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儿童重症肺炎危险因素分析

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目的 分析儿童重症状肺炎患病的危险因素.方法 将2021年7月至2023年1月南阳市第二人民医院收治的的413例肺炎患儿作为研究对象,按照是否为重症将患者分为重症肺炎组(52例)和非重症肺炎组(361例),采用logistic回归分析筛查儿童重症状肺炎的危险因素.结果 经单因素分析,重症肺炎组与非重症肺炎组在性别、出生体重、人工喂养、早产、窒息、先天性气道畸形、佝偻病、手术史、有兄弟姐妹方面差异无统计学意义(P>0.05),在年龄、营养不良、免疫功能低下、先天性心脏病、贫血、生活环境不良、反复呼吸道感染方面差异有统计学意义(P<0.05).经logistic回归分析,年龄≤3个月、营养不良、免疫功能低下、先天性心脏病、贫血、生活环境不良、反复呼吸道感染为儿童重症肺炎患病的危险因素(P<0.05).结论 对年龄≤3个月,营养不良、免疫功能低下、生活环境不良,有先天性心脏病、贫血的患儿,需加以预防措施并及时进行治疗,以减少儿童重症肺炎的患病率.
Risk Factors of Severe Pneumonia in Children
Objective To analyze the risk factors of severe pneumonia in children.Methods A total of 413 children with pneumonia admitted to Nanyang Second People's Hospital from July 2021 to January 2023 were taken as the research objects,and the patients were divided into severe pneumonia group(52 cases)and non-severe pneumonia group(361 cases)according to whether they were severe or not.The risk factors of severe pneumonia in children were screened by binary logistic regression analysis.Results By univariate analysis,there was no significant difference between severe pneumonia group and non-severe pneumonia group in gender,birth weight,artificial feeding,premature delivery,asphyxia,congenital airway malformation,rickets,surgical history and brothers and sisters(P>0.05),but there were significant differences in age,malnutrition,low immune function,congenital heart disease,anemia,poor living environment and recurrent respiratory infections(P<0.05).By binary logistic regression analysis,age≤3months,malnutrition,low immune function,congenital heart disease,anemia,poor living environment and repeated respiratory infections are the risk factors for severe pneumonia in children(P<0.05).Conclusion For children under 3 months old,with malnutrition,low immune function,poor living environment,congenital heart disease and anemia,preventive measures and timely treatment are needed to reduce the prevalence of severe pneumonia in children.

severe pneumonia in childrenrisk factorsagenutritionimmunologic function

寇果、陈超辉、张磊

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南阳市第二人民医院儿童重症监护室,河南南阳 473000

河南省儿童医院郑东院区呼吸科,河南郑州 450000

儿童重症肺炎 危险因素 年龄 营养 免疫功能

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(2)
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