【摘要】：目的：分析近10年就診于新疆醫(yī)科大第一附醫(yī)院的75例維吾爾族和漢族兒童支氣管擴(kuò)張癥的病因構(gòu)成特點(diǎn)、異同及預(yù)后。方法：選擇2002年1月至2011年12月在新疆醫(yī)科大第一附院住院治療的漢族和維吾爾族支氣管擴(kuò)張患兒75例，經(jīng)肺部高分辨CT(HRCT)檢查確診，其中男性49例(64.5%)，女性26例(35.5%)，漢族29例(38.2%)，維吾爾族46例(61.8%)。年齡為0～16(11.64±4.42)歲，治療分為手術(shù)組和非手術(shù)組，手術(shù)組為24例(30.7%)，非手術(shù)組51例(68.0%)。統(tǒng)計(jì)各項(xiàng)臨床資料并進(jìn)行對(duì)比分析。結(jié)果：病因構(gòu)成分布中75例漢族維吾爾族之間有差異是反復(fù)呼吸道感染(RRI)病史、慢性咳嗽時(shí)間大于1年、肺結(jié)核(TB)、支原體(MP)肺炎，居住地。HRCT顯示左側(cè)肺葉34例(45.3%)，右側(cè)肺葉17例(22.7%)，柱狀支氣管擴(kuò)張患兒比例較高為24例(32.0%)。預(yù)后與支氣管擴(kuò)張HRCT分期及類型有關(guān)。結(jié)論：在75例漢族維吾爾族支氣管擴(kuò)張患兒中病因構(gòu)成不完全相同，維吾爾族RRI病史、慢性咳嗽、TB病史及居住在農(nóng)村的病因構(gòu)成高于漢族，手術(shù)組的療效與非手術(shù)組預(yù)后無統(tǒng)計(jì)學(xué)差異(P＜0.05)，早期診療及柱狀支氣管擴(kuò)張較預(yù)后好。
[Abstract]:Objective: to analyze the etiological characteristics, similarities and differences and prognosis of bronchiectasis in 75 children of Uygur and Han nationality who were admitted to the first affiliated Hospital of Xinjiang Medical University in recent 10 years. Methods: from January 2002 to December 2011, 75 children with bronchiectasis of Han nationality and Uygur nationality who were hospitalized in the first affiliated Hospital of Xinjiang Medical University were selected and diagnosed by high-resolution CT (HRCT), 49 of them (64.5%) were male. 26 cases (35.5%) were female, 29 cases (38.2%) were Han nationality, 46 cases (61.8%) were Uygur. The age was 0 ~ 16 (11.64 鹵4.42) years. The patients were divided into two groups: the operative group (n = 24) and the non-operative group (n = 51) (30.7%). The clinical data were analyzed and compared. Results: among the 75 Uygur patients of Han nationality, the history of recurrent respiratory tract infection (RRI), chronic cough longer than one year, mycoplasma tuberculosis (MP) pneumonia, and mycoplasma tuberculosis were different. HRCT showed left lobes in 34 cases (45.3%), right lobe in 17 cases (22.7%), and columnar bronchiectasis in 24 cases (32.0%). Prognosis is related to HRCT stage and type of bronchiectasis. Conclusion: the etiological components of 75 children with bronchiectasis in Uygur nationality of Han nationality are not identical. The history of RRI, chronic cough, TB and the etiological composition of living in rural areas in Uygur nationality are higher than those in Han nationality. There was no significant difference in the prognosis between the operation group and the non-operative group (P < 0.05). The early diagnosis and treatment and the columnar bronchiectasis had better prognosis.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R725.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 徐雯潔;劉衛(wèi)紅;張軼勛;張會(huì)娜;鄭軍;丁丹丹;李萍;;北京市朝陽區(qū)3～6歲幼兒反復(fù)呼吸道感染發(fā)病情況及影響因素調(diào)查[J];北京中醫(yī)藥;2011年04期

2 吳其標(biāo),曹世宏;中性粒細(xì)胞彈性蛋白酶在支氣管擴(kuò)張癥發(fā)病中的作用及治療對(duì)策[J];國外醫(yī)學(xué)(內(nèi)科學(xué)分冊(cè));2004年12期

3 阿孜古力·伊力亞斯;;麻疹與疫苗接種[J];當(dāng)代醫(yī)學(xué);2009年31期

4 陳惠芬;趙新國;羅文侗;;結(jié)核性支氣管擴(kuò)張合并感染547例臨床分析[J];中國感染與化療雜志;2009年06期

5 宋麗君,穆志紅,傅文永,劉桂英,李善玉,李秀媛;160例腺病毒肺炎引起慢性肺損害的隨訪觀察[J];臨床兒科雜志;1997年02期

6 劉秀云;江載芳;;反復(fù)呼吸道感染82例病因分析[J];臨床兒科雜志;2008年08期

7 劉秀云;江載芳;;兒童支氣管擴(kuò)張91例病因分析[J];臨床兒科雜志;2011年02期

8 吳其標(biāo);邢揚(yáng)揚(yáng);曹世宏;;支氣管擴(kuò)張癥發(fā)病機(jī)制的若干研究進(jìn)展[J];臨床薈萃;2006年02期

9 周曉聰;董琳;徐強(qiáng);羅運(yùn)春;李昌崇;;小兒反復(fù)肺炎相關(guān)因素分析[J];中國全科醫(yī)學(xué);2007年09期

10 馮雪莉,申昆玲;支氣管擴(kuò)張患兒臨床研究及隨訪[J];實(shí)用兒科臨床雜志;2004年06期

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