摘要
目的探讨肺炎衣原体(CP)感染诱发的小儿哮喘的临床特征。方法回顾分析2012年1月-2013年9月在本院儿科确诊的肺炎衣原体感染哮喘患儿76例为CP感染组,同期非CP感染哮喘患儿32例为对照组。对两组患儿临床特点、哮喘特征、药物治疗效果等进行分析。结果 CP感染组的哮喘发作年龄以3岁以上多发(占63.2%);CP感染组患儿发热、热程、对支气管扩张剂反应、阿奇霉素的早期应用、咳喘持续时间、住院时间以及CP-IgM抗体滴度水平的测定、C反应蛋白(CRP)、X线胸片阳性诸项与对照组比较,差异均有统计意义(P<0.05)。结论 CP感染诱发的小儿哮喘发作有其临床特点,应早期、足疗程、规范应用阿奇霉素。
Objective To explore the clinical characteristics of child asthma caused by infection of chlamydia pneumoniae (CP). Methods The pediatric patients with asthma admitted to our hospital from January of 2012 to September of 2013 were divided into CP infection group ( n = 76) and non-CP infection ( n = 32). Their clinical features, asthmatic characteristics and responses to drug treatment were analyzed. Results In the CP infection group, the patients over 3 years old accounted for 63.2%. There were statistically significant differences in fever, heat duration, response to bronchodilator, early application of Azithromycin, cough du- ration, hospital stay, CP-IgM antibody titer, C-reactive protein (CRP) and chest X-ray examination between the two groups (P 〈 0.05 ). Conclusion Childhood asthma caused by CP infection has its own clinical characteristics. Azithromycin should be early applied based on standardized treatment.
出处
《临床军医杂志》
CAS
2014年第9期929-930,937,共3页
Clinical Journal of Medical Officers
关键词
肺炎衣原体
小儿
哮喘
阿奇霉素
chlamydia pneumoniae
child
asthma
Azithromycin