摘要
目的 分析学龄前儿童支气管肺炎预后的高危因素。方法 回顾性分析2021年1月至2022年4月河南科技大学第一附属医院儿科收治的98例支气管肺炎患儿的临床资料,按出院时转归分为预后良好组72例和预后不良组26例,收集所有患儿的临床就诊资料并进行分析比较,探讨影响患儿预后的危险因素。结果 预后不良组患儿年龄小于预后良好组(P<0.05)。预后不良组C反应蛋白(C-reactive protein, CRP)、乳酸脱氢酶(lactic dehydrogenas, LDH)、D二聚体(D-Dimer, DD)、天门冬氨酸氨基转移酶(aspartate aminotransferase, AST)、丙氨酸氨基转移酶(alanine aminotransferase, ALT)、免疫球蛋白(IgA)、中性粒细胞比例(percentage of neutrophils, Ne)、红细胞沉降率(erythrocyte sedimentation rate, ESR)均高于预后良好组,免疫球蛋白(IgG)低于预后良好组(P<0.05)。年龄小、CRP、LDH、DD水平高经logistic回归分析显示均为支气管肺炎患儿预后不良的独立危险因素(P<0.05)。结论 学龄前儿童支气管肺炎预后不良的独立危险因素为低龄及CRP、LDH、DD水平升高。
Objective To analyze the prognostic risk factors of bronchopneumonia in preschool children.Methods The clinical data of 98 children with bronchopneumonia who were treated in the pediatric department of our hospital from January 2021 to April 2022 were retrospectively analyzed.According to the outcome at discharge,they were divided into a good prog-nosis group of 72 cases and a poor prognosis group of 26 cases.The clinical data of all children were collected,analyzed and compared,and the risk factors affecting the prognosis of children were discussed.Results Compared with the good progno-sis group,the children in the poor prognosis group were younger(P<0.05).Compared with the good prognosis group,the poor prognosis group had higher CRP,LDH,DD,AST,ALT,IgA,Ne,ESR,and lower IgG(P<0.05).Younger age,high CRP,LDH and DD levels were independent risk factors for poor prognosis of children with bronchopneumonia by logistic re-gression analysis(P<0.05).Conclusion The independent risk factors for poor prognosis of preschool children with bron-chopneumonia are younger age and elevated levels of CRP,LDH and DD.
作者
侯珍珍
黄丹丹
马国瑞
王伟伟
HOU Zhen-zhen;HUANG Dan-dan;MA Guo-rui;WANG Wei-wei(Department of Pediatrics,the First Affiliated Hospital of Henan University of Science and Technology Luoyang,Henan 471000,China)
出处
《医药论坛杂志》
2023年第15期36-39,43,共5页
Journal of Medical Forum
关键词
学龄前儿童
支气管肺炎
预后
危险因素
Preschool children
Bronchopneumonia
Prognosis
Risk factors
