妇儿健康导刊2025，Vol.4Issue(2)：47-50,55,5.DOI:10.3969/j.issn.2097-115X.2025.02.008
百日咳患儿的临床特点及重症百日咳危险因素分析
Clinical characteristics of children with pertussis and analysis of risk factors for severe pertussis
摘要
Abstract
Objective To analyze the clinical characteristics of children with pertussis and the risk factors for severe pertussis.Methods The clinical data of 91 hospitalized children diagnosed with pertussis in Nanning Maternity and Child Health Hospital from March 2020 to March 2024 were retrospectively analyzed.The children were divided into general group and severe group according to the severity of the disease at admission,and simple infection group and mixed infection group according to whether they were infected with other pathogens.The risk factors of severe pertussis were analyzed by univariate and multivariate analysis.Results Among the 91 children,25 cases(27.47%)were severe pertussis and 54 cases(59.34%)were mixed infection.The results of single factor analysis showed that the proportion of fever,pulmonary moist rales,pneumonia and severe pertussis in mixed infection group was higher than that in simple infection group(P<0.05).The proportion of children with age≤3 months,triple concave sign,fever,mixed infection,hypoxemia,respiratory failure and white blood cell level in the severe group were higher than those in the general group(P<0.05).Multivariate analysis showed that age≤3 months,fever,mixed infection and high white blood cell level were risk factors for severe pertussis(P<0.05).Conclusion Most children with pertussis have mixed infection,and children with age≤3 months,fever,mixed infection,and high white blood cell level are easy to develop severe pertussis,which should be paid attention clinically.关键词
百日咳/儿童/临床特点/危险因素Key words
Pertussis/Children/Clinical characteristic/Risk factor分类
医药卫生引用本文复制引用
周小林,黄树稳,颜云盈..百日咳患儿的临床特点及重症百日咳危险因素分析[J].妇儿健康导刊,2025,4(2):47-50,55,5.基金项目
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211403). （Z20211403）
