临床儿科杂志 ›› 2016, Vol. 34 ›› Issue (10): 726-.doi: 10.3969/j.issn.1000-3606.2016.10.002

• 营养消化系统专栏 • 上一篇    下一篇

伴或不伴食物过敏湿疹患儿治疗前后的 生活质量比较

王丽, 王念蓉   

  1. 重庆市妇幼保健院儿童保健科(重庆 400013)
  • 收稿日期:2016-10-15 出版日期:2016-10-15 发布日期:2016-10-15
  • 通讯作者: 王念蓉 E-mail:Wnr2003@163.com
  • 基金资助:
    中国疾病预防控制中心妇幼保健中心合生元母婴营养与健康研究项目(No.2012FY004)

Comparison of the quality of life before and after treatment of eczema in infants with or without food allergies

WANG Li, WANG Nianrong   

  1. Department of Child Health Care, Chongqing Health Center for Children and Women, Chongqing 400013, China
  • Received:2016-10-15 Online:2016-10-15 Published:2016-10-15

摘要: 目的 探讨湿疹患儿及其家庭治疗前后的生活质量。方法 将湿疹患儿分为食物过敏组(FA组,46例)及非 食物过敏组(N-FA组,47例)。 应用湿疹面积及严重度指数(EASI) 对患儿进行评估;对两组湿疹患儿进行规范化干预治 疗2个月后,采用食物过敏生活质量问卷-父母版(FAQLQ-PF)和婴儿皮肤病生活质量指数量表(IDQOL)评估治疗前后 的生活质量。结果 两组患儿在年龄、性别、过敏家族史及喂养方式的差异无统计学意义(P均 > 0.05);FA组中鸡蛋过 敏34 例(73.91%),牛奶过敏20例(43.48%),胡萝卜过敏2例(4.35%)。 两组患儿的EASI、FAQLQ、IDQOL评分在治疗 后均有显著下降,与治疗前比较,差异有统计学意义(P均 < 0.05)。 治疗前,FA组FAQLQ-PF各模块及总分与N-FA组的 差异无统计学意义(P均 > 0.05);治疗两个月后,FA组FAQLQ总分(1.33 ± 1.08)较N-FA组(0.79 ± 0.80)高,差异有统 计学意义(Z = 2.83, P = 0.005);FA组在情绪影响、食物的焦虑、社交/饮食限制模块与N-FA组比较差异亦有统计学意义 (Z = 2.13~2.89, P均 < 0.05)。 结论 食物过敏患儿的家长更易担心患儿的情绪变化及社交、饮食受到限制。FAQLQ-PF 对于食物过敏生活质量的评估更具特异性。

Abstract: Objective To explore life quality of infants with eczema and their families before and after treatment. Methods The infants with eczema were divided into food allergic group (FA group, n=46) and non-food allergic group (N-FA group, n=47). The eczema was evaluated by the areas of eczema and severity index (EASI). After 2 months of standardized intervention, the quality of life before and after treatment were assessed by the Food Allergy Quality of Life Questionnaire-Parent Form (FAQLQ-PF) and the Infant’s Dermatitis Quality of Life Index (IDQOL). Results There was no difference between the two groups in age, gender, family history of allergy and feeding patterns (all P >  0.05). In FA group, there were 34 cases (73.91%) of egg allergy, 20 cases (43.48%) of milk allergy and 2 cases (4.35%) of carrot allergy. After the intervention, the scores of EASI, FAQLQ, and IDQOL were decreased obviously in the two groups, and there were statistical difference before and after treatment ( P all < 0.05). Before treatment, the total score and each part of FAQLQ-PF in FA group was similar with N-FA group ( P all >  0.05); After two months of intervention, the total score of FAQLQ in FA group was higher than that in N-FA group (Z =2.83, P =0.005); the subscales of emotional impact, anxiety about food, and social/dietary restrictions were also significantly different between FA group and N-FA group (Z = 2.13-2.89, all P < 0.05). Conclusions Parents of infants with food allergies are more likely to worry about infant's emotional changes and social, dietary restrictions. FAQLQ-PF is more specific for assessing the quality of life in food allergies.