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预防医学  2016, Vol. 28 Issue (9): 896-898,902    
  论著 本期目录 | 过刊浏览 | 高级检索 |
不同家庭控烟方式对婴幼儿可替宁水平和急性呼吸道感染的影响
林楚君, 徐武秀, 徐武敏, 张凤飞
温州医科大学附属第二医院儿童感染科,浙江温州325027
A study on the effect of different family tobacco control patterns on cotinine level and acute respiratory infections among infants
LIN Chu-jun, XU Wu-xiu, XU Wu-min, ZHANG Feng-fei
Department of Pediatrics, the 2nd Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027, China
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摘要 目的 研究不同家庭控烟方式对婴幼儿可替宁水平和急性呼吸道感染(ARI)的影响。方法 选择300名居家婴幼儿为研究对象,根据家庭控烟方式分为严格控烟组97人、部分控烟组88人和未控烟组115人,测量尿可替宁水平,并进行为期1年的前瞻性随访,记录随访期间ARI发生情况。结果 严格控烟组可替宁的平均水平为(0.45±0.21) μg/L,明显低于部分控烟组(1.01±0.49) μg/L和未控烟组(1.16±0.48) μg/L (P<0.05),但部分控烟组与未控烟组比较差异无统计学意义(P>0.05)。严格控烟组下呼吸道感染发生率为18.75%,明显低于部分控烟组的32.18%和未控烟组的37.72%(P<0.05);上呼吸道感染次数、下呼吸道感染次数在三组间分别作比较,差异均有统计学意义(P<0.01)。严格控烟组发生上、下呼吸道感染的比例明显低于部分控烟组和未控烟组(P<0.05),但部分控烟组与未控烟组的上、下呼吸道感染的发生比例比较,差异均无统计学意义(P>0.05)。结论 室内严格禁烟有助于减少婴幼儿被动吸烟和ARI的发生。
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林楚君
徐武秀
徐武敏
张凤飞
关键词 控烟婴幼儿可替宁急性呼吸道感染    
AbstractObjective To explore the effect of differentfamily tobacco controlpatterns on cotinine level and acute respiratory infections amonginfants.Methods A total of 300 infants were included, and were divided into 3 groups based on the tobacco control patterns: strictlytobacco-controlled group(97 cases), partlytobacco-controlledgroup(88 cases) and tobacco-uncontrolled group(115 cases).Urinary cotinine was measured in all participants. All participants were prospectively followed-up for 1 year, and the incidence of acute respiratory infections was recorded during the follow-up. Results The cotinine level of strictly tobacco-controlled group [0.45±0.21(μg/L)] was significantly lower than the other two groups[1.01±0.49(μg/L), 1.16±0.48(μg/L),P<0.05], and no significant differences were detected between the partly tobacco-controlled group and tobacco-uncontrolled group. The incidence of lower respiratory tract infection, not the upper respiratory tract infections, was significant different among the 3 groups (strictlytobacco-controlled group: 18.75%; partlytobacco-controlledgroup: 32.18%; tobacco-uncontrolled group: 37.72%)(P<0.05). The number of upper respiratory tract infections and lower respiratory tract infections was significantly different among the three groups. The difference was significant between strictly tobacco-controlled group and partly tobacco-controlled groupand between strictly tobacco-controlled group and tobacco-uncontrolled group (P<0.05). Conclusion Strict tobaccocontrol could reduce the prevalence of passive smoking and the incidence of respiratory infections amonginfants.
Key wordsTobaccocontrol    Infants    Cotinine    Acute respiratory infection
收稿日期: 2015-12-29          
中图分类号:  R725.6  
通信作者: 林楚君,E-mail: wz19683@sina.com   
作者简介: 林楚君,本科,主管护师,主要从事儿科感染护理工作
引用本文:   
林楚君, 徐武秀, 徐武敏, 张凤飞. 不同家庭控烟方式对婴幼儿可替宁水平和急性呼吸道感染的影响[J]. 预防医学, 2016, 28(9): 896-898,902.
LIN Chu-jun, XU Wu-xiu, XU Wu-min, ZHANG Feng-fei. A study on the effect of different family tobacco control patterns on cotinine level and acute respiratory infections among infants. Preventive Medicine, 2016, 28(9): 896-898,902.
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http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I9/896
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