| 王冠 刘杰 李开为 周武斌 汪小霞.小儿重症支原体肺炎高危因素分析[J].,2014,14(22):4332-4335 |
| 小儿重症支原体肺炎高危因素分析 |
| Analysis of Risk factors of Severe Mycoplasma Pneumonia in Children |
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| DOI： |
| 中文关键词: 支原体肺炎 重症 高危因素 |
| 英文关键词: Mycoplasma pneumonia Severe Risk factors |
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| 中文摘要: |
| 目的：筛选并分析重症支原体肺炎患儿的临床危险因素，为重症支原体肺炎的预防、诊断、治疗提供科学参考。方法：回顾性
分析我院自2009 年10 月～2013 年7 月期间，确诊为支原体肺炎的患儿347 例，根据患儿病情严重程度分为重症组和一般组，重
症组有重症支原体肺炎患儿107 例，一般组有患儿240 例，从两组患儿的病例资料中抽取年龄、性别、居住地、（C reactive protein，
CRP）、人肺炎支原体抗体（Mycoplasma pneumoniae antibody，MP-Ab）阳性率、病程、生活环境、反复呼吸道感染（Recurrent
respiratory tract infection，RRI）、超敏C 反应蛋白（High sensitivity C reactive protein，HSCRP）、红细胞沉积率(Erythrocyte
sedimentation rate，ESR) 、白细胞数(white blood cell，WBC)等相关指标，进行相关统计分析。对其分类指标进行合理赋值处理，实
施单因素分析和多因素非条件的Logistic 分析。结果：单因素分析显示：年龄、RRI、特殊体质、HSCRP、ESR以及先天性心脏病与
重症支原体肺炎的发生相关（P=0.000,0.000,0.010,0.000,0.000,0.022）；多因素非条件Logistic分析显示：年龄、RRI、HSCRP、ESR 为
重症支原体肺炎的危险因素（P=0.001,0.000,0.008,0.000）。结论：年龄、RRI、HSCRP、ESR是重症支原体肺炎的危险因素，通过对以
上危险因素的密切关注对于重症支原体肺炎的预防、诊断、治疗有着重要的意义。 |
| 英文摘要: |
| Objective:To study the clinical risk factor of severe mycoplasma pneumonia, and to provide scientific reference for
prevention, diagnosis, treatment.Methods:Selected 347 cases of mycoplasmal pneumonia in our hospital from 2009 October to 2013
July retrospective analysis, divided patients into severe mycoplasma group and normal mycoplasmal pneumonia group ,including severe
mycoplasma pneumonia, and 240 cases of normal mycoplasmal pneumonia. Their age, gender, place of residence, CRP, mycoplasma
pneumonia antibody (MP-Ab) the positive rate, duration, living environment, HSCRP, erythrocyte sedimentation rate (ESR), white blood
cell count (WBC) and other related indicators. The classification indexes reasonably assignment processing, logistic analysis and single
factor analysis were used.Results:The single factor analysis showed: age, RRI, special physical, HSCRP, ESR and congenital heart
disease were related with severe mycoplasma pneumonia（P=0.000,0.000,0.010,0.000,0.000,0.022）; non conditional logistic analysis of
many factors: age, RRI, HSCRP, ESR were the risk factors of severe mycoplasma pneumonia（P=0.001,0.000,0.008,0.000）.Conclusion:Age, RRI, HSCRP, ESR were the risk factors of severe mycoplasma pneumonia. Close attention to the above risk factors for prevention,
diagnosis, treatment of severe mycoplasma pneumonia has important significance. |
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