Clinical And Epidemic Analysisof 185 Asthmatic Diseases In Children

Objective:Breathing is a common respiratory symptoms in children, Asthmatic disease is a group of wheezing respiratory syndrome in children, with the feature of recurrent or maybe recurrent in the future.This study of three common breathing disorder in children investigation and comparative analysis with the aim of asthmatic disease in children Epidemiology and clinical characteristics of auxiliary examination; the performance of different causes lead to break the law, and various diseases linked; clinical diagnosis and treatment and prognosis of the similarities and differences and attention problems:as for the correct understanding of the disease, a reasonable diagnosis and effective treatment and prevention of clinical reference.Methods:We retrospectively investigated the hospital and accessory examinational materials of 185 children diagnosead as Bronchial asthma,bronchiolitis and pneumonia breathing admitted to The First Hospital affiliated to Da Lian Medical University from 2008-2009.And wheezing in children's hospital information and support check Survey data. Including gender, age, hospitalization time, seasonal,children's allergy history, Family history of asthma,symptoms, signs, treatment options, length of stay, outcome and prognosis data, clinical symptoms, signs, treatment, outcome and prognosis, etc. Assistant examination, including blood count, biochemical liver function, ESR, CRP, chest X-ray film, etc.; some patients, including cold agglutination test, Mycoplasma antibody test, electrocardiogram, echocardiography, myocardial enzymes, chest CT, renal function check. Collate and analyze the above data was processed by statistical software SPSS 16.0 and got conclusions.Results:①Boys are affected more than girls, particularly in the bronchiolitis group and the asthmatic pneumonia group (greater than 2:1), but the three groups between sex had no tatistical significance (P<0.05).②Bronchial asthma and wheezing, pneumonia group are infants under 3 years old as much (more than 50%), bronchiolitis group accounted for less than 6 months, made up 60.5%, less than 9 months, made up 90%.,③The overall incidence of the season had tatistical significance (P<0.05), bronchiolitis group more common in winter and spring, and bronchial asthmatic pneumonia, asthma more common in winter.④Bronchial asthma and wheezing, pneumonia group, see more white blood cells increased (50%); bronchiolitis group of normal or decreased white blood cells more common (65%); compared the three groups of white blood cell values in general had no significant difference (P=0.055>0.05); but the increased proportion of white blood cells had tatistical significance.(P=0.047 <0.05).⑤Bronchial asthma, asthmatic pneumonia group, bronchiolitis group increased the proportion of eosinophils were 47.5%,11.3% and 2.9%, three percentage of eosinophils increased in the general and specific numerical. There were significant differences (P<0.05).⑥Three groups of C-reactive protein were increased to varying degrees (overall abnormality rate of 32.3%), bronchial asthma and wheezing, pneumonia group increased more obvious, but among the three groups showed no significant difference (P>0.05).⑦Asthmatic pneumonia, bronchial asthma Mycoplasma pneumoniae antibody positive rate were 49.2% and 34.6%.The two group was significantly different with bronchiolitis (0.0%) (P<0.05).⑧Cold agglutination test group only increased in asthmatic pneumonia, and asthma group and group 1:64 bronchiolitis were no significant differences over the positive (P>0.05),1:32 or more are statistically significant positive (P<0.01).⑨Asthmatic pneumonia stay longer than bronchial asthma and bronchiolitis group, the difference was statistically significant (P<0.05).Conclusion:①Asthmatic disease have higher incidence rate of infants under 3 years old male infant,the high-incidence season of Children asthmatic diseases is winter, disease incidence in different qualitative was difference between the peak season;②C-reactive protein of Bronchial asthma and asthmatic pneumonia, particularly white blood cell levels were higher, suggesting bacterial infection; capillary bronchitis virus infection is more common;③The major increase of eosinophils is seen in about 50% of the bronchial asthma group;④Asthmatic bronchial asthma, pneumonia group and the group have close ties with mycoplasma infection.