第1页å‚è§é™„件。
摘è¦ï¼šç›®çš„:探讨å°å„¿åå¤å‘¼å¸é“感染(RRTI)患儿的主è¦è‡´ç—…å› ç´ ï¼Œä¸ºé¢„é˜²ä¸Žæ²»ç–—å°å„¿åå¤å‘¼å¸é“感染æä¾›æŒ‡å¯¼æ„è§ã€‚方法:进行详细的病å²è¯¢é—®ï¼Œå¹¶æµ‹å®šå…¶ä¸86例患儿血清微é‡å…ƒç´ åŠå…ç–«åŠŸèƒ½æŒ‡æ ‡ï¼Œä¸Ž79例å¥åº·å„¿ç«¥ä½œå¯¹ç…§ã€‚结果:RRTI患儿血清ä¸é“ã€é”Œå«é‡æ˜Žæ˜¾ä½ŽäºŽå¥åº·ç»„å„¿ç«¥(P0.05)。结论:RRTI与患儿è¥å…»ã€å–‚养方å¼ã€å¾®é‡å…ƒç´ 缺ä¹åŠå…疫功能ç‰ç›¸å…³ã€‚å¯¹é¢„é˜²åŠæ²»ç–—å°å„¿åå¤å‘¼å¸é“感染采å–综åˆé¢„é˜²åŠæ²»ç–—措施。
关键è¯ï¼šå°å„¿ åå¤å‘¼å¸é“感染 ç—…å› é˜²æ²»
169 cases of infantile repeated respiratory tract infection etiology analysis and prevention research
Wu Xiancheng
Abstract:Objective:To study main factors resulting in young children’s repeatedly respiratory infections (RRTI),providing instructions to prevent and treat young babies’ RRTI.Methodology:Look up the detailed medical history and examine 86 babies’ blood serum trace element and the functional immune indexes by making comparison with 79 example healthy children.Result:In the RRTI children’s blood serum,iron and zinc content are lower than the healthy children obviously (P0.05).Conclusion:RRTI are closely related with nutrition,feeding method,the shortage of trace element,immune function,etc.synthesis prevention and the remedial measures should be adopted to prevent and treat the young children’s RRTI.
Keywords:Young children RRTI Cause of disease Treatment
ã€ä¸å›¾åˆ†ç±»å·ã€‘R-1 ã€æ–‡çŒ®æ ‡è¯†ç 】B ã€æ–‡ç« ç¼–å·ã€‘1008-1879(2012)02-0243-02
å°å„¿åå¤å‘¼å¸é“感染(RRTI)是儿童时期的常è§ã€å¤šå‘疾病之一,ä¸ä»…影哿‚£å„¿ç”Ÿé•¿å‘育和å„è„å™¨åŠŸèƒ½ï¼Œè¿˜å½±å“æ‚£å„¿çš„身心å¥åº·ï¼Œç»™å®¶åºå¸¦æ¥æ²‰é‡è´Ÿæ‹…。我科从2007å¹´2月~2010å¹´7月门诊åŠç—…房共收治RRTI患儿169例,现对其å‘病主è¦è‡´ç—…å› ç´ åˆ†æžå¦‚下。
1 对象与方法
1.1 对象:æ®1987年全国å°å„¿å‘¼å¸é“ç–¾ç—…å¦æœ¯ä¼šè®®ä¿®è®¢çš„åå¤å‘¼å¸é“æ„ŸæŸ“è¯Šæ–æ ‡å‡†ã€‚在本院门诊åŠç—…房诊æ–为RRTI的患儿共169例,年龄6个月~12å²ï¼Œç”·88例,女81例。6个月~2å²42例,~5å²75例,~8å²44例,~12å²8ä¾‹ï¼›å…¶ä¸æ¯ä¹³å–‚å…»42例,人工喂养75例,混åˆå–‚养分56例。病程å‡1年以上。并测定其ä¸86例患儿血清微é‡å…ƒç´ åŠå…ç–«åŠŸèƒ½æŒ‡æ ‡ï¼Œä»¥79ä¾‹æ— å‘¼å¸é“感染å¥åº·å„¿ç«¥ä½œå¯¹ç…§ï¼Œä¸¤ç»„å„¿ç«¥å¹´é¾„åŠæ€§åˆ«å·®å¼‚æ— æ˜¾è‘—æ€§ã€‚î€ƒ
