对儿童中Streptococcus pneumoniae引起的塑性支气管炎的风险因素的分析
Xi-Xia Guo1, Ya-Li Xu1, Yi-Shuai Ren1
1Department of Pediatrics, The First Affiliated Hospital of Xinxiang Medical University, No.88 of JianKang Road, Weihui, Henan province, 453100, China.
患有肺炎球菌性肺炎的儿童的塑性支气管炎与特定的临床指标有关. 粘膜红斑,分泌物颜色,以及甲水平是这种严重并发症的关键预测因素.
科学领域:
- 儿科肺病学 儿科肺病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 肺炎球菌性肺炎是一种常见的儿童感染.
- 塑性支气管炎 (PB) 是肺炎的一种罕见但严重的并发症,其特点是形成支气管形.
- 识别PB的风险因素对于及时诊断和管理至关重要.
研究的目的:
- 为了研究肺炎球菌性肺炎的临床特征.
- 在患有肺炎球菌性肺炎的儿科患者中确定塑性支气管炎的独立风险因素.
主要方法:
- 一项对156名患有肺炎球菌性肺炎的儿科患者进行的回顾性研究.
- 根据有塑性支气管炎和肺外并发症的存在,患者被分为几组.
- 统计分析包括曼·惠特尼U测试,奇方测试,多变量分析和ROC曲线分析以确定风险因素.
主要成果:
- 肺部整合在右下叶更频繁.
- 与没有塑性支气管炎的患者相比,患有塑性支气管炎的患者表现出更严重的粘膜红斑和异常分泌颜色.
- 肺外并发症在塑性支气管炎组中更为普遍.
- 多变量分析确定了粘膜红斑,分泌颜色和前素 (PCT) 作为PB的独立风险因素.
- ROC曲线分析显示了粘膜红斑,分泌量,分泌颜色和PCT的预测值.
结论:
- 分泌量,粘膜红斑,黄白色分泌物颜色和PCT是儿童肺炎肺炎中塑性支气管炎的重要独立风险因素.
- 这些因素对于识别患有塑性支气管炎风险的患者具有很高的预测价值.
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