不同类型呼吸道感染患儿器官功能损伤情况及预后影响因素分析

doi:10.3969/j.issn.1006-6233.2020.04.034

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Abstract Objectives: To analyze and discuss the organ function damage and the influencing factors of prognosis in children with different types of respiratory tract infection. Methods: The clinical data of 74 children with respiratory tract infection treated in our hospital from January 2016 to December 2016 were retrospectively analyzed.According to the different types of infection, the children were divided into the upper respiratory tract infection (URTI) group and the pneumonia group, and the clinical data and biochemical indexes of the two groups were collected, and the functional damage of the organs of the children was checked by using the blood cell analysis and the chest positive slice.After follow-up until December 31, 2018, the prognosis of children in each group was observed. The risk factors affecting respiratory tract infection were analyzed by univariate and multivariate Logistic. Results: 5 (14.28%) of the patients with impaired cardiovascular system in the URTI group were significantly lower than that of the pneumonia group (48.72%), and the difference was statistically significant (χ²=9.98, P =0.02); There were 6 cases (17.14%) with abnormal digestive system in URTI group and 21 cases (53.85%) with abnormal digestive system in pneumonia group, the difference was statistically significant (χ²=10.723, P=0.001). As of December 31, 2018, 35 cases (100.00%) were cured in URTI group and 32 cases (82.05%) were cured or improved in pneumonia group. The results of factor analysis showed that there were significant differences in age, asthma, abnormal ALT, abnormal digestive system, the number of severe pneumonia and the level of PCT between the children with pneumonia and those with good prognos is (P<0.05). Multivariate analysis showed that CK-MB was abnormal, and the PCT was an independent risk factor that affected the prognosis of children with pneumonia (P<0.05). Conclusion: Compared with the URTI group, the organ function of the children with pneumonia is more serious; and the CK-MB>24U/L and PCT are the risk factors that affect the prognosis of the children with pneumonia, and the clinical can reduce the incidence of respiratory tract infection by controlling the above factors.

Key words： Respiratory tract infection Organs Children Functional injury Prognosis

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	LU Rong
	LIU Qing
	PANG Suijun

Cite this article:

LU Rong,LIU Qing,PANG Suijun. Analysis of Organ Function Damage and Prognostic Factors in Children with Different Types of Respiratory Tract Infection[J]. HeBei Med, 2020, 26(4): 673-677.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2020.04.034 OR http://www.hbyxzzs.cn/EN/Y2020/V26/I4/673