摘要
目的探讨小儿难治性肺炎支原体肺炎的临床特征及相关影响因素。方法回顾性分析2017年2月至2018年5月在本院接受治疗的156例肺炎支原体肺炎患儿的临床资料,依据不同疾病类型分为观察组(难治性肺炎支原体肺炎,80例)和对照组(普通肺炎支原体肺炎,76例),详细记录分析两组患儿年龄、生活环境、胸腔积液及是否合并细菌感染或病毒感染等相关因素,并分析该疾病发生的相关因素。结果本研究内80例难治性肺炎支原体肺炎患儿中,春、夏季发病率较高,分别为32.50%、26.25%;观察组年龄≥3岁、生活环境不良、胸腔积液占比均高于对照组,差异有统计学意义(P<0.05);经logistic回归分析发现,年龄≥3岁、生活环境不良、胸腔积液为小儿难治性肺炎支原体肺炎发生的相关影响因素(OR>1,P<0.05)。结论年龄、生活环境不良、胸腔积液等因素均为难治性肺炎支原体肺炎的相关影响因素,临床应依据其相关影响因素制定干预措施,以防难治性肺炎支原体肺炎的发生。
Objective To investigate the clinical features and related influencing factors of refractory mycoplasma pneumoniae pneumonia in children.Methods The clinical data of 156 children with mycoplasma pneumoniae pneumonia treated in our hospital from February 2017 to May 2018 were analyzed retrospectively.They were divided into observation group(refractory mycoplasma pneumoniae pneumonia,80 cases)and control group(common mycoplasma pneumoniae pneumonia,76 cases).The related factors such as age,living environment,pleural effusion,and bacterial or viral infection were recorded and analyzed in detail.The related factors of the disease were analyzed.Results In 80 cases of refractory mycoplasma pneumoniae pneumonia of this study,the incidence was higher in spring and summer(32.50%,26.25%).The rate of age≥3 years old,poor living environment,pleural effusions in the observation group were significantly higher than those in the control group(P<0.05).Logistic regression analysis showed that age≥3 years old,poor living environment,pleural effusions were the related factors of refractory mycoplasma pneumoniae pneumonia in children(OR>1,P<0.05).Conclusion Age,poor living environment,and pleural effusions are all the related influencing factors of refractory mycoplasma pneumoniae pneumonia in children,intervention measures should be formulated according to its related influencing factors to prevent the occurrence of refractory mycoplasma pneumoniae pneumonia.
作者
张秋玉
Zhang Qiuyu(Department of Pediatrics,Yantai Yeda Hospital,Yantai 264006,China)
出处
《国际医药卫生导报》
2020年第5期709-712,共4页
International Medicine and Health Guidance News
关键词
难治性肺炎支原体肺炎
临床特征
LOGISTIC回归分析
儿童
Refractory mycoplasma pneumoniae pneumonia
Clinical characteristics
Logistic regression analysis
Children
