婴幼儿病毒性急性下呼吸道感染情况的调查及其危险因素分析  

Investigation of Acute Lower Respiratory Tract Infections in Infants and Analysis of Risk Factors

作　　者：易娟[1] 吴雨露[1] 梁华[1] YI Juan;WU Yu-lu;LIANG Hua(Department of Clinical Laboratol＂y, Sichuan Maternal and Child Heahhcare Hospital, Chengdu, Sichuan Province, 610045 China)

机构地区：[1]四川省妇幼保健院检验科,四川成都610045

出　　处：《系统医学》2018年第2期110-112,共3页Systems Medicine

摘　　要：目的探讨婴幼儿病毒性急性下呼吸道感染情况及其危险因素。方法选择该院2014年1月—2017年10月收治的急性下呼吸道感染婴幼儿120例作为研究对象,纳入婴幼儿年龄不超过1岁、家属愿意配合研究,采集鼻咽抽吸物测定呼吸道病毒情况,根据是否为病毒感染所致分组,其中病毒感染组66例、非病毒感染组54例,分析婴幼儿病毒感染情况,比较病毒感染组与非病毒感染组相关因素,进而总结危险因素。结果 120例急性下呼吸道感染婴幼儿病毒感染中单一病毒感染42例(63.63%)、2种及以上病毒感染24例(36.37%);对病毒感染组与非病毒感染组婴幼儿年龄、性别、出生时胎龄与体重、过敏体质及合并其他疾病等因素进行比较分析,结果显示两组在性别、年龄上比较差异无统计学意义(χ~2=1.843 6、0.840 2,P>0.05),但两组在出生时胎龄、出生时体重、过敏体质、合并其他疾病上比较差异有统计学意义(χ~2=0.840 2、5.420 1、4.338 1、7.095 4、3.897 3,P<0.05);经多因素Logistic回归分析显示,过敏体质、合并其他疾病属于婴幼儿急性下呼吸道病毒性感染高危因素(95%CI分别为3.784 5~12.094 5、3.729 4~12.002 3,P<0.05)。结论婴幼儿急性下呼吸道感染中病毒性感染比较常见,相比非病毒感染而言,出生时胎龄与体重、过敏体质及合并其他疾病有差异,而过敏体质、合并其他疾病可能为高危因素,需引起重视。Objective To study the acute lower respiratory tract infections in infants and analysis of risk factors. Methods 120 cases of infants with acute lower respiratory tract infection aged less than 1 year old, admitted and treated in our hospital from January 2014 to October 2017 were selected as the research objects, and the their family were glad to cooperate with the study, and the divided into two groups according to the virus infection, by measuring the virus of respiration tract, and the virus infection of the virus infection group with 66 cases and the non virus infection group with54 cases was analyzed, and the related factors of the two groups was compared thus summarizing the risk factors. Results Of 120 cases, there were 42 cases with single virus infection, accounting for 63.63%, and 24 cases with virus infection of two kinds or above, accounting for 36.37%, and the comparison analysis of age, gender, fetal age and weight at birth, allergic constitution and other diseases showed that the differences in the gender and age between the two groups were not obvious（χ^2=1.843 6,0.840 2,P〉0.05）, and the differences in the fetal age, weight at birth, allergic constitution and other diseases between the two groups were obvious,（χ^2=0.840 2,5.420 1,4.338 1,7.095 4,3.897 3, all P〈0.05）, and the multiple-factor Logistic regression and analysis showed that the allergic constitution and other diseases were the high risk factors of acute lower respiratory tract infections in infants,（95% CI =3.784 5 ^12.094 5,3.729 4 ^12.002 3,P〈0.05）. Conclusion The virus infection in the acute lower respiratory tract infections in infants is common,and the differences in the fetal age, weight, allergic constitution and other diseases may be the high risk factors, which need to be emphasized.

关 键 词：急性下呼吸道感染 婴幼儿 病毒感染 危险因素 

分 类 号：R720.597[医药卫生—急诊医学]