目的 描述群体性雷暴哮喘的临床特点,并分析雷暴哮喘严重程度的危险因素。方法 对2023年9月2日在内蒙古自治区国际蒙医医院就诊的244例雷暴哮喘患者进行调查,描述雷暴哮喘的临床特点、治疗方法。采用单因素和多因素logistic回归分析法,分析雷暴哮喘严重程度的危险因素。结果 本次雷暴哮喘就诊人数为244例,在雷暴出现后的1~4 h是雷暴哮喘暴发的高峰时段;患者症状以喘息和气急为主。有效的治疗手段是以吸入短效β2受体激动剂和吸入性糖皮质激素。多因素logistic回归分析显示年龄、过敏史、支气管哮喘史、变应性鼻炎史是雷暴哮喘严重程度的危险因素。结论 雷暴哮喘的严重程度与年龄、过敏史、支气管哮喘史、变应性鼻炎史有关,建议针对危险因素采取相应预防措施,以降低重度哮喘的发生风险。
Objective To describe the clinical characteristics of group thunderstorm asthma and analyze the risk factors for the severity of thunderstorm asthma. Methods A total of 244 patients with thunderstorm asthma in Inner Mongolia Autonomous Region on September 2,2023 were investigated to describe the clinical characteristics and treatment methods of thunderstorm asthma. Univariate and multivariate logistic regression were used to analyze the risk factors for the severity of thunderstorm asthma. Results The number of thunderstorm asthma patients was 244,the peak period of thunderstorm asthma outbreak was within 1-4 hours after the thunderstorm. The patient's symptoms were mainly wheezing and shortness of breath. The effective treatments were inhaled short-acting β 2 receptor agonists and inhaled corticosteroids. Multivariate logistic regression analysis showed that age,allergy history,bronchial asthma and allergic rhinitis were risk factors for the severity of thunderstorm asthma. Conclusion The severity of thunderstorm asthma is related to age,history of allergy,history of bronchial asthma,and history of allergic rhinitis. Relevant preventive measures against risk factors are recommended to reduce the risk of severe asthma.
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