现代医院
現代醫院
현대의원
MODERN HOSPITAL
2015年
4期
63-64,67
,共3页
支原体%肺炎%C 反应蛋白%白细胞%中性粒细胞
支原體%肺炎%C 反應蛋白%白細胞%中性粒細胞
지원체%폐염%C 반응단백%백세포%중성립세포
Mycoplasma%pneumonia%C -reactive protein%leukocytes%neutrophil
目的：研究难治性支原体肺炎（RMPP）的临床特征和诊断，为临床提供参考。方法选取2012年3月～2014年3月间我院收治的60例支原体肺炎患儿为观察对象，其中30例为一般病例，30例为难治性病例。对两组患儿的临床特征、中性粒细胞的百分比、外周血的白细胞总数、C 反应蛋白及胸部的影像学等差别进行回顾，并通过多因素 Logistic 回归分析总结 RMPP 临床判断指标。结果发热时间上，两组患者比较差异有统计学意义（χ2＝12．27，p ＜0．01）；两组患者外周血的白细胞数、中性粒细胞百分数以及 CRP 比较，差异均有统计学意义（p ＜0．05），两组患者影像学的表现可见显著性差异；Logistic 回归分析结果表明，发热时间＞10 d、CRP ＞40 mg／L、出现大片肺部高密度的实变影，为难治性支原体肺炎判断的指标。结论发热时间、CRP 水平及影像学表现为难治性支原体肺炎判断的指标。
目的：研究難治性支原體肺炎（RMPP）的臨床特徵和診斷，為臨床提供參攷。方法選取2012年3月～2014年3月間我院收治的60例支原體肺炎患兒為觀察對象，其中30例為一般病例，30例為難治性病例。對兩組患兒的臨床特徵、中性粒細胞的百分比、外週血的白細胞總數、C 反應蛋白及胸部的影像學等差彆進行迴顧，併通過多因素 Logistic 迴歸分析總結 RMPP 臨床判斷指標。結果髮熱時間上，兩組患者比較差異有統計學意義（χ2＝12．27，p ＜0．01）；兩組患者外週血的白細胞數、中性粒細胞百分數以及 CRP 比較，差異均有統計學意義（p ＜0．05），兩組患者影像學的錶現可見顯著性差異；Logistic 迴歸分析結果錶明，髮熱時間＞10 d、CRP ＞40 mg／L、齣現大片肺部高密度的實變影，為難治性支原體肺炎判斷的指標。結論髮熱時間、CRP 水平及影像學錶現為難治性支原體肺炎判斷的指標。
목적：연구난치성지원체폐염（RMPP）적림상특정화진단，위림상제공삼고。방법선취2012년3월～2014년3월간아원수치적60례지원체폐염환인위관찰대상，기중30례위일반병례，30례위난치성병례。대량조환인적림상특정、중성립세포적백분비、외주혈적백세포총수、C 반응단백급흉부적영상학등차별진행회고，병통과다인소 Logistic 회귀분석총결 RMPP 림상판단지표。결과발열시간상，량조환자비교차이유통계학의의（χ2＝12．27，p ＜0．01）；량조환자외주혈적백세포수、중성립세포백분수이급 CRP 비교，차이균유통계학의의（p ＜0．05），량조환자영상학적표현가견현저성차이；Logistic 회귀분석결과표명，발열시간＞10 d、CRP ＞40 mg／L、출현대편폐부고밀도적실변영，위난치성지원체폐염판단적지표。결론발열시간、CRP 수평급영상학표현위난치성지원체폐염판단적지표。
Objective To study the clinical features and diagnostic analysis of 30 cases with refractory myco-plasma pneumonia.Methods 60 patients with mycoplasma pneumonia treated in our hospital during 2012.03 to 2014.03 were selected, and 30 cases were diagnosed as normal mycoplasma pneumonia and the others as refractory mycoplasma pneumonia.The clinical manifestations, percentage of neutrophils, peripheral blood leukocytes , C -re-active protein (CRP) level, and chest radiographic were retrospectively analyzed , and the clinical judging indicators of refractory mycoplasma pneumonia were obtained by multivariate logistic regression analysis .Results Considering the time of fever, the difference between two groups was statistically significant (χ2 =12.27, p <0.01).The differ-ence of percentage of neutrophils , peripheral blood leukocytes and CRP between the two groups were all significant (p <0.05); Logistic regression analysis showed that time of fever >10 d, CRP >40 mg /L, appearance of large high -density lung opacities were the judging indicators of mycoplasma pneumonia refractory .Conclusion Time of fever, CRP level and imaging Findings are the judging indicators of mycoplasma pneumonia refractory .
