成人乙型流感病毒感染患者并发肺炎的危险因素探讨  

Risk Factors of Pneumonia in Adults Infected with Influenza B Virus

作　　者：李林富[1] 缪卫华[2] LI Lin-fu;MIAO Wei-hua(Department of Emergency,Dongtai Traditional Chinese Medicine Hospital,Dongtai,Jiangsu Province,224200 China;Department of Respiratory Medicine,Dongtai Traditional Chinese Medicine Hospital of Jiangsu Province,Dongtai,Jiangsu Province,224200 China)

机构地区：[1]江苏省东台市中医院急诊科,江苏东台224200 [2]江苏省东台市中医院呼吸科,江苏东台224200

出　　处：《世界复合医学》2020年第2期24-27,共4页World Journal of Complex Medicine

摘　　要：目的回顾分析成人乙型流感病毒感染患者并发肺炎的各类相关危险因素,总结临床经验。方法选取该院2017年6月—2019年2月收治的152例成人乙型流感病毒感染病例的临床数据,按照患者病情具体情况划分为参照组101例和研究组51例,统计分析两组的临床症状发生率,分析所有患者的临床病历记录资料并且结合用Logistic回归分析统计分析,探讨引致成人乙型流感病毒感染患者并发肺炎的各类相关性危险因素。结果研究组的咽痛症状发生率(15.69%)、咳痰症状发生率(74.51%)、呼吸困难症状发生率(19.61%)、胸痛症状发生率(15.69%)、头晕症状发生率(17.65%)以及肌肉酸痛症状发生率(29.41%)与参照组(43.56%、44.55%、1.98%、2.97%、6.93%、56.44%)差异有统计学意义(χ^2=11.702、12.268、14.812、8.163、4.132、9.927,P=0.001、0.000、0.000、0.004、0.042、0.002),研究组的发热症状发生率(60.78%)、咳嗽症状发生率(84.31%)、头痛症状发生率(7.84%)、呕吐症状发生率(5.88%)以及腹泻症状发生率(3.92%)与参照组(68.32%、88.12%、13.86%、9.90%、1.98%),差异无统计学意义(χ^2=0.854、0.429、1.176、0.700、0.499,P=0.355、0.512、0.278、0.403、0.480);诱导成人乙型流感病毒感染患者并发肺炎的主要危险因素,主要包含发病到就诊时间>48 h因素、年龄>50岁因素、具备COPD病史因素、动脉血氧分压<80 mmHg因素、血淋巴细胞<0.80×109/L因素、血肌酸激酶>269 U/L因素,以及血乳酸脱氢酶>245 U/L因素。结论在临床诊治工作过程中,一方面要注意成人乙型流感病毒感染并发肺炎患者与未并发肺炎患者在咽痛症状、咳痰症状、呼吸困难症状、胸痛症状、头晕症状及肌肉酸痛症状等症状方面有部分差异,还应注意分析可能易致成人乙型流感病毒感染患者发生肺炎并发症的各种危险因素,尤其要重视发病到就诊时间>48 h、老年人、有COPD史三类乙型流感患者并发�Objective To retrospectively analyze the risk factors of pneumonia in adults infected with influenza B virus and summarize clinical experience.Methods The clinical data of 152 cases of adult influenza B virus infection admitted to our hospital from June 2017 to February 2019 were selected and divided into 101 cases of reference group and 51 cases of research group according to the specific conditions of patients.The incidence of clinical symptoms in the two groups was analyzed.To analyze the clinical records of all patients and to explore the risk factors of pneumonia in adults infected with influenza B virus by logistic regression analysis.Results Team's sore throat symptoms incidence rate(15.69%),cough,sputum symptoms(74.51%),incidence(19.61%),chest pain,dyspnea symptom incidence rate(15.69%),dizziness(17.65%)and the incidence of muscle pain symptoms(29.41%)and control group(43.56%,44.55%,1.98%,2.97%,6.93%,56.44%),the difference is statistically significant(χ^2=11.702,12.268,14.812,8.163,4.132,9.927,P=0.001,0.000,0.000,0.004,0.042,0.002),the team's fever incidence rate(60.78%),cough(84.31%),headache symptom incidence rate(7.84%),vomiting(5.88%)and the incidence of diarrhea(3.92%)and control group(68.32%,88.12%,13.86%,9.90%,1.98%),the difference was not statistically significant(χ^2=0.854,0.429,1.176,0.700,0.499,P=0.355,0.512,0.278,0.403,0.480).Induction of adult patients with hepatitis b virus infection complicated by pneumonia,the major risk factors mainly include>48 h to see a doctor time factors,age>50,have a history of COPD,arterial blood oxygen partial pressure<80 mmHg factors,blood lymphocytes<0.80×109/L factors,blood creatine kinase>269 U/L factors,as well as blood lactate dehydrogenase>245 U/L factors.Conclusion In the process of clinical diagnosis and treatment work,on the one hand,pay attention to the adult patients with hepatitis B virus infection complicated by pneumonia and no in patients with complicated with pneumonia symptoms of sore throat,coughing up phlegm symptoms,difficulty breathing,che

关 键 词：成人 乙型流感病毒感染 并发肺炎 危险因素 

分 类 号：R373[医药卫生—病原生物学]