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目的测定肺炎患儿血浆蛋白质及血红蛋白的水平,对患儿的营养状况进行初步分析。方法根据年龄将153例肺炎患儿分三组:<1岁年龄组;1~<3岁年龄组;3~12岁年龄组。对其血浆总蛋白、白蛋白、前白蛋白、视黄醇结合蛋白、血红蛋白进行检测。结果 153例肺炎患儿的低蛋白血症患病率为25%,<1岁年龄组患儿低蛋白血症患病率为41%,<3岁年龄组为15%,3~12岁年龄组为7%。<1岁年龄组患儿的低蛋白血症患病率高于3~12岁年龄组,差异有统计学意义(P<0.05)。1~<3岁年龄组患儿的低蛋白血症患病率高于3~12岁年龄组,但差异无统计学意义。153例肺炎患儿的贫血患病率为63%,<1岁年龄组患儿的贫血患病率为72%,<3岁年龄组为78%,3~12岁年龄组为28%。<1岁年龄组患儿的贫血患病率高于3~12岁年龄组,差异有统计学意义(P<0.05)。1~<3岁年龄组患儿的贫血患病率高于3~12岁年龄组,差异有统计学意义(P<0.05)。结论肺炎患儿中,婴幼儿的低蛋白血症及贫血的患病率较大年龄组高。因此,应尽早监测肺炎患儿尤其是婴幼儿营养状况变化,及时进行营养支持,以改善患儿预后。
Objective To determine the level of plasma protein and hemoglobin in children with pneumonia and to analyze the nutritional status of children. Methods 153 children with pneumonia were divided into three groups according to their age: <1 year old; 1 ~ <3 years old; 3 ~ 12 years old. The plasma total protein, albumin, prealbumin, retinol binding protein, hemoglobin were detected. Results The prevalence of hypoalbuminemia in 153 children with pneumonia was 25%. The prevalence of hypoalbuminemia was 41% in children <1 year old, 15% in <3 years old, 3 ~ 12 years old Group was 7%. The prevalence of hypoproteinemia in children <1 year old group was higher than that in 3 ~ 12 years old group, with significant difference (P <0.05). The prevalence of hypoproteinemia in children aged 1 ~ <3 years old was higher than that in children aged 3 ~ 12 years, but the difference was not statistically significant. The prevalence of anemia in 153 children with pneumonia was 63%. The prevalence of anemia was 72% in children <1 year of age, 78% in <3 years of age and 28% in 3 to 12 years of age. The prevalence of anemia in children <1 year old group was higher than that of 3 ~ 12 year old children, the difference was statistically significant (P <0.05). The prevalence of anemia in children aged 1-3 months was higher than that in children aged 3-12 years (P <0.05). Conclusions In children with pneumonia, the prevalence of hypoproteinemia and anemia in infants and young children is higher than that in older age group. Therefore, early monitoring of pneumonia in children, especially infants and young children nutritional status changes, timely nutritional support to improve the prognosis of children.