could intervene in mouth breathing of children from related dangerous factors.
Key words: stomatology; mouth breathing; child; regression analysis; dangerous factors
发表期数: 2018年3月第5期
引用格式: 雷晓静,任卫萍,郭昱,等. 儿童张口呼吸及相关危险因素的调查研究[J]. 中国科技论文在线精品论文,2018,11(5):450-456.
 
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