外感热病非细菌感染临床研究  

A clinical study of exogenous fever with non-bacterial infection

作　　者：周岁锋[1] 侯杰[1] 赖贵龙 苏立成[1] 

机构地区：[1]广州中医药大学附属中山医院,广东中山528400

出　　处：《中医临床研究》2018年第28期41-43,共3页Clinical Journal Of Chinese Medicine

基　　金：中山市医学科学基金资助(NO.2016A020318)

摘　　要：目的:探寻外感热病非细菌感染的相关因素。方法:分析我院2016年1月-2018年1月因外感热病住院患者,其中明确诊断325例,分为细菌感染组和非细菌感染组,采用单因素与多因素非条件Logistic回归分析,筛选与非细菌感染相关的因素,并建立Logistic回归模型。结果:经单因素和多因素Logistic回归分析,最终筛选出4个与非细菌感染疾病相关的因素,分别为外感风寒证、降钙素原(PCT)、中性粒细胞比例(N)、疾病病程。外感风寒(OR=1.613)、PCT(OR=2.944)、N(OR=1.956)、疾病病程(OR=2.813)在模型中是非细菌感染疾病的相关影响因素。结论:外感风寒、PCT、N、疾病病程是非细菌感染疾病相关的影响因素,结合4个相关因素可初步判断是否存在细菌感染。Objective:To explore the correlative factors of exogenous fever with non-bacterial infection.Methods:325 patients with exogenous fever were randomly divided into the bacterial infection group and the non-bacterial infection group.Factors associated with non-bacterial infection were filtered by single factor and multifactor analysis of non-conditional Logistic regression,and Logistic regression models were built.Results:4 factors associated with non-bacterial infection were filtered by single factor and multifactor analysis of non-conditional Logistic regression.They were exogenous wind-cold syndrome(OR=1.613),PCT(OR=2.944),neut(OR=1.956)and course of diseases(OR=2.813).Conclusion:Exogenous wind-cold syndrome,PCT,neut and course of diseases are the factors associated with nonbacterial infection.Bacterial infection can be estimated by combining the 4 relevant factors.

关 键 词：非细菌感染 发热性疾病 外感热病 LOGISTIC回归分析 

分 类 号：R254[医药卫生—中医内科学]