علل ایجاد حمله آسم در کودکان مراجعه کننده به اورژانس بیمارستان طالقانی گرگان در سال 1401

نوع مقاله : مقاله پژوهشی

نویسندگان

مرکز تحقیقات سلامت کودکان و نوزادان، دانشگاه علوم پزشکی گلستان، گرگان، ایران

چکیده

مقدمه و هدف: عدم کنترل بیماری آسم در کودکان می تواند منجر به تشدید بیماری و ایجاد بحران های حیاتی برای کودکان گردد. مطالعه حاضر به بررسی شیوع آسم و محرک های محیطی مرتبط با حملات آسمی در کودکان پرداخته است.
مواد و روش ها: در این مطالعه مقطعی، کودکان مبتلا به آسم مراجعه کننده به اورژانس در سال 1401 مورد بررسی قرار گرفتند. اطلاعات حاصل از معاینه بالینی، ویژگی های دموگرافیک و مواجهه با محرک های مختلف بیماری، تعداد دفعات بستری و حملات آسمی و شدت بیماری از طریق چک لیست محقق ساخته جمع آوری شد. جهت مقایسه داده ها از آزمون کای دو استفاده گردید.
نتایج: 47 بیمار با میانگین سنی 6/3 ± 53/4 سال و شامل 14 (30 %) دختر و 33 (70 %) پسر مورد بررسی قرار گرفتند. 51 % بیماران آسم متوسط داشتند. فراوانی بیماران با یک نوبت بستری (8/63 %) و بیماران با یک نوبت حمله آسمی (7/61 %) به طور معنی داری بیشتر از سایر تعداد دفعات بستری و حملات آسمی بود (05/0>P). عفونت های تنفسی و آلرژن های محیطی فراوان ترین محرک های آسم بودند (به ترتیب 5/74 % و 6/42 %). فراوانی بیماران بر اساس محل سکونت و مصرف آنتی بیوتیک تفاوت معنی داری نشان نداد (05/0<P).
نتیجه‌گیری: شیوع بیشتر آسم متوسط، یک نوبت بستری و یک نوبت حمله آسمی در کودکان نشان داد که برنامه ریزی و آموزش و همچنین کنترل محرک های آسمی می تواند در پیشگیری از حملات آسمی در کودکان موثر باشد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Causes of asthma attacks in children referred to the emergency ward of Taleghani hospital in Gorgan in 2022

نویسندگان [English]

  • Mohsen Ebrahimi
  • Sarvenaz Ghodsi rasi
  • Seyed Ali Aghapour
  • Azam Rashidbaghan
Neonatal and Children’s Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran
چکیده [English]

Background and Objective: Failure to control asthma in children can lead to exacerbation of the disease and cause critical crises for children. The present study investigated the incidence of asthma and environmental triggers associated with asthma attacks in children.
Materials and Methods: In this cross-sectional study, children with asthma referred to agency were evaluated in 2022. The data obtained from clinical examination, demographic characteristics and exposure to various disease triggers, the number of hospitalizations and asthma attacks and the severity of the disease were collected and compared through a checklist. Chi-square test were used to compare the data. 
Results: Forty seven patients with the mean of age 4.53 ± 3.6 and including 14 (30%) girls and 33 (70%) were boys were studied. Fifty one percent of patients had moderate asthma. The frequency of patients with one episode of hospitalization (63.8%) and patients with one episode of asthma attack (61.7%) was significantly higher than the other number of hospitalizations and asthma attacks (P<0.05). Among asthma triggers, respiratory infections and environmental allergens were the most frequent (74.5% and 42.6%, respectively). Place of residence and antibiotic use did not show any significant difference in patients (P<0.05).
Conclusion: Higher prevalence of moderate asthma, one hospitalization and one asthma attack in children showed that planning and education as well as control of asthma triggers can be effective in preventing asthma attacks in children.

کلیدواژه‌ها [English]

  • Pediatric asthma attack
  • Respiratory system infections
  • Allergens

مراجع

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دانشور پزشکی
دوره 32، شماره 4 - شماره پیاپی 173
مهر و آبان 1403
صفحه 47-55

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