医学检验与临床
醫學檢驗與臨床
의학검험여림상
MEDICAL LATORATORY SCIENCE AND CLINICES
2013年
3期
25-26,8
,共3页
慢性咳嗽%肺炎支原体%培养%抗体
慢性咳嗽%肺炎支原體%培養%抗體
만성해수%폐염지원체%배양%항체
chronic cough%mycoplasma pneumoniae%culture%antibody
目的：分析慢性咳嗽患儿感染肺炎支原体的状况，为临床诊治儿童慢性咳嗽提供依据。方法：采用快速培养/药敏与间接凝集法检测慢性咳嗽患儿咽拭子和血清样本，回顾性分析376例患儿肺炎支原体培养和抗体检测结果。结果：在376例患儿中，肺炎支原体培养结果阳性率35.9%(135/376)，抗体检测结果阳性率38.0%(143/376)，两项联合检测总阳性率45.2%（170/376）,联合检测阳性率高于单项检测，P<0.05，差异有统计学意义；7岁以下小儿感染百分比明显高于7岁以上少年，P<0.01，差异有统计学意义；根据药敏报告结合耐药趋势分析报告选取合适药物治疗后，所有感染肺炎支原体的慢性咳嗽患儿症状消除并痊愈。结论：肺炎支原体感染与性别无关，以7岁以下小儿多见，联合检测有利于提高诊断水平，根据药敏报告结合药敏趋势报告选药有良好的治疗效果。
目的：分析慢性咳嗽患兒感染肺炎支原體的狀況，為臨床診治兒童慢性咳嗽提供依據。方法：採用快速培養/藥敏與間接凝集法檢測慢性咳嗽患兒嚥拭子和血清樣本，迴顧性分析376例患兒肺炎支原體培養和抗體檢測結果。結果：在376例患兒中，肺炎支原體培養結果暘性率35.9%(135/376)，抗體檢測結果暘性率38.0%(143/376)，兩項聯閤檢測總暘性率45.2%（170/376）,聯閤檢測暘性率高于單項檢測，P<0.05，差異有統計學意義；7歲以下小兒感染百分比明顯高于7歲以上少年，P<0.01，差異有統計學意義；根據藥敏報告結閤耐藥趨勢分析報告選取閤適藥物治療後，所有感染肺炎支原體的慢性咳嗽患兒癥狀消除併痊愈。結論：肺炎支原體感染與性彆無關，以7歲以下小兒多見，聯閤檢測有利于提高診斷水平，根據藥敏報告結閤藥敏趨勢報告選藥有良好的治療效果。
목적：분석만성해수환인감염폐염지원체적상황，위림상진치인동만성해수제공의거。방법：채용쾌속배양/약민여간접응집법검측만성해수환인인식자화혈청양본，회고성분석376례환인폐염지원체배양화항체검측결과。결과：재376례환인중，폐염지원체배양결과양성솔35.9%(135/376)，항체검측결과양성솔38.0%(143/376)，량항연합검측총양성솔45.2%（170/376）,연합검측양성솔고우단항검측，P<0.05，차이유통계학의의；7세이하소인감염백분비명현고우7세이상소년，P<0.01，차이유통계학의의；근거약민보고결합내약추세분석보고선취합괄약물치료후，소유감염폐염지원체적만성해수환인증상소제병전유。결론：폐염지원체감염여성별무관，이7세이하소인다견，연합검측유리우제고진단수평，근거약민보고결합약민추세보고선약유량호적치료효과。
Objective:To investigate the clinical situations of mycoplasma pneumoniae infection in children with chronic cough and provide reference for clinical diagnosis. Methods:Throat swab and serum specimens from children with chronic cough were detected with rapid culture or drug sensitivity and indirect agglutination. The results of mycoplasma pneumoniae culture and antibody test from 376 cases were analyzed retrospectively.Results:Among the 376 children, positive rate for mycoplasma pneumoniae culture and antibody test were 35.9%(135/379), 38.0%(143/376), respectively. While the positive rate for pneumoniae culture combined with antibody test was 45.2%(170/376). The positive rate of combined detection was significantly higher than that for single detection (p<0.01). Infection rate for children (<7 years) was significantly higher than that for children (>7 years) (p<0.01). Suitable treatments were adopted based on drug sensitivity and drug resistant tendency, and all the children with chronic cough recovered.Conclusions:Mycoplasma pneumoniae infection is not associated with gander, and mainly occurs in children (<7 years). Combined detection can help improve diagnostic accuracy and good therapeutic effect can be achieved according to doctor’s experience with drug sensitivity.
