中国儿童保健杂志
中國兒童保健雜誌
중국인동보건잡지
CHINESE JOURNAL OF CHILD HEALTH CARE
2001年
3期
178-180
,共3页
刘国荣%申昆玲%江载芳%姚德秀%刘亚谊%买颖
劉國榮%申昆玲%江載芳%姚德秀%劉亞誼%買穎
류국영%신곤령%강재방%요덕수%류아의%매영
急性下呼吸道感染%呼吸道合胞病毒%流感病毒A型%免疫荧光检查(IFA)
急性下呼吸道感染%呼吸道閤胞病毒%流感病毒A型%免疫熒光檢查(IFA)
급성하호흡도감염%호흡도합포병독%류감병독A형%면역형광검사(IFA)
Acute lower respiratory tract infection(ALRI)%Respiratory syncytial virus(RSV)%Influenza virus type(IA)%Immunofluorescence assay(IFA)
【目的】分析1997年3月～1999年3月两年间北京地区儿童急性呼吸道感染(ARI)的鼻咽分泌物病毒免疫荧光学检测结果。【方法】选择1997年3月～1999年3月因急性呼吸道感染而在北京市儿童医院住院治疗的患儿，取其鼻咽分泌物做免疫荧光检测筛查七种呼吸道病毒抗原，阳性病例入选，分析其病历资料。【结果】所有794例病人送检标本共796份，阳性228份(28.6%)。其中RSV 196例(24.6%)、IA 20例(2.5%)、IB 1例(0.12%)、ADV 4例(0.5%)、PIV3 2例(0.25%)、RSV和PIV3 2例(0.25%)，RSV和IA 3例(0.38%)。RSV和IA感染呈季节性分布。RSV组和IA组病人之间喘息症状并无差异。小年龄组病人与大年龄儿相比，呼吸快、更多存在低氧血症和二氧化碳潴留，病情重，吸氧者多。【结论】北京地区两年以来儿童呼吸道感染的病毒学病因可能为呼吸道合胞病毒(RSV)、流感病毒(IA)、腺病毒(ADV)和副流感病毒3型(PIV3)，以RSV为主。RSV和IA有一定的季节变化。
【目的】分析1997年3月～1999年3月兩年間北京地區兒童急性呼吸道感染(ARI)的鼻嚥分泌物病毒免疫熒光學檢測結果。【方法】選擇1997年3月～1999年3月因急性呼吸道感染而在北京市兒童醫院住院治療的患兒，取其鼻嚥分泌物做免疫熒光檢測篩查七種呼吸道病毒抗原，暘性病例入選，分析其病歷資料。【結果】所有794例病人送檢標本共796份，暘性228份(28.6%)。其中RSV 196例(24.6%)、IA 20例(2.5%)、IB 1例(0.12%)、ADV 4例(0.5%)、PIV3 2例(0.25%)、RSV和PIV3 2例(0.25%)，RSV和IA 3例(0.38%)。RSV和IA感染呈季節性分佈。RSV組和IA組病人之間喘息癥狀併無差異。小年齡組病人與大年齡兒相比，呼吸快、更多存在低氧血癥和二氧化碳潴留，病情重，吸氧者多。【結論】北京地區兩年以來兒童呼吸道感染的病毒學病因可能為呼吸道閤胞病毒(RSV)、流感病毒(IA)、腺病毒(ADV)和副流感病毒3型(PIV3)，以RSV為主。RSV和IA有一定的季節變化。
【목적】분석1997년3월～1999년3월량년간북경지구인동급성호흡도감염(ARI)적비인분비물병독면역형광학검측결과。【방법】선택1997년3월～1999년3월인급성호흡도감염이재북경시인동의원주원치료적환인，취기비인분비물주면역형광검측사사칠충호흡도병독항원，양성병례입선，분석기병력자료。【결과】소유794례병인송검표본공796빈，양성228빈(28.6%)。기중RSV 196례(24.6%)、IA 20례(2.5%)、IB 1례(0.12%)、ADV 4례(0.5%)、PIV3 2례(0.25%)、RSV화PIV3 2례(0.25%)，RSV화IA 3례(0.38%)。RSV화IA감염정계절성분포。RSV조화IA조병인지간천식증상병무차이。소년령조병인여대년령인상비，호흡쾌、경다존재저양혈증화이양화탄저류，병정중，흡양자다。【결론】북경지구량년이래인동호흡도감염적병독학병인가능위호흡도합포병독(RSV)、류감병독(IA)、선병독(ADV)화부류감병독3형(PIV3)，이RSV위주。RSV화IA유일정적계절변화。
【Objective】 To investigate the viral pathogens of children's ARI in Beijing area from March 1997 to March 1999. 【Methods】 To choose the patients who were admitted to Beijing Children's Hospital from March,1997 to March,1999.They had symptoms of ARI and had the nasopharyngeal secretions(NPS) examined by immunofluorescence assay(IFA).The records of the patients whose IFA results were positive were carefully reviewed and analyzed by SPSS software. 【Results】 Among all the 794 patients (796 samples),there were 228 (28.6%) positive results.196(24.6%) positive samples were respiratory syncytial virus(RSV),20(2.5%) were influenza virus type A(IA),1(0.12%) was influenza virus type B(IB),4(0.5%) were adenovirus(ADV) and 2 (0.25%) samples were positive of Parainfluenza virus (PIV3).Also there were 2 cases(0.25%),which were positive of RSV and PIV3 together,and 3(0.38%) were RSV and IA positive simultaneously.RSV and IA had a seasonal trend.There was no significant difference of wheezing symptom between RSV positive patients and IA positive patients.Compared with the elders,the younger patients had much faster respiratory rates,more hypoxemia and hypercapnia.They were much severer than the elders and needed more oxygen therapies. 【Conclusions】 RSV,IA，ADV and PIV3 were the common viral detection from NPS by IFA, causing respiratory infections during these two years in Beijing,among which RSV was most predominant one.RSV and IA had a seasonal trend.
