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目的:探讨儿童支气管哮喘与肥胖的相关性。方法:选取瑞安市人民医院2015年1月-2016年6月期间收治的支气管哮喘患儿62例,按照BMI分为肥胖组和正常组。观察患儿肥胖发生情况、咳嗽和呼吸急促发生情况,两组患儿肺功能指标变化及BMI与肺功能相关性。结果:62例支气管哮喘患儿根据BMI结果显示,其中肥胖患儿26例、发生率为41.94%;两组患儿咳嗽和呼吸急促发生率比较差异无统计学意义(P>0.05);肥胖组患儿FEV1、PEF、FEF 25%~75%、FEF 75%~85%,均低于正常组,且差异具有统计学意义(P<0.05);支气管哮喘患儿BMI与FEV1、PEF、FEF 25%~75%、FEF 75%~85%呈负相关。结论:儿童支气管哮喘与肥胖密切相关,且BMI与肺功能呈负相关。
Objective: To investigate the correlation between childhood bronchial asthma and obesity. Methods: Sixty-two children with bronchial asthma admitted from January 2015 to June 2016 in Ruian People’s Hospital were selected and divided into obesity group and normal group according to BMI. To observe the incidence of obesity in children, cough and shortness of breath, changes in lung function indexes and the correlation between BMI and pulmonary function in both groups. Results: According to the results of BMI in 62 cases of children with bronchial asthma, the incidence of cough and shortness of breath was no significant difference between the two groups (26 cases, 41.94%) (P> 0.05) The FEV1, PEF, FEF in children with FEV1, PEF, FEF 75% ~ 85%, were lower than the normal group, and the difference was statistically significant (P <0.05); BMI in children with bronchial asthma and FEV1, PEF, FEF 25 % ~ 75%, FEF 75% ~ 85% was negatively correlated. Conclusion: Children with bronchial asthma and obesity are closely related, and BMI and lung function was negatively correlated.