CAJ | 학술논문

目的：为了解我院住院患者呼吸道病原体的感染状况，为临床提供一种快速诊断呼吸道感染病原体的方法。方法：对3449例呼吸道疾病患者运用九项呼吸道联检试剂同时检测9种病原体的Ig M抗体，包括嗜肺军团菌（L P ）、肺炎支原体（MP）、Q热立克次体（QFR）、肺炎衣原体（CP）、腺病毒（ADV）、呼吸道合胞病毒（RSV）、甲型流感病毒（IFA）、乙型流感病毒（IFB）和副流感病毒1、2和3型（PIVS）。结果：3449例呼吸道疾病患者总感染率为30.3％，其中以肺炎支原体最为常见，占13．38％，其次为乙型流感病毒，再次为呼吸道合胞病毒。混合感染率达14．4％（495/3449）；感染人群以儿童和老人多见，多为肺炎支原体合并乙型流感病毒感染，2～4岁年龄段感染率差异有统计学意义（P＜0．01）。结论：肺炎支原体、乙型流感病毒是呼吸道疾病中非典型病原体的主要病原体，临床表现不特异，应重视多种病原体联合检测，以免漏诊误诊，以达到快速诊断的目的。
목적：위료해아원주원환자호흡도병원체적감염상황，위림상제공일충쾌속진단호흡도감염병원체적방법。방법：대3449례호흡도질병환자운용구항호흡도련검시제동시검측9충병원체적Ig M항체，포괄기폐군단균（L P ）、폐염지원체（MP）、Q열립극차체（QFR）、폐염의원체（CP）、선병독（ADV）、호흡도합포병독（RSV）、갑형류감병독（IFA）、을형류감병독（IFB）화부류감병독1、2화3형（PIVS）。결과：3449례호흡도질병환자총감염솔위30.3％，기중이폐염지원체최위상견，점13．38％，기차위을형류감병독，재차위호흡도합포병독。혼합감염솔체14．4％（495/3449）；감염인군이인동화노인다견，다위폐염지원체합병을형류감병독감염，2～4세년령단감염솔차이유통계학의의（P＜0．01）。결론：폐염지원체、을형류감병독시호흡도질병중비전형병원체적주요병원체，림상표현불특이，응중시다충병원체연합검측，이면루진오진，이체도쾌속진단적목적。
Objective :To understand the infection status of hospitalized patients with respiratory tract pathogen in our , for clinical provides a method of rapid diagnosis of respiratory tract infection pathogens .Methods:In 3 449 cases of pa-tients with respiratory diseases using nine respiratory joint inspection reagent and detecting IgM antibody of 9 kinds of pathogens ,including eosinophilic lung legionella bacteria (LP) ,mycoplasma pneumoniae (MP) ,Q fever rickettsia (QFR) ,chlamydia pneumonia (CP) ,adenovirus (ADV) and respiratory syncytial virus (RSV) ,influenza a virus (IFA) and b (IFB) and parainfluenza virus type 1 ,2 and 3 (PIVS) .Results:Total 449 patients with respiratory disease infection rate was 30 .3% ,of which the most mycoplasma pneumoniae ,accounted for 13 .38% ,followed by hepatitis b virus ,again for respiratory syncytial virus .Mixed infection rate was 14 .4% (495/3 449);Infection in children and the elderly see more ,more for mycoplasma pneumoniae combined hepatitis b virus infection ,2 to 4 years infection rate difference was statistically significant (P< 0 .01) .Conclusion:Mycoplasma pneumonia ,hepatitis b virus is a major pathogen of respiratory diseases of central pathogens ,clinical manifestation is not specific ,should pay attention to a variety of pathogens joint detection ,in order to avoid misdiagnosis and misdiagnosis ,in order to achieve the purpose of rapid diagnosis.