广西地区特禀质儿童肺炎易患因素分析

doi:10.3969/j.issn.1674-3865.2019.02.002

Abstract

Abstract:
Objective
To study the risk factors of community-acquired pneumonia(CAP) in intrinsic-quality children in Guangxi in order to provide clinical evidence-based basis for its prevention and treatment.
Methods
A questionnaire survey was performed in the children aged one to six years in the cities of Chenxi, Liuzhou, Beihai and Nanning as well as in Sanjiang county from April 2017 to September 2018.The dependent variable was whether the children had had CAP before, and the independent variable is the 39 possibilities of the intrinsic-quality children, the risk factors of CAP and the constitute type. The gradual Logistic regression analysis was made on the CAPrelated risk factors in these children.
Results
A total of 466 valid questionnaires were collected, among which there were 343 cases of intrinsic quality,104 cases combined with accumulation of heat, 66 cases with qi-deficiency, 38 with yin-deficiency,16 with phlegm-dampness, and 13 with yang-deficiency. In the 343 children,214(62.4%) had had CAP，129(37.6%) had had no CAP; in the 123 children with nonintrinsicquailty,38 had had CAP(30.9%),85 had had no CAP(69.1%), the gradual Logistic regression analysis showed that there was statistically significant relationship between intrinsicquality children with CAP and the following factors: history of asthma，recurrent respiratory tract infection, the basic diseases such as malnutrition, hospitalization history and use of antibiotics(P<0.05);the incidence of CAP in the intrinsic-quality children was related to intrinsic quality combined with phlegm-dampness.
Conclusion
There may be close relationship between intrinsic quality and CAP in children; the risk factors of CAP in these children are：combination with asthma, recurrent respiratory tract infection, malnutrition and other basic diseases, and use of antibiotics; the incidence of CAP is higher in the children combined with phlegm-dampness than in those with other constitutions.

Key words: Pneumonia, Intrinsic quality, Risk factors, Regression analysis, Child

ZHOU Zhining，LI Jie， YAO Yongzhi，WANG Lining，LI Zhifeng，MENG Chunxue，YANG Liming，CAI Xiaojing，MO Xueying，LI Li，HUANG Zhibi，ZHANG Xiaochun，SUN Jichao，LIANG Tingjun，SU Wenjing. Analysis of the risk factors of pneumonia in intrinsic-quality children in Guangxi[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2019, 11(2): 96-100.

[1]	. Expert consensus in integrated traditional Chinese and western medicine prevention and treatment for influenza in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 369-.
[2]	SHAO Qinnan, HE Ling. Research progress in the mechanism of Mycoplasma pneumoniae causing hypercoagulability [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 384-.
[3]	NIU Zhenbing, LIU Jing, FENG Lili. Value of the combination detection of β2-microglobulin and neutrophil gelatinase-associated lipocalin in early renal injury in children with infectious mononucleosis [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 399-.
[4]	LUO Lan, LIU Pingping, FANG Sisi. Study on resting energy expenditure of children with sepsis at acute stage [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 405-.
[5]	TANG Xiaoli, DENG Hongbo. Retrospective analysis of the clinical characteristics of 23 children with pertussis [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 416-.
[6]	XU Sha. Effect of pidotimod combined with vitamin AD on children with recurrent respiratory tract infection [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 421-.
[7]	XIE Ying. Retrospective investigation of risk factors in hospitalized children with recurrent respiratory tract infection [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 425-.
[8]	ZHANG Junqing, GUO Liang, SHI Cannan, WANG Jun. Changes and prediction analysis of the mortality of infants and children under 5 years old in Henan Province [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 428-.
[9]	DU Linlin, WANG Yonghong, HE Jingwei. Study on the medication rules for cough in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 431-.
[10]	DU Fuli, DAI Xiaoyu, ZHENG Yapei, ZHENG Hong. Discussion on the treatment of children's short stature based on time medicine of traditional Chinese medicine [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 454-.
[11]	LIU Kexin, ZHENG Ying, ZHANG Xueli, LIU Taotao, LI Jiahua, PENG Yanrong. Heat sensitive moxibustion in the treatment of lung and spleen deficiency in convalescent stage of pneumonia asthma: an observation of 80 cases [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(5): 458-.
[12]	WANG Shengnan, WANG Guojie, WANG Hai. Observation on the effect of Weijing Ditan decoction in the treatment of children with protracted bacterial bronchitis [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 281-.
[13]	HAN Jing, XU Yan, SUN Liping. Research progress in clinical application of Huaiqihuang granules in pediatrics [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 292-.
[14]	WANG Shiyan, MA Bingxiang, LI Ruixing, XU Pingping. Research progress of tic disorder in children [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 297-.
[15]	YUAN Jianzai, ZHANG Li, YUAN Yehong, MA Shuxia. Advances in research on the treatment for upper airway cough syndrome based on TCM syndrome differentiation [J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(4): 301-.

Analysis of the risk factors of pneumonia in intrinsic-quality children in Guangxi

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments