首页|血清SP-D表达与呼吸道合胞病毒性肺炎患儿抗病毒治疗预后的关系

血清SP-D表达与呼吸道合胞病毒性肺炎患儿抗病毒治疗预后的关系

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目的 探讨血清表面活性蛋白D(SP-D)表达与呼吸道合胞病毒性肺炎患儿抗病毒治疗预后的关系.方法 前瞻性研究,选择郑州人民医院2021年1月至2023年3月收治的呼吸道合胞病毒性肺炎患儿为研究对象,所有患儿均接受抗病毒治疗,检测治疗前后血清SP-D水平,观察患儿治疗后预后情况,并分为预后良好组和预后不良组,分析血清SP-D水平与预后的关系.结果 88例呼吸道合胞病毒性肺炎患儿经抗病毒治疗7 d后预后良好69例(78.41%),预后不良19例(21.59%);预后不良组患儿治疗前后血清SP-D水平均高于预后良好组,差异有统计学意义(P<0.05);经点二列相关性分析结果显示,呼吸道合胞病毒性肺炎患儿治疗前血清SP-D水平与预后情况呈正相关(r>0,P<0.05);绘制受试者工作特征曲线结果显示,治疗前血清SP-D水平预测呼吸道合胞病毒性肺炎患儿预后的曲线下面积>0.7,具有一定评估价值.结论 呼吸道合胞病毒性肺炎患儿抗病毒治疗前血清SP-D水平与预后相关,临床可通过检测血清SP-D水平预测预后情况.
Relationship Between Serum SP-D Expression and Prognosis of Antiviral Therapy in Children with Respiratory Syncytial Virus Pneumonia
Objective To investigate the relationship between the expression of serum surfactant protein-D(SP-D)and the prognosis of antiviral therapy in children with respiratory syncytial virus pneumonia.Methods A prospective study was conducted on children with respiratory syncytial virus pneumonia admitted to People's Hospital of Zhengzhou from January 2021 to March 2023.All children were treated with antiviral therapy,and serum SP-D levels were measured before and after treatment.The prognosis of the children after treatment was observed and divided into good and poor prognosis groups.The relationship between serum SP-D levels and prognosis was analyzed.Results After 7 days of antiviral therapy,69 out of 88 children with respiratory syncytial virus pneumonia had a good prognosis(78.41%)and 19 out of them had a poor prognosis(21.59%).The average serum SP-D levels before and after treatment in the poor prognosis group were higher than those in the good prognosis group,and the difference was statistically significant(P<0.05).The results of point two column correlation analysis showed that the pre treatment serum SP-D level in children with respiratory syncytial virus pneumonia was positively correlated with the prognosis(r>0,P<0.05).The results of receiver operating characteristic showed that the area under the curve of serum SP-D level before treatment to predict the prognosis of children with respiratory syncytial virus pneumonia was>0.7,which had certain evaluation value.Conclusion The serum SP-D level before antiviral therapy in children with respiratory syncytial virus pneumonia is related to prognosis,and clinical detection of serum SP-D level can predict prognosis.

respiratory syncytial virus pneumoniainfantsurfactant protein-Dantiviralprognosis

张丽娜、李源、周洋洋、袁君茹

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河南中医药大学第五临床医学院/郑州人民医院儿科,河南郑州 450000

呼吸道合胞病毒性肺炎 婴幼儿 表面活性蛋白D 抗病毒 预后

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(23)