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題 名 | The Role of Mycoplasma Pneumoniae in Acute Exacerbation of Asthma in Children=肺炎黴漿菌對於誘發小孩氣喘的角色 |
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作 者 | 歐俊彥; 曾愉芳; 邱益煊; 農寶仁; 黃永豐; 謝凱生; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 49:1 2008.01-02[民97.01-02] |
頁 次 | 頁14-18+43 |
分類號 | 417.5343 |
關鍵詞 | 氣喘; 兒童; 惡化; 肺炎黴漿菌; Asthma; Children; Exacerbation; Mycoplasma pneumoniae; |
語 文 | 英文(English) |
中文摘要 | 背景:這篇研究主要想了解對於感染急性肺炎黴漿菌小孩與急性氣喘之問的關係。我們並記載黴漿菌造成氣喘小孩發作的臨床表現。方法:將316位2到14歲氣喘急性惡化的小孩依據病史分做兩組:第一組包含已經有氣喘病史的188人,第二組包含第一次氣喘發作的128人。151位過去六個月來皆沒有急性發作的氣喘兒童當作第三組。我們並記錄三組小孩中是否罹患急性黴漿菌感染。急性黴漿菌感染定義爲出現黴漿菌特異性免疫球蛋白M(IgM)抗體,或是兩次抽血中大於四倍增加的特異性免疫球蛋白G(IgG)數值。結果:在188位第一組的小孩中,有42位(23%)診斷出罹患肺炎黴漿性感染。在128位第二組的小孩裡有57位(45%)診斷出肺炎黴漿性感染。在151位對照組小孩中有10位(7%)診斷出肺炎黴漿性感染。有23位(54%)已經有氣喘病史的小孩感染肺炎黴漿菌與18位(12%)沒有肺炎以發燒做爲臨床表現(p=0.014);29位(50%)第一次氣喘發作的小孩感染肺炎黴漿菌與22位(32%)沒有肺炎以發燒爲臨床表現(p=0.009)。有17位(41%)第一組的小孩感染肺炎黴漿菌與28位(19%)沒有肺炎以羅音來表現(p=0.027)。26位(46%)第二組的小孩感染肺炎黴漿菌與17位(24%)沒有肺炎小孩以羅音來表現(p=0.019)。結論:我們的研究中顯示肺炎黴漿菌會造成惡化小孩氣喘,尤其是初次氣喘的小孩。此外,不管是第一次誘發氣喘或是已經有氣喘病史,這些罹患肺炎黴漿菌的小孩以發燒或是以聽診羅音做爲臨床表現是有意義的。 |
英文摘要 | Background: The aim of this retrospective study was to test the connection between acute M. pneumoniae infection and the exacerbation of asthma. The clinical characteristics of Mycoplasma infection seen during emergent visits in asthmatic children were reviewed. Methods: We examined the cases of 316 asthma exacerbation patients aged from two to fourteen years old. They were divided into two groups according to their asthma history. One hundred and eighty-eight cases had evidence of a history of asthma (group 1) and 128 had only had their first asthma attack (group 2). The control group (group 3) was made up of 151 asthmatic children who had no acute exacerbation during the previous six months. In all three groups, we looked whether those children had acute M. pneumoniae infection or not. Acute M. pneumoniae infection was defined by positive results in serologic testing, with specific immunoglobulin M (IgM) antibody or with a≥fourfold increase in IgG titer by the third week in the same children. Results: In group 1, acute M. pneumionae infection was found in 42 (23%) of the 188 children. In group 2, acute M. pneumoniae infection was proven in 57 (45%) of the 128 children. In the control group, 10 (7%) of the 151 children had M. pneumoniae infection. Twenty-three (54%) asthmatic children that presented with fever as the chief complaint were infected with M. pneumoniae, compared with 18 (12%) children without infection (p=0.014). Twenty-nine (50%) children having their first asthma attack with fever were infected with M. pneumoniae, compared with 22 (32%) without infection (p=0.009). In group 1, 17 (41%) children with M. pneumoniae infections and 28 (19%) children without M. pneumoniae infections presented with rale breathing sounds of the physical examination (p=0.027). In group 2, 26 (46%) children with M. pneumoniae infections and 17 (24%) children without M. pneumoniae infections presented with rale breathing sounds (p=0.019). Conclusions: We found that M. pneumoniae may play a role in asthmatic exacerbation among children, especially in those experiencing their first asthma attack. Moreover, among children with acute M. pneumoniae infection, the number was significantly increased of children having fever as the chief complaint and rales in auscultations compared with those without M. pneumoniae infection. |
本系統中英文摘要資訊取自各篇刊載內容。