CAJ | 학술논문

目的：了解石河子地区常见呼吸道病原体的流行情况，为临床诊疗提供可靠的依据。方法收集2014年1～6月就诊于石河子大学医学院第一附属医院的急性呼吸道感染住院患者血清标本，采用间接免疫荧光技术检测常见的9种呼吸道病原体。结果在检测的810例患者血清中，阳性检出率为32．35％，各病原体检出率由高到低依次是肺炎支原体（M P ）占21．48％，Q热立克次体（COX）占8．89％，嗜肺军团菌1型（LP1）占5．18％，肺炎衣原体（CP）占4．2％，乙型流感病毒（INFB）占2．22％，副流感病毒（PIVs）占1．24％，呼吸道荷包病毒（ADV）占0．50％。MP感染以少儿为主，女性检出率高于男性（P＜0．05）；感染COX以青壮年居多，男性检出率高于女性（P＜0．05）。结论新疆石河子地区呼吸道病原体感染人群中，少儿以MP感染为主，而青壮年以COX感染居多。
목적：료해석하자지구상견호흡도병원체적류행정황，위림상진료제공가고적의거。방법수집2014년1～6월취진우석하자대학의학원제일부속의원적급성호흡도감염주원환자혈청표본，채용간접면역형광기술검측상견적9충호흡도병원체。결과재검측적810례환자혈청중，양성검출솔위32．35％，각병원체검출솔유고도저의차시폐염지원체（M P ）점21．48％，Q열립극차체（COX）점8．89％，기폐군단균1형（LP1）점5．18％，폐염의원체（CP）점4．2％，을형류감병독（INFB）점2．22％，부류감병독（PIVs）점1．24％，호흡도하포병독（ADV）점0．50％。MP감염이소인위주，녀성검출솔고우남성（P＜0．05）；감염COX이청장년거다，남성검출솔고우녀성（P＜0．05）。결론신강석하자지구호흡도병원체감염인군중，소인이MP감염위주，이청장년이COX감염거다。
Objective To understand the prevalence situation of common respiratory tract pathogens in Shihezi area to provide reliable basis for clinical diagnosis and treatment Methods The serum samples from the inpatients with acute respiratory tract in‐fection in the First Affiliated Hospital of Medical College of Shihezi University from January to June 2014 were collected and detec‐ted 9 kinds of common pathogens by using the indirect immuno‐fluorescence assay .Results Among 810 serum samples ,the IgM antibody positive detection rate was 32 .35% ,the detection rates of various pathogens from high to low were Mycoplasma pneumon‐iae(MP ,21 .48% ) ,Q fever rickettsia (COX ,8 .8% ) ,legionella pneumophila(LP1 ,5 .18% ) ,Chlamydia pneumoniae(CP ,4 .2% ) ,in‐fluenzaBvirus(INFB,2.22% ),parainfluenzavirus(PIVs,1.24% )andrespiratorysyncytialvirus(RSV,0.50% ).MPinfectionwas dominated by young children ,the detection rate in females was higher than that in males (P<0 .05);majority of COX infection were young adults ,the detection rate in males was higher than that in females (P<0 .05) .Conclusion MP is the main respiratory tract infection pathogen in children and COX is the main respiratory tract infection pathogen among young adults in Shihezi area .