CAJ | 학술논문

目的探讨儿童重症肺炎支原体肺炎的相关危险因素.方法将86例肺炎支原体肺炎患儿设为观察组,将同期在该院健康体检的30例正常儿童设为对照组,观察组包括轻症肺炎支原体肺炎患儿33例(观察A组)、重症肺炎支原体肺炎患儿53例(观察B组),分析比较三组临床资料,探讨儿童重症肺炎支原体肺炎的相关危险因素.结果导致重症肺炎支原体肺炎的危险因素主要包括:年龄＞5岁(x2=28.776,P＜0.05)、免疫球蛋白IgG(x2 =3.004,P ＜0.05)、免疫球蛋白IgM(x2=2.147,P＜0.05)、免疫球蛋白IgA(x2 =2.036,P＜0.05)、WBC水平(x2=6.119,P ＜0.05)、中性粒细胞百分率(x2=8.374,P ＜0.05)、CD8阳性率(x2=11.665,P ＜0.05)、CD4阳性率(x2=12.901,P ＜0.05).结论针对儿童重症肺炎支原体肺炎患者的危险因素应及早诊断,及时防治,从而减轻患者负担.
목적 탐토인동중증폐염지원체폐염적상관위험인소.방법 장86례폐염지원체폐염환인설위관찰조,장동기재해원건강체검적30례정상인동설위대조조,관찰조포괄경증폐염지원체폐염환인33례(관찰A조)、중증폐염지원체폐염환인53례(관찰B조),분석비교삼조림상자료,탐토인동중증폐염지원체폐염적상관위험인소.결과 도치중증폐염지원체폐염적위험인소주요포괄:년령＞5세(x2=28.776,P＜0.05)、면역구단백IgG(x2 =3.004,P ＜0.05)、면역구단백IgM(x2=2.147,P＜0.05)、면역구단백IgA(x2 =2.036,P＜0.05)、WBC수평(x2=6.119,P ＜0.05)、중성립세포백분솔(x2=8.374,P ＜0.05)、CD8양성솔(x2=11.665,P ＜0.05)、CD4양성솔(x2=12.901,P ＜0.05).결론 침대인동중증폐염지원체폐염환자적위험인소응급조진단,급시방치,종이감경환자부담.
Objective To explore the related risk factors of severe mycoplasma pneumonia in children.Methods 86 children with mycoplasma pneumonia were selected as the observation group.At the same time,30 normal children were selected as the control group.The observation group included 33 cases of mild mycoplasma pneumo nia(A group) and 53 cases of severe mycoplasma pneumonia(B group).The clinical data of the three groups were ret rospectively analyzed,and the related risk factors of severe mycoplasma pneumonia in children were analyzed.Results The risk factors of severe mycoplasma pneumonia in children were age ＞ 5 years (x2 =28.776,P ＜ 0.05),immunoglobulin IgG(x2 =3.004,P ＜ 0.05),immunoglobulin IgM (x2 =2.147,P ＜ 0.05),immunoglobulin IgA (x2 =2.036,P ＜ 0.05),WBC (x2 =6.119,P ＜ 0.05),neutrophil percentage (x2 =8.374,P ＜ 0.05),the positive rate of CD8(x2 =11.665,P＜0.05),the positive rate of CD4(x2 =12.901,P＜0.05).Conclusion For children with risk factors of severe mycoplasma pneumonia should be early diagnosed,prevented and treated,thereby reducing the burden on patients.