中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
13期
27-29
,共3页
肺炎%腹泻%危险因素%儿童%培菲康
肺炎%腹瀉%危險因素%兒童%培菲康
폐염%복사%위험인소%인동%배비강
Pneumonia%Diarrhea%Risk factors%Children%Bifico
目的 探讨小儿肺炎继发腹泻的危险因素及采用微生态制剂培菲康对其治疗的临床效果.方法 对符合小儿肺炎继发腹泻诊断标准的120例患儿按入院先后顺序随机分为治疗组(64例)和对照组(56例),治疗组采用培菲康治疗,对照组采用乳酶生片治疗,治疗结束后评价临床疗效.同时对小儿肺炎继发腹泻相关因素进行单因素及多因素Logistic回归分析.结果 单因素分析显示,年龄、性别、病情程度、住院时间、住院时侵入性操作、激素应用、中性粒细胞、血红蛋白与小儿肺炎继发腹泻有关.多因素Logistic回归分析筛选出3个危险因素:年龄<3岁、住院时有侵入性操作和住院时间≥10d.治疗组临床疗效总有效率为93.8%(60/64),对照组为78.6%(44/56),两组比较差异有统计学意义(P<0.05).结论 年龄<3岁、住院时有侵入性操作和住院时间≥10 d是小儿肺炎继发腹泻的危险因素;采用微生态制剂培菲康治疗小儿肺炎继发腹泻临床效果好.
目的 探討小兒肺炎繼髮腹瀉的危險因素及採用微生態製劑培菲康對其治療的臨床效果.方法 對符閤小兒肺炎繼髮腹瀉診斷標準的120例患兒按入院先後順序隨機分為治療組(64例)和對照組(56例),治療組採用培菲康治療,對照組採用乳酶生片治療,治療結束後評價臨床療效.同時對小兒肺炎繼髮腹瀉相關因素進行單因素及多因素Logistic迴歸分析.結果 單因素分析顯示,年齡、性彆、病情程度、住院時間、住院時侵入性操作、激素應用、中性粒細胞、血紅蛋白與小兒肺炎繼髮腹瀉有關.多因素Logistic迴歸分析篩選齣3箇危險因素:年齡<3歲、住院時有侵入性操作和住院時間≥10d.治療組臨床療效總有效率為93.8%(60/64),對照組為78.6%(44/56),兩組比較差異有統計學意義(P<0.05).結論 年齡<3歲、住院時有侵入性操作和住院時間≥10 d是小兒肺炎繼髮腹瀉的危險因素;採用微生態製劑培菲康治療小兒肺炎繼髮腹瀉臨床效果好.
목적 탐토소인폐염계발복사적위험인소급채용미생태제제배비강대기치료적림상효과.방법 대부합소인폐염계발복사진단표준적120례환인안입원선후순서수궤분위치료조(64례)화대조조(56례),치료조채용배비강치료,대조조채용유매생편치료,치료결속후평개림상료효.동시대소인폐염계발복사상관인소진행단인소급다인소Logistic회귀분석.결과 단인소분석현시,년령、성별、병정정도、주원시간、주원시침입성조작、격소응용、중성립세포、혈홍단백여소인폐염계발복사유관.다인소Logistic회귀분석사선출3개위험인소:년령<3세、주원시유침입성조작화주원시간≥10d.치료조림상료효총유효솔위93.8%(60/64),대조조위78.6%(44/56),량조비교차이유통계학의의(P<0.05).결론 년령<3세、주원시유침입성조작화주원시간≥10 d시소인폐염계발복사적위험인소;채용미생태제제배비강치료소인폐염계발복사림상효과호.
Objective To investigate the risk factors of secondary diarrhea in children with pneumonia(SDCP)and intervention effect of probiotics bifico treatment.Methods One hundred and twenty cases of SDCP were randomly divided into treatment group(64 csses)and control group(56 cases).The treatment group was given probiotics bifico treatment,and the control group was given lactasin tablets treatment.After treatment,the chnical effect was evaluated.The risk factors of SDCP incidence were analyzed and screened by single-factor and multivariate Logistic regression analysis.Results The singlefactor analysis showed that the children's age,sex,patient's condition,in-hospital days,invasive procedures,the use of hormone,neutrophils and hemoglobin had relation with SDCP incidence.Multivariate Logistic regression analysis showed that the children's age less than 3 years old,invasive procedures during hospitalization and in-hospital days more than or equal to 10 days were the risk factors of SDCP incidence.The total effective rate of the treatment group was 93.8%(60/64),significantly higher than that of the control group[78.6%(44/56)](P<0.05).Conclusions The children's age less than 3 years old,invasive procedures during hospitalization and in-hospital days more than or equal to 10 days are the risk factors of SDCP.The probioties bifico in treatment of SDCP is curative.
