摘要
目的探讨喘息住院患儿病原学及临床特征。方法方便选取苏州大学附属儿童医院2015年1月—2017年12月住院临床表现有喘息症状的2380例患儿进行多病原检测。结果2380例患儿中,病原检测阳性的患儿1339例,检出阳性率为56.3%;其中病毒检测阳性者906例,检出率为38.1%;病毒感染者中,检出率高的病毒依次为呼吸道合胞病毒(RSV,16.6%)、人鼻病毒(hRV,14.6%);肺炎支原体(MP)719例(30.2%);细菌339例(14.2%),混合感染479例(20.1%)。MP感染组患儿平均年龄大,男性患儿少见;呼吸道合胞病毒(RSV)感染组发热比例低;紫绀在副流感病毒(Pinf)感染组更多见;病毒混合细菌感染组易出现紫绀,差异有统计学意义(P<0.05)。结论病毒是诱发喘息最常见的病原体,其次为MP。1岁以内的患儿以病毒感染多见,主要为RSV、hRV;1岁以上的患儿以MP多见。RSV冬季检出率高,hRV冬季检出率低,hBoV夏季检出率高,MP全年散发。
Objective To investigate the etiology and clinical characteristics of hospitalized children with asthma in Suzhou area.Methods 2380 children with wheezing symptoms who were hospitalized in the Children's Hospital of Soochow University from January 2015 to December 2017 were conveniently selected for multi-pathogen detection.Results Among the 2380 children,1339 were positive for the pathogen test,with a positive rate of 56.3%;among them,906 were positive for the virus,with a detection rate of 38.1%;Viruses were respiratory syncytial virus(RSV,16.6%),human rhinovirus(hRV,14.6%),Mycoplasma pneumoniae(MP)in 719 cases(30.2%),bacteria in 339 cases(14.2%),and mixed infection in 479 cases(20.1%).The average age of the MP infection group was older,and male children were rare;the respiratory syncytial virus(RSV)infection group had a lower proportion of fever;cyanosis was more common in the parainfluenza virus(Pinf)infection group;cyanosis was more likely to appear in the virus mixed bacterial infection group,and the difference was statistically significant(P<0.05).Conclusion Virus is the most common pathogen causing wheezing,followed by MP.Children less than 1 year old are more common with viral infections,mainly RSV and hRV;children over 1 year old are more common with MP.The detection rate of RSV is high in winter,the detection rate of hRV is low in winter,the detection rate of hBoV is high in summer,and MP is distributed throughout the year.
作者
李月红
武敏
王宇清
LI Yuehong;WU Min;WANG Yuqing(Department of Pediatrics,Maternal and Child Health Hospital,Yancheng,Jiangsu Province,224000 China;Department of Pediatrics,Children's Hospital Affiliated to Soochow University,Suzhou,Jiangsu Province,215003 China)
出处
《中外医疗》
2022年第14期79-85,共7页
China & Foreign Medical Treatment
关键词
儿童
喘息
病原
临床特征
Children
Wheezing
Pathogens
Clinical features
