重庆地区哮喘急性发作住院患儿的病原特点分析

发布时间：2018-05-26 14:44

本文选题：哮喘急性发作 + 呼吸道感染　；参考：《重庆医科大学》2015年硕士论文

【摘要】：目的：了解2013年重庆地区儿童支气管哮喘急性发作的病原分布特点。方法：回顾性分析2013年我院收治的重庆地区哮喘急性发作的447例住院患儿的临床资料,采用SPSS 19.0进行数据分析。结果：1细菌检出率43.8%,其中肺炎链球菌检出率25.5%,居细菌检出首位,卡他莫拉菌检出率6.9%,副流感嗜血杆菌为6.7%；25例患儿完成了肺泡灌洗液细菌培养,阳性率44%,与痰培养检出结果无统计学差异(P=0.508)；2呼吸道常见七种病毒检出率27.3%,其中呼吸道合胞病毒(Respiratory syncytial virus,RSV)检出率18.8%,居常见七种病毒检出首位,小于3岁组病毒检出率较高,各年龄组检出率有统计学差异(P=0.000)：3肺炎支原体(Mycoplasma pneumonia,MP)检出率23.5%,未检出肺炎衣原体(Chlamydia pneumonia,CP)。结论：重庆地区儿童哮喘急性发作与呼吸道感染密切相关；细菌检出率在各年龄组均较高,提示细菌感染是哮喘急性发作不容忽视的重要因素。
[Abstract]:Objective: to investigate the pathogenic characteristics of acute attack of bronchial asthma in children in Chongqing in 2013. Methods: the clinical data of 447 children with acute asthma attack in Chongqing in 2013 were analyzed retrospectively and the data were analyzed by SPSS 19.0. Results the detectable rate of bacteria was 43.8. among them, the detection rate of Streptococcus pneumoniae was 25.5. the detection rate of Streptococcus pneumoniae was the highest. The detection rate of Mora carinii was 6.9%, and that of Haemophilus parainfluenzae was 6.70.The bacterial culture of alveolar lavage fluid was completed in 25 cases of Haemophilus parainfluenza. There was no significant difference between the positive rate and the sputum culture results. The detection rate of respiratory tract virus was 27.3.The detection rate of respiratory syncytial virus Respiratory syncytial virus (RSVV) was 18.8, the most common virus was found in the group of less than 3 years old, and the detection rate was higher in the group of less than 3 years old. The detection rate of Mycoplasma pneumoniae MP5 was significantly different among different age groups. No Chlamydia pneumoniae was detected. Conclusion: acute asthma attack in children in Chongqing area is closely related to respiratory tract infection, and the detection rate of bacteria is higher in all age groups, suggesting that bacterial infection is an important factor that can not be ignored in acute asthma attack.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R725.6

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