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目的探讨胃肠功能障碍在婴幼儿肺炎中的发生率,及其与年龄、病情的相关性及治疗措施。方法选取住院的肺炎婴幼儿397例,对其中46例并胃肠功能障碍者的临床资料进行回顾性分析,按肺炎严重程度分为轻症肺炎、重症肺炎,进行胃肠功能障碍发生与病情严重程度的相关性分析。结果397例肺炎婴幼儿中,并胃肠功能障碍者46例,发生率为11.5%;不同年龄组肺炎患儿胃肠功能障碍发生率比较有显著性差异(P=0.016);轻、重症肺炎患儿的胃肠功能障碍发生率比较有显著(P<0.027);婴幼儿肺炎并胃肠功能障碍发生率与年龄呈负相关(P=0.047),与病情严重程度呈正相关(P=0.036)。结论早期诊断并及时予综合治疗是处理婴幼儿肺炎并胃肠功能障碍的关键。
Objective To investigate the incidence of gastrointestinal dysfunction in infantile pneumonia and its relationship with age, disease and treatment. Methods A total of 397 cases of infants and young children hospitalized with pneumonia were selected. The clinical data of 46 cases with gastrointestinal dysfunction were retrospectively analyzed. According to the severity of pneumonia, they were divided into mild pneumonia, severe pneumonia, gastrointestinal dysfunction and serious illness Degree of correlation analysis. Results The incidence of gastrointestinal dysfunction in 397 pneumonia infants and infants with gastrointestinal dysfunction was 11.5%. The incidence of gastrointestinal dysfunction in children with pneumonia was significantly different (P = 0.016). The severity of severe pneumonia The incidence of gastrointestinal dysfunction in children was significant (P <0.027). The incidence of pneumonia and gastrointestinal dysfunction in infants was negatively correlated with age (P = 0.047), and was positively correlated with the severity of illness (P = 0.036) . Conclusion Early diagnosis and timely treatment is the key to treating infantile pneumonia and gastrointestinal dysfunction.