小儿重症肺炎的临床特征及预后影响因素
Clinical Characteristics and Prognostic Factors of Severe Pneumonia in Children
何婷婷 1阎靓 1张园园1
作者信息
- 1. 郑州市中心医院儿科,郑州 450000
- 折叠
摘要
目的:探讨小儿重症肺炎的临床特征及影响预后因素.方法:选取 2018 年 1 月至 2022 年 12 月本院收治的120 例小儿重症肺炎患儿作为研究对象.采用回顾性分析临床方法,收集、整理其临床病例资料,根据预后结果将其分为预后良好组(n =102)和预后不良组(n =18).统计学分析两组临床资料;采取多元Logistic回归分析法对小儿重症肺炎预后影响因素进行分析.结果:120 例患儿重症肺炎发病时间以冬季为主,年龄以≤2 岁婴幼儿为主.年龄、发病至就诊时间、存在呼吸道反复感染、降钙素原(PCT)水平,均是患儿预后不良的独立危险因素.结论:小儿重症肺炎多发于冬季,尤其是≤2 岁婴幼儿,其预后不良的独立危险因素包括年龄、发病至就诊时间、存在呼吸道反复感染、PCT水平.
Abstract
Objective:To explore and analyze the clinical characteristics and prognostic factors of severe pneumonia in children.Methods:A total of 120 children with severe pneumonia admitted to our hospital from January 2018 to December 2022 were selected,their clinical data were collected and sorted,their clinical characteristics were retrospectively analyzed,and they were divided into the good prognosis group(n = 102)and the poor prognosis group(n = 18)according to the prognosis.The clinical data of the two groups were compared.Multivariate logistic regression analysis was performed to analyze the prognostic factors of severe pneumonia in children.Results:The incidence season of 120 cases was mainly winter,and the age was mainly≤2 years old.Age,time from onset to treatment,repeated respiratory tract infection and level of procalcitonin(PCT)were all independent risk factors for poor prognosis.Conclusion:Children with severe pneumonia mostly occur in winter,especially in infants≤2 years old,independent risk factors for poor prognosis included age,time from onset to treatment,repeated respiratory infections,and PCT.
关键词
重症肺炎/临床特征/影响因素/儿童/预后Key words
Severe pneumonia/Clinical features/Influencing factor/Child/Prognosis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据