Analysis Of Influencing Factors For Complications Of Mycoplasmal Pneumonia In Children In A Hospital In Qiqihar

Objective:In this study,we analyzed the risk factors for complications in children with pneumonia mycoplasma pneumonia in a hospital in Qiqihar,we identified the risk factors that can cause local extrapulmonary complications,this provided a useful reference for prevention of complications.Methods:Children from Mycoplasma pneumoniae pneumonia who were admitted to the Pediatrics Hospital of Qiqihar Second Hospital from January 2013 to July 2018 were selected as subjects.The general examination results,clinical manifestations,laboratory examinations,treatment and rehabilitation data of these children were collected from the hospital HIS system.The collected data were analyzed using spss24.0 statistical analysis software.The total complication of the study subjects and the complications of each system were statistically described.The total complications of the subjects and the complications of each system were described statistically.Measurement data obeying normal distribution were statistically described by?X±S,and counting data were described by composition ratio or rate.Two-class logistic regression was used to analyze the influencing factors of total complications and complications of several systems with higher percentages.All statistical tests were two-sided and the test level was α=0.05.Results:1.Among the complications caused by mycoplasmal pneumonia,central nervous system complications accounted for the highest proportion(21.3%),followed by cardiovascular system(12.7%)and digestive system(6.8%).2.The older the patients were(OR=1.143,95%CI 1.034-1.264),the artificial feeding in infancy(OR=6.184,95%CI: 2.277-16.793),the mixed feeding(OR=1.741,95%CI 1.011-2.996),the family history of respiratory diseases(OR=7.588,95%CI: 3.364-17.115),and the history of abnormal inoculation(OR=33.852,95%CI: 2.277-16.793).4.289-267.189),increased creatine kinase hybridization(OR=1.020,95%CI: 1.004-1.035),and irregular respiratory rhythm(OR=1.327,95%CI: 1.029-1.712)are risk factors for complications of mycoplasma pneumoniae.Increased basophil ratio(OR=0.179,95%CI: 0.047-0.687)is a protective factor for complications of mycoplasma pneumonia.3.Infantile artificial feeding(OR=4.478,95%CI 1.583-12.665),mixed feeding(OR=2.637,95%CI 1.254-5.545),family history of respiratory diseases(OR=3.209,95%CI 1.524-6.759),abnormal vaccination(OR=5.931,95%CI 2.126-16.549),and mental depression(OR=7.885,95%CI 1.633-38.071)are risk factors for central nervous system complications.Basophils ratio rise(OR = 0.187,95% CI: 0.035-0.99)and bilateral thoracic symmetry(OR=0.535,95%CI 0.297-0.965)are protective factors for complications of mycoplasma pneumonia in the central nervous system.4.Artificial feeding in infancy(OR=7.543,95%CI 1.968-28.917),mixed feeding in infancy(OR=3.338,95%CI 1.177-9.464),family history of respiratory diseases(OR=10.471,95%CI 4.416-24.827),and increased creatine kinase hybridization(OR=1.053,95%CI 1.031-1.076)are risk factors for cardiovascular system complications.5.Abnormal vaccination history(OR=4.69,95%CI 1.731-12.707)and elevated alanine aminotransferase(OR=1.032,95%CI 1.008-1.057)are risk factors for digestive complications.Conclusion:1.The main pulmonary complication of mycoplasma pneumonia is the central nervous system.2.Risk factors for complications of pneumococcal pneumonia include older patients,artificial or mixed feeding in infancy,family history of respiratory diseases,abnormal vaccination history,increased creatine kinase hybridization,and respiratory dysregulation.Increased basophil ratio is a protective factor for mycoplasma pneumonia.3.Risk factors for central nervous system complications of mycoplasma pneumonia include artificial or mixed feeding in infancy,family history of respiratory diseases,abnormal vaccination history and mental depression.The protective factors were increased basophil ratio and symmetry of the thoracic cage.4.Risk factors for cardiovascular complications of mycoplasma pneumonia include artificial or mixed feeding in infancy,family history of respiratory diseases,and acid-kinase hybridization.5.Risk factors for complications in the digestive system of mycoplasma pneumonia include abnormal vaccination history and elevated alanine aminotransferase.