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    徐州地区婴幼儿血管瘤发病危险因素的病例对照研究

    A case-control study on the risk factors of infantile hemangioma in Xuzhou area

    • 摘要: 目的 探索婴幼儿血管瘤发生的相关危险因素。方法 以徐州市儿童医院皮肤科门诊患者为研究对象,开展病例对照研究。病例由248例浅表型婴幼儿血管瘤患者组成,选取性别相同、年龄相近,248例未患有此病的婴幼儿作为对照组。应用logistic回归模型分析婴幼儿血管瘤的相关危险因素,并计算危险因素的比值比及95%的可信区间。结果 经单因素logistic回归筛选出5个有统计学意义的变量,再进行多因素logistic回归。结果显示,出生周数(<37周:P=0.124,OR=3.523,95%CI=0.708~17.532;37~41周:P=0.559,OR=1.467,95%CI=0.405~5.315),家族史(P<0.001,OR=11.816,95%CI=3.487~40.042),前置胎盘(P=0.001,OR=6.034,95%CI=2.005~18.156),出生胎次(P=0.006,OR=0.592,95%CI=0.406~0.863),母亲高血压(P=0.025,OR=2.749,95%CI=1.133~6.669)有统计学意义。结论 出生周数、家族史、母亲高血压、前置胎盘和出生胎次为婴幼儿血管瘤发生的危险因素。

       

      Abstract: Objective To explore the risk factors of infantile hemangioma. Methods A case-control study was conducted based on Department of Dermatology, Xuzhou Children's Hospital. The cases were composed of 248 infants with superficial infantile hemangioma, while 248 infants without infantile hemangioma with the same gender and similar of age were selected as the control group. A logistic regression model was used to analyze the risk factors of infantile hemangioma, and the odds ratio of risk factors and 95% confidence interval were calculated. Results The risk factors were birth weeks (<37 weeks: P=0.124, OR=3.523, 95%CI=0.708-17.532;37-41 weeks:P=0.559,OR=1.467,95%CI=0.405-5.315), family history (P<0.001,OR=11.816,95%CI=3.487-40.042), placenta previa (P=0.001, OR=6.034, 95%CI=2.005-18.156), the number of births (P=0.006, OR=0.592, 95%CI=0.406-0.863), and maternal hypertension (P=0.025, OR=2.749,95%CI=1.133-6.669). Conclusions Birth weeks, family history, maternal hypertension, placenta previa and birth order are risk factors for infantile hemangioma.

       

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