75例维吾尔族汉族支气管扩张患儿病因与预后分析

发布时间：2018-11-08 14:57

【摘要】：目的：分析近10年就诊于新疆医科大第一附医院的75例维吾尔族和汉族儿童支气管扩张症的病因构成特点、异同及预后。方法：选择2002年1月至2011年12月在新疆医科大第一附院住院治疗的汉族和维吾尔族支气管扩张患儿75例，经肺部高分辨CT(HRCT)检查确诊，其中男性49例(64.5%)，女性26例(35.5%)，汉族29例(38.2%)，维吾尔族46例(61.8%)。年龄为0～16(11.64±4.42)岁，治疗分为手术组和非手术组，手术组为24例(30.7%)，非手术组51例(68.0%)。统计各项临床资料并进行对比分析。结果：病因构成分布中75例汉族维吾尔族之间有差异是反复呼吸道感染(RRI)病史、慢性咳嗽时间大于1年、肺结核(TB)、支原体(MP)肺炎，居住地。HRCT显示左侧肺叶34例(45.3%)，右侧肺叶17例(22.7%)，柱状支气管扩张患儿比例较高为24例(32.0%)。预后与支气管扩张HRCT分期及类型有关。结论：在75例汉族维吾尔族支气管扩张患儿中病因构成不完全相同，维吾尔族RRI病史、慢性咳嗽、TB病史及居住在农村的病因构成高于汉族，手术组的疗效与非手术组预后无统计学差异(P＜0.05)，早期诊疗及柱状支气管扩张较预后好。
[Abstract]:Objective: to analyze the etiological characteristics, similarities and differences and prognosis of bronchiectasis in 75 children of Uygur and Han nationality who were admitted to the first affiliated Hospital of Xinjiang Medical University in recent 10 years. Methods: from January 2002 to December 2011, 75 children with bronchiectasis of Han nationality and Uygur nationality who were hospitalized in the first affiliated Hospital of Xinjiang Medical University were selected and diagnosed by high-resolution CT (HRCT), 49 of them (64.5%) were male. 26 cases (35.5%) were female, 29 cases (38.2%) were Han nationality, 46 cases (61.8%) were Uygur. The age was 0 ~ 16 (11.64 卤4.42) years. The patients were divided into two groups: the operative group (n = 24) and the non-operative group (n = 51) (30.7%). The clinical data were analyzed and compared. Results: among the 75 Uygur patients of Han nationality, the history of recurrent respiratory tract infection (RRI), chronic cough longer than one year, mycoplasma tuberculosis (MP) pneumonia, and mycoplasma tuberculosis were different. HRCT showed left lobes in 34 cases (45.3%), right lobe in 17 cases (22.7%), and columnar bronchiectasis in 24 cases (32.0%). Prognosis is related to HRCT stage and type of bronchiectasis. Conclusion: the etiological components of 75 children with bronchiectasis in Uygur nationality of Han nationality are not identical. The history of RRI, chronic cough, TB and the etiological composition of living in rural areas in Uygur nationality are higher than those in Han nationality. There was no significant difference in the prognosis between the operation group and the non-operative group (P < 0.05). The early diagnosis and treatment and the columnar bronchiectasis had better prognosis.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R725.6

【参考文献】