120例儿童脓胸病例临床营养及免疫状况分析

Analysis of Clinical Nutrition and Immune Status in 120 Children with Empyema

目的探讨儿童脓胸病例的临床营养及免疫状况。方法采用回顾性研究方法,收集某院120例儿童脓胸的病例资料,进行归纳总结。结果 120例患儿中,只有1例8岁患儿住院时间>6周,119例患儿年龄在3岁以下,根据住院时间分为A组(<2周)及B组(2~6周),A组与B组比较,血红蛋白、总蛋白和白蛋白的差异有统计学意义(P<0.05)。随着住院时间延长,IgG、IgM呈下降趋势;IgA、IgE呈上升趋势。A组与B组相比,IgA、IgM、IgE水平差异有统计学意义(P<0.05)。结论对机体营养和免疫水平的检测,可以用于监测病情的发展情况,当发现内科治疗不佳时,应积极果断采取外科手术治疗,以减少后遗症的发生。

OBJECTIVE To investigate the clinical nutrition and immune status of children with empyema. METHODS Data of120 children with empyema in our hospital were collected and analyzed by retrospective method. RESULTS Of all 120 children with empyema,only 1 children was 8 years old,the rest of 119 children were under the age of 3. Patients were divided into two groups according to the time of hospitalization. There were significant differences in hemoglobin,total protein and albumin level between group A and group B（ P0.05）. With the time of hospitalization prolonged,the trend of Ig G and Ig M decreased,while the Ig A and Ig E were on the rise. Comparison between group A and group B,the levels of Ig A,Ig M and Ig E have statistical significant difference（ P 0. 05）.CONCLUSION The detection of nutritional and immune status can be used to monitor the disease progression.