小儿上呼吸道感染合并心肌受累危险因素的临床分析  

Risk factors of myocardial damage in children with upper respiratory tract infection

作　　者：魏丽[1] 黄星原[1] 徐木珍[1] 郑红霞[1] 

机构地区：[1]武汉大学人民医院儿科,湖北武汉430060

出　　处：《中国儿童保健杂志》2010年第5期410-413,共4页Chinese Journal of Child Health Care

摘　　要：【目的】探讨小儿上呼吸道感染并心肌受累的情况及其高危因素。【方法】将本院2009年1月—2009年5月207例上呼吸道感染患儿分为心肌受累组和非心肌受累组,对性别、年龄、体温、C反应蛋白、白细胞计数、支原体IgM抗体、衣原体IgM抗体等指标进行比较。【结果】心肌受累组84人,占40.60%,非心肌受累组123人,占59.40%。两组在性别、年龄、体温、白细胞计数上差异无统计学意义,在C反应蛋白、支原体IgM抗体、衣原体IgM抗体上差异有统计学意义,经Logistic回归分析,支原体IgM抗体阳性与上呼吸道感染并心肌受累密切相关。【结论】心肌受累在入院上呼吸道感染患儿中发生率较高,支原体感染是其危险因素。[Objective] To study experiences and explore the risk factors of myocardial damage in children with upper respiratory tract infection. [Methods] From January 2009 to May 2009, 207 children diagnosed as upper respiratory tract infection were divided into two groups. One was myocardial damage group, the other was non-myocardial damage group,and compared the gender, age, temperature, WBC count, C reactive protein, mycoplasma pneumonia IgM antibody and chlamydia pneumoniae IgM antibody between two groups. [Results] There were 84 cases in myocardial damage group（40.60 % ） and 123 cases in non-myocardial damage group（59.40 % ）. The two groups had no significant differences in gender, age, body temperature and white blood cell count. There were statistically significant differences in C-reactive protein, mycoplasma pneumonia IgM antibody and chlamydia pneumoniae IgM antibody between two groups. Using Logistic regression for further analysis, mycoplasma pneumonia IgM antiboby-positive was correlated to myocardial damage in children with upper respiratory tract infection. [Conclusion] The incidence of myocardial damage is high in the resident children with upper respiratory tract infection, and mycoplasma pneumonia infection is the risk factor.

关 键 词：上呼吸道感染 心肌受累 肺炎支原体 C反应蛋白 

分 类 号：R725.4[医药卫生—儿科]