不同年龄段喘息或哮喘急性发作患儿的对比研究
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国家自然科学基金(81100027)


The comparative study of different age of children with asthma acute attack
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    【摘要】 目的 对不同年龄段喘息或哮喘急性发作患儿的临床特点进行比较分析,综合探讨不同年龄组喘息或哮喘急性发作患儿的临床发病特点,为提高防治水平提供依据。方法 选取2013年2月~2016年2月收治的96例喘息或哮喘急性发作患儿作为研究对象,根据年龄的不同分为婴幼儿组(<3岁)15例、幼儿组(3~6岁)43例及儿童组(6~12岁)38例,对三组患儿的一般情况、发病季节、临床症状体征、辅助检查情况以及治疗方式进行回顾性比较分析。结果 婴幼儿组患儿冬季发病人数与幼儿组和儿童组相比明显增加,支原体感染和肺炎诱发人数较儿童组明显增加,婴幼儿组和幼儿组在血小板(PLT)水平上明显高于儿童组,且入院前确诊人数及接受规范治疗和随访人数也明显少于儿童组。入院治疗的三组患儿在吸入性糖皮质激素及抗菌药物的使用上差异明显,均具有统计学意义(P<005)。结论 喘息或哮喘急性发作患儿发病特点因年龄而不同,其中年龄较小的婴幼儿多易冬季发病,其中因肺炎诱发、合并支原体感染者最为多见,临床可表现为血小板水平明显升高的特点,且该年龄段患儿诊断率低,治疗依从性较差,因此应重视婴幼儿年龄段喘息或哮喘防治的宣教工作,同时有效提高该年龄段患儿的诊断率。

    Abstract:

    【Abstract】 Objective To compare and analyze the clinical characteristics of different age paragraph of children with asthma acute attack, comprehensive study the characteristics of different age group of children with asthma acute attack and provide a basis for improving the level of prevention and cure.Methods 96 children with wheeze or asthma acute attack from February 2013 to February 2016 were selected as the research objects and divided into infant group (< 3 years), preschool group (3 ~ 6 years old) and school age group (6 ~ 12 years old). The general situation, infection season, clinical symptoms and signs, auxiliary examination and treatment were observed. Results The number of children with the onset in winter in infant group was increased significantly than that of infants group and preschool group. The number of children with pneumonia mycoplasma infection and pneumonia induced were increased. The PLT level of infants group and preschool group were significantly higher than that of school age group. The number of confirmed prior to admission and specification treatment and followup were also significantly less than that of school age group. In the fact of hospital treatment, there had obviously different in the use of inhaled corticosteroids and antimicrobial of three groups (P< 005).Conclusion The asthma characteristics of children with acute onset are different with age. The infants and young children are more acute easily in winter, and acute by pneumonia and merger mycoplasma infection, and has the clinical characteristics of platelets increased, diagnostic rate low, treatment adherence poor, so that should pay attention to mission work of asthma prevention and treatment of infants and young children ages, as well as improve the diagnosis of children with the age.

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  • 在线发布日期: 2017-06-20
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