临床儿科杂志 ›› 2014, Vol. 32 ›› Issue (9): 867-.doi: 10.3969 j.issn.1000-3606.2014.09.017

• 综合报道 • 上一篇    下一篇

人博卡病毒肺炎和支原体肺炎患儿肺功能变化比较

陈营2,尹芳1,李玲1,王美娟1,严永东1,徐宏1,顾国英1,季伟1   

  1. 1. 苏州大学附属儿童医院呼吸科( 江苏苏州 215003);2. 盐城市妇幼保健院( 江苏盐城 224002)
  • 收稿日期:2014-09-15 出版日期:2014-09-15 发布日期:2014-09-15
  • 通讯作者: 季伟 E-mail:szdxjiwei@163.com
  • 基金资助:
    江苏省社会发展项目(No.BE2012652)

Study on pulmonary function changes in infants with human bocavirus or mycoplasma pneumonia

CHEN Ying2,YING Fang1, LI Ling1, WANG Meijuan1, YAN Yongdong1, XU Hong1, GU Guoying1, JI Wei1   

  1. 1. Soochow University AffiliatedChildren’s Hospital, Shuzhou 215003, Jiangsu, China; 2.Yancheng Maternity and Infant Hospital, Yancheng 224002, Jiangsu, China
  • Received:2014-09-15 Online:2014-09-15 Published:2014-09-15

摘要:  目的 探讨婴幼儿罹患人博卡病毒(HBoV)、肺炎支原体(MP)肺炎后的肺功能变化及其临床意义。方法 选取2013年1月至2013年10月期间因支气管肺炎住院治疗的<3岁的婴幼儿140例,其中HBoV阳性64例、MP阳性76例;另选正常同年龄婴幼儿38例,采用德国耶格MasterScope肺功能仪进行肺功能检测,分析比较其检测指标及潮气呼吸流速容量环形态。结果 HBoV及MP支气管肺炎婴幼儿的到达峰流速时间/呼气时间(TPTEF/TE)、到达峰流速时呼出气量/呼气容积(VPTEF/VE)、剩余25%潮气量时呼气流速(TEF25%)和剩余25%潮气量时的呼气流速/呼气峰速(25/PF)都明显低于正常同年龄对照组,差异有统计学意义(P 均<0.05);HBoV、MP支气管肺炎婴幼儿之间上述指标的差异则无统计学意义(P均>0.05)。支气管肺炎与正常对照婴幼儿的潮气呼吸流速容量环(TBFVL)形态均有改变,都表现为呼气相高峰提前,呼气相降支呈波谷样凹陷,其中支气管肺炎婴幼儿峰度稍有降低。结论 HBoV和MP感染所引起的支气管肺炎可致婴幼儿肺功能损害,且都表现为小气道阻塞性通气功能障碍;在直观的TBFVL表现为呼气高峰左移,降支波谷样凹陷。

Abstract: Objective To discuss the pulmonary function change in infants with human bocavirus (HBoV) pneumonia or mycoplasma pneumonia (MP) and its clinical significance. Methods One hundred and forty infants under 3 years old who were admitted due to pulmonary infection were recruited from January, 2013 to October, 2013. Among them, HBoV-DNA was detected in 64 cases, and MP-DNA was detected in 76 cases. Thirty eight normal age-matched infants were selected as controls. The shape of tidal breathing flow-volume loops (TBFVLs) and change of every index were measured with a Pulmonary Testing System (Jaeger MasterScope). Results The ratio of time to peak tidal expiratory flow (PTEF) to total expiratory time (TPTEF/TE), the ratio of VPTEF to expiratory volume (VPTEF/VE), tidal expiratory flow at 25% of the remaining tidal volume (TEF25%) and the ratio of TEF25% to PTEF (25/PF) were significantly decreased in infants with HBoV and MP infection as compared with healthy infants (P<0.05). However, there was no significant difference of the above indices between infants with HBoV and MP infection (P>0.05). The shape of TBFVLs in infants with HBoV and MP pneumonia was changed and characterized by left-shifted PTEF and trough-like concave in descending limb. The PTEF was decreased in infants with pulmonary infection. Conclusions HBoV or MP infection results in impaired pulmonary function with manifestations of obstruction in small airway. The shape of TBFVLs in infants with HBoV and MP pneumonia is characterized by left-shifted PTEF and trough-like concave in descending limb.