儿童重症社区获得性肺炎的危险因素分析  

An Analysis of Risk Factors of Severe Community-acquired Pneumonia in Children

作　　者：薛志斌[1] 肖世极 郑阳力 XUE Zhibin;XIAO Shiji;ZHENG Yangli(Department of Pediatric Intensive Care Medicine,The Affiliated Hospital of Putian University,Putian Fujian 351100,China)

机构地区：[1]莆田学院附属医院儿童重症医学科,福建莆田351100

出　　处：《莆田学院学报》2024年第5期47-51,共5页Journal of putian University

基　　金：福建省自然科学基金资助项目(2022J011439);莆田学院科研项目(2022065)。

摘　　要：收集2021年1月至2022年12月莆田学院附属医院收治的150例社区获得性肺炎(CAP)患儿病例资料,将所有患儿分为轻症CAP组90例、重症CAP组60例;对两组患儿的临床、实验室及影像学资料进行比较;单因素统计分析及Logistic回归分析结果显示淋巴细胞百分比、中性粒细胞计数和淋巴细胞计数的比值(NLR)、红细胞分布宽度、谷丙转氨酶是重症CAP的独立危险因素;认为淋巴细胞百分比、NLR、红细胞分布宽度、谷丙转氨酶等指标有助于临床医生判断儿童CAP病情的严重程度。The clinical data of 150 children with CAP admitted to the Affiliated Hospital of Putian University from January 2021 to December 2022 were collected,and all children were divided into mild CAP group(90 cases)and severe CAP group(60 cases);The clinical,laboratory and imaging data of the two groups were compared.According to univariate statistical analysis and Logistic regression analysis,lymphocyte percentage,neutrophil to lymphocyte ratio,erythrocyte distribution width and glutamic-pyruvic transaminase were independent risk factors for severe CAP;It is believed that the lymphocyte percentage,NLR,erythrocyte distribution width and glutamic-pyruvic transaminase are helpful for clinicians to evaluate the severity of community-acquired pneumonia in children.

关 键 词：儿童 社区获得性肺炎 淋巴细胞百分比 中性粒细胞计数和淋巴细胞计数的比值 红细胞分布宽度 谷丙转氨酶 

分 类 号：R725.6[医药卫生—儿科]