胜利油田小儿肺炎病原学检测及治疗效果分析

Analysis of Detection and Therapeutic Effects in Children with Pneumonia Pathogen Shengli Oilfield

目的通过对在胜北医院就诊治疗的小儿肺炎的病原学检测结果进行分析,指导合理用药,探索小儿肺炎有效的治疗方法。方法采用痰液细菌培养、反向间接血凝试验检测肺炎支原体(MP)和衣原体(CP)、ELISA间接法测定常见呼吸道病毒(流感病毒、副流感病毒、呼吸道合胞病毒、腺病毒)抗体等。结果在检测的597例患者中,检测出病原体的有543例,占90.95%,其中痰液细菌培养597例,阳性226例,阳性率为37.86%;呼吸道病毒抗体检测597例,阳性424例,占71.02%;MP和CP检测597例,阳性26例,占4.36%;混合感染187例,占31.32%。结论胜利油田地区小儿肺炎的病原体以病毒感染为主,细菌感染与支原体和衣原体感染也占有一定的比例,分析小儿肺炎的病原学,指导临床合理用药,可以大大提高小儿肺炎的治愈率和缩短病程。

Objective By the analysis of the result of child-pneumonia aetiology detection in Shengbei hospital, to supervise rational administration of drug and to discover an effective way to cure child-pneumonia. Method Use expectoration culture and reverse indirect hemagglutination test to detect mycoplasma（MP） and chlamydozaon（CP） of pneumonia. Use ELISA indirect method to measure the antibody of familiar respirovirus （including influenza virus, parainfluenza virus, RS virus, adenovirus）, etc. Result In all the 597 cases of this detection, 543 cases who bear causative agent were detected, accounting for 90.95 percent of all. In all the 597 cases： 597 of them were in the expectoration culture, 226 of them were positive, the positive rate is 37.86 percent; 597 of them were in the respirovirus antibody detection, 424 cases were positive, the positive rate is 71.02 percent; 597 of them were in the reverse indirect hemagglutination test, 26 cases were positive, the positive rate is 4.36 percent; 187 cases were mixed infected, accounting for 31.32 percent of all. Conclusion The causative agent of child-pneumonia in the Shengli Oilfield area is mainly caused by virus infection. Bacterial infection, mycoplasma（MP） and chlamydozaon（CP） infection has a certain proportion by the same time. So, to analyse the aetiology of child-pneumonia and supervise rational administration of drug, the cure rate of child-pneumonia will be greatly improved and the course of diseases will be curtailed.