CAJ | 학술논문

目的：调查万州地区儿童肺炎支原体（M P ）的感染情况，探讨小儿M P感染发病率与年龄、性别、季节之间的关系，为小儿M P感染诊断提供依据。方法对该院2013年1～12月收治的呼吸道感染患儿4783例，采用被动凝集法检测患儿血清中M P‐Ig M抗体。结果在4783例呼吸道感染患儿中，M P‐Ig M检测结果阳性者2620例，阳性率为54．75％，且女性患儿阳性率高于男性患儿，差异有统计学意义（ P＜0．01）。M P‐Ig M阳性检率随年龄的增长而升高，差异有统计学意义（P＜0．01）。冬季发病率明显高于其他三季（P＜0．01）。结论本地区儿童MP感染率较高，建议医生对呼吸道感染的患儿进行血清 M P‐Ig M 抗体检测，以提高M P感染的确诊率，避免误诊、漏诊。
목적：조사만주지구인동폐염지원체（M P ）적감염정황，탐토소인M P감염발병솔여년령、성별、계절지간적관계，위소인M P감염진단제공의거。방법대해원2013년1～12월수치적호흡도감염환인4783례，채용피동응집법검측환인혈청중M P‐Ig M항체。결과재4783례호흡도감염환인중，M P‐Ig M검측결과양성자2620례，양성솔위54．75％，차녀성환인양성솔고우남성환인，차이유통계학의의（ P＜0．01）。M P‐Ig M양성검솔수년령적증장이승고，차이유통계학의의（P＜0．01）。동계발병솔명현고우기타삼계（P＜0．01）。결론본지구인동MP감염솔교고，건의의생대호흡도감염적환인진행혈청 M P‐Ig M 항체검측，이제고M P감염적학진솔，피면오진、루진。
Objective To investigate the situation of mycoplasma pneumoniae (MP) infection in Wanzhou dis‐trict ,and explore the relationship between incidence rate of pediatric MP infection and age ,gender ,season ,to provide the basis for clinical diagnosis of pediatric MP infection .Methods A total of 4 783 children with respiratory infection were recru ited in this study ,passive agglutination method was used to detect children′s serum MP‐IgM antibody .Re‐sults Among 4 783 children with respiratory infection ,positive result of MP‐IgM antibody were 2 620 cases (54 .75% ) ,the positive rate of female was obviously higher than that of male(P<0 .01) ,the positive rate of MP‐IgM antibody increased with age ,the differences were statistical significant (P<0 .01) .The morbidity of MP infection in Winter was significant higher than those of other three seasons(P<0 .01) .Conclusion Children′s MP infection rate is high in the Wanzhou district ,which suggests doctors to detect serum MP‐IgM antibody in children with respi rato‐ry infection for improving the positive rate of M P infection and avoiding the misdiagnosis and missed .