儿童肺炎支原体肺炎感染发生塑型性支气管炎的logistics回归分析
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欧芬,医师,主要研究方向:儿童呼吸道疾病的防治

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R181

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Logistics regression analysis of plastic bronchitis in children with mycoplasma pneumoniae infection
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    摘要:

    目的 分析儿童肺炎支原体肺炎感染发生塑型性支气管炎的影响因素,提出针对性预防建议。方法 回顾性分析2022年9月到2024年2月成都市第三人民医院收治的肺炎支原体肺炎感染患儿临床资料,根据其是否发生塑型性支气管炎进行分组,分析肺炎支原体肺炎感染儿童发生塑型性支气管炎的独立影响因素。结果 共纳入302例肺炎支原体肺炎感染患儿,118例诊断出患有塑型性支气管炎;患儿年龄、发热持续时间、住院时间、胸腔积液率、支气管镜灌洗次数、过敏史、镜下黏膜糜烂率、WBC、NE%、LY%、CRP、LDH、PCT、D-D是影响肺炎支原体肺炎感染患儿发生塑型性支气管炎的单因素;logistic回归分析显示,年龄(OR=2.137,95% CI:1.132~16.603)、过敏史(OR=3.028,,95% CI:1.261~864)、NE%(OR=2.395,95% CI:1.087~5.274)、CRP(OR=3.864,95% CI:1.563~3.864)、PCT(OR=4.125,95% CI:1.793~3.864)、D-D(OR=3.920,95% CI:1.632~3.864)为肺炎支原体肺炎感染患儿发生塑型性支气管炎的独立危险因素(P<0.05)。结论 患儿年龄、过敏史、NE%、CRP、PCT、D-D为肺炎支原体肺炎感染患儿发生塑型性支气管炎的独立危险因素,临床可针对性采取干预措施,降低发生风险。

    Abstract:

    Objective To analyze the influencing factors of plastic bronchitis in children with Mycoplasma pneumoniae infection and put forward targeted prevention suggestions. Methods The clinical data of children with Mycoplasma pneumoniae infection who were admitted to Chengdu Third People's Hospital from September 2022 to February 2024 were retrospectively analyzed . According to whether plastic bronchitis occurred, they were divided into plastic group (n=118) and non-plastic group (n=184), and the differences between the two groups were compared and analyzed. Univariate and multivariate logistics regression analysis equations were used to analyze the independent influencing factors of plastic bronchitis in children with mycoplasma pneumoniae infection. Results Among the 302 children with Mycoplasma pneumoniae infection , 118 cases were diagnosed with plastic bronchitis. Analysis showed that the children’s age, duration of fever, hospital stay, pleural effusion rate, number of bronchoscopic lavage, allergy history, endoscopic mucosal erosion rate, WBC, NE%, LY%, CRP, LDH, PCT and D-D were the single factors influencing the occurrence of plastic bronchitis in children with mycoplasma pneumoniae infection. Binary logistics regression analysis revealed that age (OR=2.137, P=0.033, 95% CI: 1.132-16.603), allergy history (OR=3.028, P=0.014, 95% CI: 1.261-864), NE% (OR=2.395, P=0.031, 95% CI: 1.087-5.274), CRP (OR=3.864, P=0.004, 95% CI: 1.563-3.864), PCT (OR=4.125, P=0.001, 95% CI: 1.793-3.864), and D-D (OR=3.920, P=0.002, 95% CI: 1.632-3.864) were independent risk factors for plastic bronchitis in children with mycoplasma pneumoniae infection (P<0.05). Conclusion Age, allergy history, NE%, CRP, PCT and D-D are independent risk factors for plastic bronchitis in children with mycoplasma pneumoniae infection . It is necessary to take clinical intervention measures to reduce the occurrence risk .

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  • 收稿日期:2024-12-05
  • 最后修改日期:2024-12-05
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  • 在线发布日期: 2025-01-15
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