中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
2期
217-218,220
,共3页
肺炎支原体%下呼吸道感染%临床特征分析
肺炎支原體%下呼吸道感染%臨床特徵分析
폐염지원체%하호흡도감염%림상특정분석
Pneumonia mycoplasma%Lower respiratory tract infection%The analysis of the clinical characteristics
目的：探讨肺炎支原体(MP)导致小儿下呼吸道感染(LRI)的临床特征。方法：回顾性分析我院儿科2009年6月~2012年12月200例确诊为MPLRI住院患儿的临床资料,分析总结性别、年龄、发病季节、临床症状、体征、各项检查的临床特征。结果：(1) MPLRI患儿性别无显著性差异,(P>0.05)；5岁以下儿童占71.1%；(2)咳嗽率98.6%,发热率75.4%,喘息率51.2%,婴幼儿与年长儿喘息发生率分别为(62.4%,39.2%),呕吐腹泻率分别为(35.8%,14.7%),皮疹发生率分别为(14.7%,5.9%),婴幼儿明显高于年长儿,具有显著性差异(P<0.05；(3)所有患儿中合并肺炎衣原体(CP)感染者占60%,合并细菌感染者50.0%,合并病毒感染者26.9%。(4)肺功能检查显示90.3%的患儿有不同程度的气道阻塞,70.8%有气道高反应性。结论：MPLRI呈低龄化趋势；以发热、咳嗽、喘息为主要临床表现,婴幼儿更易出现喘息、呕吐腹泻及皮疹等临床症状；MPLRI多合并CP感染,能引起气道阻塞及高反应性。
目的：探討肺炎支原體(MP)導緻小兒下呼吸道感染(LRI)的臨床特徵。方法：迴顧性分析我院兒科2009年6月~2012年12月200例確診為MPLRI住院患兒的臨床資料,分析總結性彆、年齡、髮病季節、臨床癥狀、體徵、各項檢查的臨床特徵。結果：(1) MPLRI患兒性彆無顯著性差異,(P>0.05)；5歲以下兒童佔71.1%；(2)咳嗽率98.6%,髮熱率75.4%,喘息率51.2%,嬰幼兒與年長兒喘息髮生率分彆為(62.4%,39.2%),嘔吐腹瀉率分彆為(35.8%,14.7%),皮疹髮生率分彆為(14.7%,5.9%),嬰幼兒明顯高于年長兒,具有顯著性差異(P<0.05；(3)所有患兒中閤併肺炎衣原體(CP)感染者佔60%,閤併細菌感染者50.0%,閤併病毒感染者26.9%。(4)肺功能檢查顯示90.3%的患兒有不同程度的氣道阻塞,70.8%有氣道高反應性。結論：MPLRI呈低齡化趨勢；以髮熱、咳嗽、喘息為主要臨床錶現,嬰幼兒更易齣現喘息、嘔吐腹瀉及皮疹等臨床癥狀；MPLRI多閤併CP感染,能引起氣道阻塞及高反應性。
목적：탐토폐염지원체(MP)도치소인하호흡도감염(LRI)적림상특정。방법：회고성분석아원인과2009년6월~2012년12월200례학진위MPLRI주원환인적림상자료,분석총결성별、년령、발병계절、림상증상、체정、각항검사적림상특정。결과：(1) MPLRI환인성별무현저성차이,(P>0.05)；5세이하인동점71.1%；(2)해수솔98.6%,발열솔75.4%,천식솔51.2%,영유인여년장인천식발생솔분별위(62.4%,39.2%),구토복사솔분별위(35.8%,14.7%),피진발생솔분별위(14.7%,5.9%),영유인명현고우년장인,구유현저성차이(P<0.05；(3)소유환인중합병폐염의원체(CP)감염자점60%,합병세균감염자50.0%,합병병독감염자26.9%。(4)폐공능검사현시90.3%적환인유불동정도적기도조새,70.8%유기도고반응성。결론：MPLRI정저령화추세；이발열、해수、천식위주요림상표현,영유인경역출현천식、구토복사급피진등림상증상；MPLRI다합병CP감염,능인기기도조새급고반응성。
Objective:The clinical features study of the children's lower respiratory infection(LRI) leaded by Mycoplasma pneumoniae (MP).Methods:Retrospective analysis the clinical data of 200 children diagnosed as MPLRI hospitalized in the pediatrics from June 2009-December 2012,analysis and summary the clinical features of the gender,age,season,clinical symptoms,signs,and the inspection.Results:(1)The gender of MPLRI children,there was no significant difference (P>0.05);Children under 5 years of age accounted for 71.1%;cough incidence rate was 98.6%,fever incidence rate was 75.4%,wheezing incidence rate was 51.2%,wheezing incidence of infants and older son respectively was (62.4%,39.2%),vomiting,diarrhea rate respectively was (35.8%,14.7%),rash incidence respectively was (14.7%,5.9%),infants and young children is significantly higher than the older son,with significant difference (P<0.05);(3)The children merge with chlamydia pneumoniae(CP) infections accounted for 60%,merge with bacteria infections accounted for 50.0%,merge with Virus infection accounted for 26.9%.(4) Pulmonary function examination showed that 90.3%of children have different degree of airway obstruction,70.8%have high reactivity.Conclusion:MPLRI showed a trend of younger age;the main clinical expression were fever,cough and wheezing,infants and young children are more likely to appear breathing,vomiting,diarrhea and skin rashes and other clinical symptoms;MPLRI easy to merge with CP infection,can cause airway obstruction and high reactivity.
