Asthmatic bronchitis induced by adenovirus in children of different ages
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摘要:
目的 通过分析儿童各年龄段喘息性支气管炎中腺病毒感染所致的比例特点，指导临床诊治。 方法 收集1132例于2014年1月~2016年7月在清远市人民医院儿科门急诊就诊或住院部治疗，临床并结合胸片结果诊断为喘息性支气管炎的儿童，依据年龄分为5组：<6个月组、≥6个月且<1岁组、≥1岁且<3岁组、≥3岁且<6岁组、≥6岁且<14岁组，分别根据呼吸道病毒检测结果，记录各组腺病毒阳性例数，计算腺病毒感染率并予统计分析。 结果 各组腺病毒感染率差异有统计学意义，以≥6岁且<14岁组腺病毒感染率最高（38.2%，χ2=35.216，P=0.000)。 结论 腺病毒感染所致儿童喘息性支气管炎在≥6岁且<14岁年龄段所占喘息性支气管炎比例最高，临床中应引起重视。 Abstract:Objective To analyze the characteristics of the proportion of the adenovirus infection in children with asthmatic bronchitis in different ages, and to guide the clinical diagnosis and treatment. Methods A total of 1132 cases from January 2014 to July 2016 in Qingyuan City People's Hospital pediatrics outpatient and emergency department or hospital treatment were chosed, with clinical and chest X-ray diagnosis for children of asthmatic bronchitis. According to ages,they were divided into 5 groups (<6 months, ≥6 months and <1 year old, ≥1 year old and <3 years old, ≥3 years of age and <6 years old, ≥6 years old and <14 years old), respectively according to the detection of respiratory viruses and they were recorded each adenovirus positive cases, calculate the positive rate of adenovirus and were given statistical analysis. Results Significant differences were found in the positive rate of each group of adenovirus. Adenovirus positive rate in group of ≥6 years old and <14 years old was the highest (x 2=35.216, P=0.000). Conclusion The highest proportion of the adenovirus infection in children with asthmatic bronchitis were in the ages of ≥6 years old and <14 years old group (elder age group), which in clinical diagnosis should be paid attention. -
Key words:
- adenovirus /
- children /
- asthmatic bronchitis /
- age
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表 1 不同年龄组儿童喘息性支气管炎腺病毒感染率比较(n=1132，α=0.05)
分组 腺病毒感染（n，%） 有 无 合计 ≥6个月且<1岁 65（17.0%） 317（83.0%） 382（100.0%） 年龄≥1岁且<3岁 38（19.1%） 161（80.9%） 199（100.0%） ≥3岁且<6岁 40（22.5%） 138（77.5%） 178（100.0%） ≥6岁且<14岁 50（38.2%） 81（61.8%） 131（100.0%） χ2 35.216 P 0.000 合计 227（14.1%） 905（85.9%） 1132（100.0%） 
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