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目的分析儿童社区获得性肺炎(CAP)预后影响因素。方法选取绍兴市2009—2012年某三级甲等医院确诊的CAP患儿783例,收集并分析其临床资料,预后分级有痊愈、好转和无效,采用多因素Logistic回归筛选影响CAP预后的相关因素。结果神志不清(嗜睡、昏睡和昏迷)、精神烦躁、多重感染和呼吸急促是CAP患儿预后的独立危险因素,其OR值分别为5.866(95%CI:2.020~17.033)、1.420(95%CI:1.038~1.942)、1.376(95%CI:0.993~1.907)和1.026(95%CI:1.004~1.049)。结论神志不清、烦躁不安或呼吸急促的CAP患儿,应重视并密切观察其病情,以减少不良转归。
Objective To analyze the prognostic factors of community acquired pneumonia (CAP) in children. Methods A total of 783 CAP children diagnosed in Grade A hospitals in Shaoxing from 2009 to 2012 were selected and their clinical data were collected and analyzed. The prognosis grade was cured, improved and ineffective. Multivariate Logistic regression was used to screen the related factors that affected the prognosis of CAP . Results Unconsciousness (drowsiness, lethargy and coma), irritability, multiple infections and shortness of breath were independent risk factors for prognosis in children with CAP. The OR values were 5.866 (95% CI: 2.020-17.033), 1.420 (95% CI: 1.038 to 1.942), 1.376 (95% CI: 0.993 to 1.907) and 1.026 (95% CI: 1.004 to 1.049). Conclusions Confusion, irritability or shortness of breath in children with CAP should pay attention to and closely observe the disease, in order to reduce adverse outcomes.