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.
LI Weiwei
,
BAI Yiping
,
WEN Feng
,
LIU Dan
,
GUO Yanrong
. Analysis of related risk factors for group thunderstorm asthma in Hohhot[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(12)
: 1103
-1107
.
DOI: 10.3761/j.issn.2096-7446.2024.12.008
[1] 张珒珒,刘光辉,高亚东. 雷暴性哮喘的易感因素与社会防治对策[J]. 中国社会医学杂志,2021,38(3):276-279.
Zhang JJ,Liu GH,Gao YD.The susceptible factors and preventive strategies of thunderstorm asthma[J]. Chin J Soc Med,2021,38(3):276-279.
[2] Campbell SL,Fox-Hughes PD,Jones PJ,et al.Evaluating the risk of epidemic thunderstorm asthma:lessons from Australia[J]. Int J Environ Res Public Health,2019,16(5):837.
[3] Chatelier J,Chan S,Tan JA,et al.Managing exacerbations in thunderstorm asthma:current insights[J]. J Inflamm Res,2021,14:4537-4550.
[4] 中华医学会呼吸病学分会哮喘学组. 支气管哮喘防治指南(2020年版)[J]. 中华结核和呼吸杂志,2020,43(12):1023-1048.
Asthma group of respiratory branch of Chinese medical association. Guidelines for bronchial asthma prevent and manage-ment(2020 edition) Asthma Group of Chinese Throacic Society[J]. Chin J Tuberc Respir Dis,2020,43(12):1023-1048.
[5] 中华医学会儿科学分会呼吸学组,《中华儿科杂志》编辑委员会. 儿童支气管哮喘诊断与防治指南(2016年版)[J]. 中华儿科杂志,2016,54(3):167-18.
Respiratory Group of Pediatrics Branch of Chinese Medical Association,Editorial Committee of Chinese Journal of Pediatrics. Guidelines for the diagnosis and prevention and treatment of bronchial asthma in children(2016 edition)[J]. Chin J Pediatr,2016,54(3):167-181.
[6] 沈暘. 气候变化对呼吸道过敏及花粉、霉菌所致过敏性哮喘的影响[J]. 中华临床免疫和变态反应杂志,2021,15(3):347.
Shen Y.Effects of climate change on respiratory allergy and allergic asthma caused by pollen and mold[J]. Chin J Allergy Clin Immunol,2021,15(3):347.
[7] D‘Amato G,Vitale C,D‘Amato M,et al. Thunderstorm-related asthma:what happens and why[J]. Clin Exp Allergy,2016,46(3):390-396.
[8] Emmerson KM,Silver JD,Thatcher M,et al.Atmospheric modelling of grass pollen rupturing mechanisms for thunderstorm asthma prediction[J]. PLoS One,2021,16(4):e0249488.
[9] Chatelier J,Chan S,Tan JA,et al.Managing exacerbations in thunderstorm asthma:current insights[J]. J Inflamm Res,2021,14:4537-4550.
[10] 李椿莹. 内蒙古中心城市及农村变应性鼻炎吸入过敏原谱优化及蒿属花粉致敏特征分析[D]. 呼和浩特:内蒙古医科大学,2023.
Li CY.Optimization of aeroallergen battery and analysis of artemisia pollen sensitization characteristics of allergic rhinitis in central cities and rural areas of inner mongolia[D]. Hohhot:Inner Mongolia Medical University,2023.
[11] 严梅,靳泉鹏,褚娇娇,等. 一起群体性雷暴哮喘的调查分析[J]. 宁夏医学杂志,2023,45(3):270-273.
Yan M,Jin QP,Chu JJ,et al.Investigation and analysis of a mass thunderstorm asthma case[J]. Ningxia Medl J,2023,45(3):270-273.
[12] 中国老年医学学会呼吸病学分会哮喘学术工作委员会. 老年人支气管哮喘诊断与管理中国专家共识[J]. 中华医学杂志,2020,100(38):2970-2981.
Asthma Academic Working Committee of Respiratory Branch of Chinese Geriatric Society. Chinese expert consensus on the diagnosis and management of bronchial asthma in the elderly[J]. Chin Med J,2020,100(38):2970-2981.
[13] Makrufardi F,Manullang A,Rusmawatiningtyas D,et al.Extreme weather and asthma:a systematic review and meta-analysis[J]. Eur Respir Rev,2023,32(168):230019.
[14] 梁晓平,张玉玲,张巧玲,等. 呼和浩特城区空气污染与气象因素对儿童哮喘的影响[J]. 中国儿童保健杂志,2023,31(11):1260-1264.
Liang XP,Zhang YL,Zhang QL,et al.Effects of air pollutants and meteorological factors on childhood asthma in Hohhot urban area[J]. Chin J Child Health Care,2023,31(11):1260-1264.
[15] Xu YY,Xue T,Li HR,et al.Retrospective analysis of epidemic thunderstorm asthma in children in Yulin,northwest China[J]. Pediatr Res,2021,89(4):958-961.
[16] Venkatesan P.Epidemic thunderstorm asthma[J]. Lancet Respir Med,2022,10(4):325-326.
[17] 萨日娜. 内蒙古地区过敏性鼻炎流行病学调查研究[D]. 呼和浩特:内蒙古医科大学,2020.
Sa RN.Epidemiological investigation of allergic rhinitis in inner mongolia[D]. Hohhot:Inner Mongolia Medical University,2020.
[18] 于文蓁,王思,赵东,等. 过敏性哮喘患者抗IgE治疗智慧提醒系统的设计及应用[J]. 中华护理杂志,2021,56(7):991-996.
Yu WZ,Wang S,Zhao D,et al.Design and application of an intelligent reminder system in allergic asthma patients with anti-IgE therapy[J]. Chin J Nurs,2021,56(7):991-996.
[19] 曾妃,兰美娟,梁江淑渊,等. 以患者为中心的应急救治管理策略在烧爆伤患者中的应用[J]. 中华急危重症护理杂志,2022,3(1):57-60.
Zeng F,Lan MJ,Liang JSY,et al.The application of patient-centered emergency treatment management strategy in batches of patients with severe burn and blast combined injuries[J]. Chin J Emerg Crit Care Nurs,2022,3(1):57-60.
