国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
5期
692-694
,共3页
呼吸道感染%肺炎支原体%间接免疫荧光法
呼吸道感染%肺炎支原體%間接免疫熒光法
호흡도감염%폐염지원체%간접면역형광법
Respiratory tract infection%Mycoplasma pneumoniae%Indirect immunofluorescence assay
目的 了解老年呼吸道感染患者肺炎支原体(Mycoplasma pneumoniae,MP)感染情况.方法 选取广州市红十字会医院2010年1月至2012年9月≥65岁的呼吸道感染患者3765例,男2136例,女1629例,年龄在65～110岁以内,采用间接免疫荧光法(indirect immunofluorescence assay,IFA)对其血清中的肺炎支原体抗体(MP-IgM)进行检测.结果 3765例老年呼吸道感染患者血清标本中,检出阳性的标本为834例,阳性率为22.15％,其中男性阳性率为21.11％,而女性阳性率为23.51％,不同性别间比较差异无统计学意义(x2=3.080,P＞0.05).肺炎支原体抗体(MP-IgM)各年龄组间阳性率比较差异无统计学意义(x 2=0.090,P＞0.05).老年呼吸道感染患者肺炎支原体感染阳性率存在季节差异(x 2=11.040,P＜0.05),春季、夏季和冬季的老年呼吸道感染患者MP感染率之间比较差异无统计学意义(P＞0.05),而春季、夏季和冬季的老年呼吸道感染患者MP感染率分别与秋季比较差异有统计学意义(P＜0.05).结论 老年呼吸道感染患者有一定的MP感染率,不同性别间差异无统计学意义,感染存在季节的差异性,因老年呼吸道感染患者感染MP合并有基础性疾病时可能会引起严重的损害,故临床应重视老年呼吸道感染患者MP的感染和防治,早发现早治疗.
目的 瞭解老年呼吸道感染患者肺炎支原體(Mycoplasma pneumoniae,MP)感染情況.方法 選取廣州市紅十字會醫院2010年1月至2012年9月≥65歲的呼吸道感染患者3765例,男2136例,女1629例,年齡在65～110歲以內,採用間接免疫熒光法(indirect immunofluorescence assay,IFA)對其血清中的肺炎支原體抗體(MP-IgM)進行檢測.結果 3765例老年呼吸道感染患者血清標本中,檢齣暘性的標本為834例,暘性率為22.15％,其中男性暘性率為21.11％,而女性暘性率為23.51％,不同性彆間比較差異無統計學意義(x2=3.080,P＞0.05).肺炎支原體抗體(MP-IgM)各年齡組間暘性率比較差異無統計學意義(x 2=0.090,P＞0.05).老年呼吸道感染患者肺炎支原體感染暘性率存在季節差異(x 2=11.040,P＜0.05),春季、夏季和鼕季的老年呼吸道感染患者MP感染率之間比較差異無統計學意義(P＞0.05),而春季、夏季和鼕季的老年呼吸道感染患者MP感染率分彆與鞦季比較差異有統計學意義(P＜0.05).結論 老年呼吸道感染患者有一定的MP感染率,不同性彆間差異無統計學意義,感染存在季節的差異性,因老年呼吸道感染患者感染MP閤併有基礎性疾病時可能會引起嚴重的損害,故臨床應重視老年呼吸道感染患者MP的感染和防治,早髮現早治療.
목적 료해노년호흡도감염환자폐염지원체(Mycoplasma pneumoniae,MP)감염정황.방법 선취엄주시홍십자회의원2010년1월지2012년9월≥65세적호흡도감염환자3765례,남2136례,녀1629례,년령재65～110세이내,채용간접면역형광법(indirect immunofluorescence assay,IFA)대기혈청중적폐염지원체항체(MP-IgM)진행검측.결과 3765례노년호흡도감염환자혈청표본중,검출양성적표본위834례,양성솔위22.15％,기중남성양성솔위21.11％,이녀성양성솔위23.51％,불동성별간비교차이무통계학의의(x2=3.080,P＞0.05).폐염지원체항체(MP-IgM)각년령조간양성솔비교차이무통계학의의(x 2=0.090,P＞0.05).노년호흡도감염환자폐염지원체감염양성솔존재계절차이(x 2=11.040,P＜0.05),춘계、하계화동계적노년호흡도감염환자MP감염솔지간비교차이무통계학의의(P＞0.05),이춘계、하계화동계적노년호흡도감염환자MP감염솔분별여추계비교차이유통계학의의(P＜0.05).결론 노년호흡도감염환자유일정적MP감염솔,불동성별간차이무통계학의의,감염존재계절적차이성,인노년호흡도감염환자감염MP합병유기출성질병시가능회인기엄중적손해,고림상응중시노년호흡도감염환자MP적감염화방치,조발현조치료.
Objective To investigate the respiratory tract infection of the elderly patients with Mycoplasma Pneumoniae (MP).Methods 3765 patients with respiratory tract infection in Guangzhou Red Cross hospital (2136 males,1629 females),aged 65-110,from January 2010 to September 2012.All the patients' mycoplasma pneumoniae (MP-IgM) antibody were tested with indirect immunofluorescence assay (IFA).Results In the 3765 serum specimens from the elderly patients with respiratory infection,the positive specimens were 834 cases and positive rate was 22.15％.There were 2136 male cases (positive rate 21.11％) and 1629 female cases (positive rate 23.51％).There was no significant difference between them (x 2=3.080,P ＞ 0.05).There was no statistical significant difference in the positive rate between two groups (x 2=0.0900,P ＞ 0.05).There was statistical significant difference in infection positive rate of seasonal difference (x 2=11.040,P ＜ 0.05).Conclusion There is certain MP infection in the elderly patients with respiratory tract infection.There is no significant difference between males and females.There is difference in onset of seasonal and the elderly patients' respiratory tract infection with basic diseases and it may cause serious damage.The clinical treatment should focus on the elderly detection and treatment of the patients with respiratory tract infection and MP infection.