1.2 方法:对RRTIæ‚£å„¿è¯¢é—®ç—…å²æ—¶ï¼Œæ³¨æ„其出生å²ï¼Œæœ‰æ— 早产ã€çª’æ¯ï¼Œå‡ºç”Ÿä½“é‡ï¼Œå“ºå…»æ–¹å¼ï¼Œæ–奶时间,是å¦åŠæ—¶æ·»åŠ è¾…é£Ÿï¼Œå±…ä½çŽ¯å¢ƒï¼Œæ˜¯å¦æœ‰å…ˆå¤©æ€§ç–¾ç—…;对其ä¸86例测定了血微é‡å…ƒç´ (锌ã€é“ã€é’™ã€é“œ)åŠè¡€æ¸…å…ç–«çƒè›‹ç™½(Ig)ã€è¡¥ä½“(C3ã€C4),测定用çƒè›‹ç™½æ¯”浊法。试剂盒由ORION IAGNOSTICA Espoo Finiandæä¾›ã€‚
1.3 资料处ç†ï¼šå¯¹æ‰€è°ƒæŸ¥ç»“æžœè®°å½•ã€æ•´ç†ï¼›å¯¹æ£€éªŒæµ‹å®šç»“果进行统计å¦åˆ†æžï¼Œç»“æžœä»¥å‡æ•°Â±æ ‡å‡†å·®(x±s)表示,采用t检验。
2 结果
2.1 询问病å²ä¸å‘现,多数患儿喂养ä¸åˆç†ï¼ŒæœªåŠæ—¶æ·»åŠ è¾…é£Ÿæˆ–å¿…è¦çš„ç»´ç”Ÿç´ ï¼Œå°‘æ•°ä¸ºæ—©äº§å„¿æˆ–ä½Žä½“é‡å„¿ã€‚
2.2 RRTI患儿血清微é‡å…ƒç´ 水平:è§è¡¨1。
2.3 RRTI患儿血清å…ç–«çƒè›‹ç™½ã€è¡¥ä½“检测结果:è§è¡¨2。
3 讨论
RRTIç—…å› å¤æ‚ï¼Œå¾€å¾€æ˜¯å¤šå› ç´ ç»¼åˆä½œç”¨çš„结果。本次调查结果表明,RRTI出现与å°å„¿ç”Ÿç†ç‰¹ç‚¹ã€è¥å…»çж况ã€å¾®é‡å…ƒç´ æ°´å¹³åŠå…ç–«åŠŸèƒ½ç‰æœ‰å¯†åˆ‡å…³ç³»ã€‚
3.1 è¥å…»åŠå–‚养:è¥å…»ä¸è‰¯æ˜¯å°å„¿åå¤å‘¼å¸é“感染的主è¦å¤–åœ¨å› ç´ ã€‚æ¯ä¹³å–‚养者RRTIå‘病率低,æ¯ä¹³ä¸å«æœ‰ä¸å¯å–代的抗感染å…ç–«æˆä»½ï¼Œæ¯ä¹³ä¸çš„æº¶èŒé…¶èƒ½æº¶è§£ç»†èŒï¼ŒåŠ å¼ºæŠ—ä½“çš„æ€èŒä½œç”¨ã€‚æ¯ä¹³ä¸å«æœ‰ä¹³é“è›‹ç™½æŠ—æ„ŸæŸ“å› å,能增强å°å„¿çš„å…疫力。婴幼儿在人工喂养或æ¯ä¹³ä¸è¶³è€Œæ²¡æœ‰åŠæ—¶åˆç†æ·»åŠ å¿…è¦çš„辅食时,或长期åªåƒæ·€ç²‰ç±»é£Ÿç‰©ï¼Œç¼ºä¹å¿…è¦çš„蛋白质ã€è„‚肪ã€ç»´ç”Ÿç´ ,导致è¥å…»ä¸è‰¯ï¼Œå¯¹å…ç–«ç³»ç»Ÿé€ æˆæŸå®³ï¼Œä½¿æœºä½“å…疫功能é™ä½Žï¼ŒæŠ—病能力下é™è€Œæ˜“åå¤å‡ºçް呼å¸é“感染。
3.2 å¾®é‡å…ƒç´ åŠç»´ç”Ÿç´ 缺ä¹ï¼šé”Œç¼ºä¹å°å„¿æ˜“æ‚£RRTI。锌是人体必需的微é‡å…ƒç´ 之一,锌å‚与体内40多ç§é…¶çš„åˆæˆï¼Œå¹¶ä¸Ž200多ç§é…¶æ´»æ€§æœ‰å…³ã€‚锌å‚ä¸Žæ ¸é…¸å’Œè›‹ç™½è´¨çš„åˆæˆï¼Œåˆºæ¿€æ·‹å·´ç»†èƒžåˆ†è£‚与å†ç”Ÿï¼Œæ”¹å–„机体的å…疫状æ€ã€‚缺锌å¯ä½¿èƒ¸è…ºã€è„¾è„出现èŽç¼©ï¼ŒT细胞数目å‡å°‘,机体细胞å…ç–«åŠä½“æ¶²å…疫功能å‡ä½Žä¸‹ï¼Œå¢žåŠ å¯¹æ„ŸæŸ“çš„æ˜“æ„Ÿæ€§ã€‚ç¼ºé“å¯ä½¿å°å„¿å‘¼å¸é“上皮细胞å‘生è¥å…»ä¸è‰¯æ€§èŽç¼©æ€§æ”¹å˜ï¼Œå¯¼è‡´å‘¼å¸é“å…ç–«çƒè›‹ç™½åˆæˆå—阻,易å‘生å°å„¿åå¤å‘¼å¸é“æ„ŸæŸ“ã€‚ç»´ç”Ÿç´ A对呼å¸é“上皮细胞的分化åŠä¿æŒå…¶å®Œæ•´æ€§å…·æœ‰é‡è¦çš„ä½œç”¨ã€‚ç»´ç”Ÿç´ Aç¼ºä¹æ—¶ï¼Œåˆ†æ³Œåž‹IgAå‡å°‘,呼å¸é“局部å±éšœä½œç”¨å‡å¼±ã€‚ç»´ç”Ÿç´ Dç¼ºä¹æ—¶ï¼Œé’™ç¦»å动员障ç¢ï¼Œå‡æ˜“导致RRTI。
3.3 å…疫功能:婴幼儿时期,机体特异性与éžç‰¹å¼‚性å…疫功能å‡ä½Žä¸‹ï¼Œæœ¬ç»“果显示RRTI患儿体液å…疫功能低,表现为血清IgGã€IgA水平下é™(P
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