摘要
目的分析儿童重症腺病毒肺炎的危险因素。方法收集2019年6~8月在长沙市中心医院儿科住院的66例腺病毒肺炎患儿的临床资料,其中34例为重症腺病毒肺炎、32例为非重症腺病毒肺炎,对两组11个可能的危险因素,包括年龄、性别、白细胞、C反应蛋白(CRP)、降钙素原(PCT)、血沉(ESR)、肌酸激酶同工酶(CKMB)、谷草转氨酶(AST)、电解质紊乱、营养性贫血、热程≥7 d先进行单因素分析,然后对单因素分析中差异有统计学意义的危险因素进行Logistic回归分析。结果多因素Logistic回归分析显示:营养性贫血(OR=4.597)和热程≥7 d(OR=1.289)是儿童重症腺病毒肺炎的独立危险因素。结论营养性贫血和长热程是儿童重症腺病毒肺炎的独立危险因素,及时进行相关干预治疗,可减少重症腺病毒肺炎的发生。
Objective To analyze the risk factors of severe adenovirus pneumonia in children.Methods The clinical data of 66 children with adenoviral pneumonia admitted to the pediatrics department of Changsha Central Hospital from June to August 2019 were collected.Among them,34 were severe adenovirus pneumonia and 32 were non-severe adenovirus pneumonia.Eleven possible risk factors for both groups,including age,gender,white blood cells,C-reactive protein(CRP),procalcitonin(PCT),erythrocyte sedimentation rate(ESR),creatine kinase isoenzyme(CK-MB),and aspartate aminotransferase(AST),electrolyte imbalance,nutritional anemia,heat history≥7 days were first analyzed by univariate analysis,and then the risk factors with statistically significant differences in univariate analysis were analyzed by Logistic regression analysis.Results Multivariate logistic regression analysis showed that nutritional anemia(OR=4.597)and heat history≥7 days(OR=1.289)were independent risk factors for severe adenovirus pneumonia in children.Conclusions Nutritional anemia and long heat history are independent risk factors for severe adenovirus pneumonia in children.Timely interventional treatment can reduce the occurrence of severe adenovirus pneumonia.
作者
刘君
王团美
LIU Jun;WANG Tuanmei(Graduate School of Hu'nan University of Traditional Chinese Medicine,Changsha410000,China)
出处
《中国现代医生》
2020年第3期57-59,共3页
China Modern Doctor
关键词
腺病毒
重症肺炎
危险因素
儿童
Adenovirus
Severe pneumonia
Risk factors
Children
