The risk of adenoid hypertrophy in children with allergic rhinitis

The risk of adenoid hypertrophy in children with allergic rhinitis
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DOI:
10.1016/s1081-1206(10)62251-x
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发表时间:
2001-10-01
影响因子:
5.9
通讯作者:
Giannoni, C
Giannoni, C
中科院分区:
医学2区
文献类型:
--
作者:
Huang, SW;Giannoni, C

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背景:儿童腺样体肥大(AH)可能引起显著的发病率,但其与变应性鼻炎(AR)的关系尚未研究。目的:探讨急性支气管炎合并急性支气管炎的危险因素。方法:研究315例伴有急性支气管炎合并急性支气管炎的儿童(1 ~ 18岁),并将其与315例年龄相匹配的单纯急性支气管炎的对照组进行比较。为了确定风险因素,他们是。根据年龄和临床参数分为四组,包括中耳炎、鼻窦炎、下呼吸道感染、吸烟、睡眠障碍、使用抗组胺/减充血剂和皮肤过敏试验结果。结果:上呼吸道或下呼吸道感染的患病率在AR和AH组较高,但并非所有年龄组均如此。两组均有较高的吸烟暴露率和皮肤试验对室内尘螨的反应性。然而,AH和AR组对霉菌的阳性反应率显著高于对照组(P值为0.013 ~ 0.013)
Background: Adenoid hypertrophy (AH) may cause significant morbidity in children but its relationship to allergic rhinitis (AR) has not been studied.Objective: To determine the risk factor of AH in patients with AR.Methods: We studied 315 children (ages 1 to 18 years) who had AE and AR. We compared them with 315 age-matched controls who had AR alone. To identify risk factors, they were. divided into four groups according to age and clinical parameters, including the prevalence of otitis media, sinusitis, lower respiratory infection, exposure to smoking, sleep disorders, use of antihistamine/decongestants, and results of allergy skin testing.Results: The prevalence of upper or lower respiratory infections was higher in the group with AR and AH, but not in all age groups. A high prevalence of exposure to smoking and skin test reactivity against house dust mites were found in both groups. However, the prevalence of positive reactivity to molds was significantly higher in the group with AH and AR (P ranged from 0.013 to