小儿急性肾小球肾炎和尿路感染的关系  

Relationship between acute glomerulonephritis and urinary tract infection in children

作　　者：李林祖[1] 黄诚花[1] 梁秀琼[1] 

机构地区：[1]广东省肇庆市第一人民医院儿科,广东肇庆526020

出　　处：《中国医药科学》2013年第6期209-210,共2页China Medicine And Pharmacy

摘　　要：目的探讨小儿急性肾小球肾炎尿路感染的临床特征和危险因素。方法回顾性分析本院2009～2012年收治的30例急性肾小球肾炎患儿的资料,对其合并尿路感染的临床特点进行分析,并观察干预效果。结果在本组患儿中,合并尿路感染者20例,占66.7%,易肠道杆菌、变形杆菌、克雷伯杆菌最为常见,患儿尿频、尿急、尿痛等膀胱刺激症状明显,在血尿、高血压、浮肿等方面无特殊表现;经临床干预后,临床症状明显改善,与治疗前比较差异明显,有统计学意义(P<0.05)。结论急性肾小球肾炎患儿易并发泌尿系感染,要做到早诊断并对症治疗,提高患儿生活质量。Objective To investigate the clinical characteristics and risk factors of acute glomerulonephritis urinary tract infection in children. Methods Through analyzing the information of 30 children with acute glomerulonephritis treated in our hospital from 2009 to 2012 retrospectively, the clinical features of being complicated by urinary tract infection were analyzed and the interventional effects were observed. Results Of these children, 20 were complicated by urinary tract infection, accounting for 66.7%, of which enteric bacilli, proteus and klebsiella were the most common. The bladder irritation symptoms like urinary frequency, urinary urgency and dysuria were obvious and no special manifestation was found in hematuria, hypertension and edema. After clinical intervention, the clinical symptoms significantly improved compared to those before treatment, with statistical significance （P 〈 0.05）. Conclusion Children with acute glomernlonephritis are prone to be complicated by urinary tract infection and therefore early diagnosis and symptomatic treatment should be ensured in order to improve the quality of life of children.

关 键 词：急性肾小球肾炎 泌尿系感染 临床疗效 病原菌 

分 类 号：R726.9[医药卫生—儿科]