Study On The Influencing Factors Of Recurrent Respiratory Tract Infection In Children In A Hospital In Qiqihar

Recurrent respiratory tract infection is a common disease in children.Fever,runny nose,congestion and cough are the main clinical manifestations.A few children may have digestive tract symptoms such as nausea and vomiting.The clinical manifestations of children of different ages are different.The causes of repeated respiratory infections are more complex,mostly due to the combination of various factors such as low immunity,congenital causes or lack of trace elements and vitamins,or climatic factors,living environment,and improper feeding methods.Objective:This paper is to explore the influencing factors of children with recurrent respiratory tract infections,and provide scientific reference for the development of prevention strategies and measures with the aim at reducing the incidence of RRTI in children and improving the overall health of children.Methods:A total of 227 children with recurrent respiratory tract infection and children with common respiratory tract infections were enrolled in the pediatrics department of a top three hospital in Qiqihar City from January 2018 to July 2018.The general condition,related factors,disease history,clinical information,physical examination and laboratory examination of the two groups were investigated and compared.The influencing factors of recurrent respiratory tract infection in children were discussed by single-factor and multiple-factor analysis.Data was entered using EpiData 3.0 and analyzed by SPSS 21.0 software.The measurement data were expressed as mean±standard deviation,and the hypothesis test was performed by t test;the count data was statistically described by the composition ratio and the ratio,and the?~2 test was used for single factor analysis;the multivariate analysis was performed by binary logistic regression analysis.Results:1.This study collected 227 children with respiratory tract infections,including105 children with recurrent respiratory tract infection(46.3%)and 122 children with non-recurrent respiratory tract infection(53.7%).2.In the recurrent infection group,children aged 0 to 3 years accounted for52.4%of the group,significantly higher than those aged 3 to 6 years(32.4%)and those over 6 years old(15.2%).The results showed that there was no significant difference in age distribution between the two groups(P>0.05).In the recurrent infection group,57 were male and 48 were female,accounting for 54.3%and 45.7%of the group respectively.In the non-recurrent infection group,61 people were male and 61 were female,accounting for 50.0%and 50.0%of the group respectively.The results showed that there was no significant difference in gender distribution between the two groups(P>0.05).The proportion of Han population in the recurrent infection group was 90.5%,the proportion of Han population in the non-recurrent infection group was 94.3%.The results showed that there was no significant difference in ethnic distribution between the two groups(P>0.05).There were 71 people living in the city in the repeated infection group(67.6%).There were 73 people living in the city in the non-recurrent infection group(59.8%).The results showed that there was no significant difference in residence distribution between the two groups(P>0.05).3.The difference of mother's educational level between the two groups was statistically significant(P<0.05),and there was no significant difference in other family situations(P>0.05).There was no significant difference between the two groups in birth condition(delivery mode,asphyxia,premature delivery,feeding mode,birth order and maternal reproductive age)(P>0.05);the prejudice rate of recurrent infection group was higher than that of non-recurrent infection group(P<0.05),but there was no statistical difference in other dietary conditions between the two groups.The proportion of recurrent infection in winter and spring was higher than that in non-recurrent infection group(P<0.05),but there was no significant difference in other living conditions between the two groups(P>0.05).The proportion of chronic respiratory diseases in the family of recurrent infection group was significantly higher than that of non-recurrent infection group(P<0.05).The incidence of rickets was also significantly higher than that of non-recurrent infection group(P<0.05),but there was no significant difference in other lifestyle between the two groups(P>0.05).4.Clinical data and laboratory examinations except lung slice,chest three-pit sign and platelet differences between the two groups were statistically significant(P<0.05).There was no significant difference between the two groups(P>0.05).5.Multivariate analysis showed that children with rickets were 3.836 times more likely to have recurrent respiratory tract infections than children without rickets;6.551times more likely to have recurrent respiratory tract infections in winter and spring than in summer and autumn;children with chronic respiratory diseases at home were2.870 times more likely to have recurrent respiratory tract infections than children without chronic respiratory diseases at home.Conclusion:1.Recurrent respiratory tract infection in children are mainly from 0 to 3 years old,accounting for 52.4%of children with recurrent respiratory tract infection.2.People with rickets,winter and spring,and chronic respiratory diseases at home are the influencing factors of recurrent respiratory tract infection in children.3.Compared with children with non-recurrent tract respiratory infections,children with recurrent respiratory tract infections had statistically significant differences in lung lamella,chest triconcae and platelets in the two groups.