儿童难治型支原体肺炎早期预测指标研究  

Study on early predictors of refractory mycoplasma pneumonia in children

作　　者：杨明月 徐玉婷 YANG Ming-yue;XU Yu-ting(Anhui Provincial Children's Hospital,Hefei 230051,Anhui)

机构地区：[1]安徽省儿童医院检验科,安徽合肥230051

出　　处：《安徽医专学报》2024年第5期76-77,100,共3页Journal of Anhui Medical College

摘　　要：目的:探讨儿童难治型支原体肺炎(RMPP)与普通型支原体肺炎(MPP)的C反应蛋白(CRP)、中性粒细胞比例(NEU%)、D-二聚体以及肝功能指标之间的差异从而给临床提供参考价值。方法:回顾性分析医院收治的90例支原体肺炎患者,其中诊断为RMPP的患儿设为观察组(30例),选取同时期入院的MPP患儿作为对照组(60例),分析比较两组儿童在入院后CRP、NEU(%)、D-二聚体以及肝功能指标之间的差异。结果:观察组患儿的CRP、NEU(%)以及D-二聚体显著高于对照组(P<0.05),同时还发现观察组患儿的血清谷丙转氨酶(ALT)和谷氨酰转移酶(GGT)高于对照组(P<0.05)。结论:难治型支原体肺炎CRP、NEU(%)、ALT和GGT比普通型支原体肺炎患者明显升高,更容易发生肝损伤。Objective:Study of Refractory mycoplasma pneumoniae pneumonia and Mycoplasma pneumoniae pneumonia C-reactive protein,neutrophil ratio,D-dimer,and liver function indicators were different to provide clinical reference value.Method:A A retrospective analysis was performed on 90 patients with mycoplasma pneumonia admitted to hospital.The children diagnosed with RMPP were set as the observation group(n=30),and MPP children admitted during the same period were selected as the control group(n=60).The differences of CRP,NEU(%),D-dimer and liver function indexes were analyzed and compared between the two groups after admission.Results:CRP,NEU(%)and D-dimer in observation group were significantly higher than those in control group(P<0.05),serum alanine aminotransferase(ALT)and glutamyltransferase(GGT)in observation group were higher than those in control group(P<0.05).Conclusion:CRP,NEU(%),ALT and GGT in patients with refractory mycoplasma pneumonia are significantly higher than those with common mycoplasma pneumonia,and liver injury is more likely to occur.

关 键 词：难治型支原体肺炎 普通型支原体肺炎 D-二聚体 CRP NEU(%) 

分 类 号：R725.6[医药卫生—儿科]