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

作　　者：王冠[1] 刘杰[1] 李开为[1] 周武斌[1] 汪小霞[1] 

机构地区：[1]湖北省黄石市中心医院儿科,湖北黄石435000

出　　处：《现代生物医学进展》2014年第22期4332-4335,共4页Progress in Modern Biomedicine

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。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.

关 键 词：支原体肺炎 重症 高危因素 

分 类 号：R725.6[医药卫生—儿科]