匹多莫德治疗后小儿复发性呼吸道感染的因素和 T 淋巴细胞亚群变化分析

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Renmin Hu, Chong Jin, Xiang Lin, Yinyin Chen, Yaodong Wang, Yan Guo
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引用次数: 0

摘要

目的:本研究旨在分析导致儿童患者反复呼吸道感染(RRTI)的因素,并评估匹多莫德(PI)治疗的疗效:本研究旨在分析导致儿科患者反复呼吸道感染(RRTI)的因素,并评估匹多莫德(PI)治疗的疗效:本研究采用回顾性队列设计,共纳入2020年9月至2022年9月期间确诊为RRTI的85名儿童和54名健康儿童。研究采用逻辑回归分析来确定导致RRTI发生的因素。其中,40 名儿童接受常规治疗(对照组),45 名儿童接受 PI 治疗(研究组)。对两组治疗的临床疗效和不良反应进行了比较分析:家庭成员的吸烟史和父母的过敏史是导致 RRTI 的独立危险因素(P < .05,OR>1),而父母的教育水平、户外活动和微量元素摄入量则是导致 RRTI 的独立保护因素(P < .05,OR .05)。治疗后,与对照组相比,研究组的CD3+、CD4+和CD4+/CD8+水平升高,而CD8+水平降低(P < .05):结论:儿童的日常户外活动、家庭成员的吸烟史、父母的过敏史、教育水平和微量元素摄入量是影响小儿 RRTI 的独立因素。此外,PI 被认为是治疗 RRTI 的重要方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Factors and T-Lymphocyte Subset Changes in Pediatric Recurrent Respiratory Infections Post-Pidotimod Treatment.

Objective: This study aims to analyze factors contributing to recurrent respiratory tract infections (RRTIs) in pediatric patients and evaluate the efficacy of pidotimod (PI) treatment.

Methods: This study utilized a retrospective cohort design, enrolling a total of 85 children diagnosed with RRTIs between September 2020 and September 2022, alongside 54 healthy children. Logistic regression analysis was employed to identify factors contributing to RRTI occurrence. Among the participants, 40 children underwent conventional treatment (control group), while 45 received PI treatment (research group). Comparative analyses were conducted to assess clinical efficacy and adverse effects between the two treatment groups.

Results: The history of family members' smoking and parental allergy emerged as independent risk factors for RRTIs (P < .05, OR>1), whereas parental education level, outdoor activity, and micronutrient intake were identified as independent protective factors for RRTIs (P < .05, OR<1). Symptoms such as cough, fever, rhonchi, moist rales, and tonsillar enlargement resolved significantly faster in the research group compared to the control group (P < .05). Additionally, the research group exhibited reduced infection duration and fewer recurrent infections (P < .05). Following treatment, the overall treatment efficacy was superior in the research group compared to the control group (P < .05), with no significant difference in the incidence of adverse effects (P > .05). Post-treatment, levels of CD3+, CD4+, and CD4+/CD8+ were elevated in the research group compared to the control group, while CD8+ levels were lower (P < .05).

Conclusions: Daily outdoor activity among children, family members' history of smoking, parental allergy history, education level, and micronutrient intake emerged as independent factors influencing pediatric RRTIs. Furthermore, PI was identified as a significant treatment option for RRTIs.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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