小儿重症喘憋性肺炎高危因素分析

Risk Factors of Infants with Severe Asthmatic Suffocating Pneumonia

目的探讨小儿重症喘憋性肺炎的危险因素。方法选取揭阳市人民医院2012年8月—2016年8）1收治的58例重症喘憋性肺炎患儿作为观察组，并选取我院同期收治的58例普通肺炎患儿作为对照组，分析小儿重症喘憋性肺炎的高危因素。结果重症喘憋性肺炎的相关影响因素为血沉、IgG、IgE、嗜酸细胞、C反应蛋白及原降钙素。IgG下降，IgE、嗜酸细胞及C反应蛋白升高等因素与喘憋性肺炎的严重程度呈正相关（P〈0．0S）。结论IgG、IgE、嗜酸细胞及C反应蛋白是重症喘憋性肺炎的高危因素，对于重症喘憋性肺炎的病情评估及防治有重要意义。

Objective To explore the risk factors of infants with severe asthmatic suffocating pneumonia. Methods Fifty-eight cases of infants with severe asthmatic suffocating pneumonia admitted in Jieyang People＇s Hospital from Aug. 2012 to Aug. 2016 were selected as research group. Another 58 cases of ordinary pneumonia admitted in Jieyang People＇s Hospital in the same period were selected as control group. Statistical analysis of high risk factors of the two groups were conducted, Results The relevant factors of infants with severe asthmatic suffocating pneumonia were ESR, IgG, IgE, eosinophil, CRP and PCT. The decrease of immunity IgG and the increase of IgE, eosinophil and CRP were positively associated with severity of asthmatic suffocating pneumonia. The difference between the two groups was significant （P 〈 0.05）. Conclusion The risk factors of severe asthmatic suffocating pneumonia are IgG, IgE, eosinophil, CRP and PCT and the research is of great significance for the assessment and prevention of severe asthmatic pneumonia.