小儿肺炎支原体感染的特点及危险因素探讨.pdf

《小儿肺炎支原体感染的特点及危险因素探讨.pdf》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、《淮海医药》2014年11月第32卷第6期JHuaihaiMed，November2014，Vo1．32，No．6d,JL肺炎支原体感染的特点及危险因素探讨景艳【摘要】目的探讨小儿肺炎支原体感染的特点及危险因素。方法选取2012年6月一2013年5月我院收治的小儿肺炎支原体感染患者45例作为观察组，选取同期普通肺炎患儿45例作为对照组，记录其临床特点，采用Logistic单因素和多因素回归分析。结果小儿肺炎支原体感染主要表现为发热、阵发性咳嗽，热程1—7d。实验室检查CK-MB增加，影像学检查小斑点状模糊影；观察组年龄

2、、季节、居住环境、流行接触史、低补体状态、抗生素应用时间与对照组比较均有显著性差异(P值均小于0．05)。通过Logistic回归分析，年龄、季节、流行接触史、低补体状态、抗生素应用时间是造成小儿肺炎支原体感染的独立危险因素。结论小儿在秋冬季节出现持续高热、阵发性咳嗽、免疫力低下，且有支原体流行期接触史，可高度怀疑为肺炎支原体感染，应进行及早诊断和治疗。【关键词】肺炎支原体感染；临床特点；危险因素；小儿【中图分类号】R725．631【文献标识码】A【文章编号】1008-7044(2014)06-0552-02Inves

3、tigationofcharacteristicsandriskfactorsofmycoplasmapneumoniainfectioninchildrenJINGYah．(JiangduPeopleHospitalofYangzhouCity，Jiangsu225200。China)【Abstract】ObjectiveToinvestigatecharacteristicsandriskfactorsofmycoplasmapneumoniae(MP)infectioninchil-dren．Methods45p

4、atientswithMPinfectionadmittedinourhospitalfromJune2012toMay2013werechosenasanobser-rationgroup，meanwhilethesamenumberofcaseswithcommonpneumoniawereselectedasacontrolgroup．Theirclinicalcharacteristicswererecordedandunivariate／muhivariatestatisticalanalysiswasper

5、formedbyLogisticregression．ResultsMPinfectioninchildrenwascharacterizedbyfeverandparoxysmalcough．Thefevermaylast1～7days．LaboratorytestsindicatedtheincreaseofCK—MBandsmallpunctateopacitieswerefoundinimagingexamination．Thereweresignificantdifferencesbe—tweentheobs

6、ervationgroupandthecontrolgroupintermsofage，season，residenceenvironment-epidemiologicalcontacthisto-ry。lowcomplementstate，andtimingofantibioticuse(P<0．05)．ByLogisticregressionanalysis，age，season，epidemiologicalcontacthistory，lowcomplementstate，andtimingofantibio

7、ticusemightcontributetoindependentriskfactorsforMPinfectioninchildren．ConclusionIfsustainedhighfever。paroxysmalcoughandlowimmunitypresentinchildreninfallandwinterandthereisanepidemichistoryofexposuretomycoplasma，MPinfectioncanbehighlysuspected．Earlydiagnosisandt

8、reatmentshouldbestronglyrecommended．【Keywords】Myeoplasmapneumoniaeinfection；Clinicalcharacteristics；Riskfactors；Children肺炎支原体(MP)是造成4,JL感染性呼吸道疾病的主要它病原体造成的肺部感染和先天性肺部疾病