儿童肺炎支原体感染血清学检测结果临床分析

Analyze the Serological Results of Myoplasma Penumoniae Infections among Children

目的探讨儿童肺炎支原体感染的血清学检测结果的临床意义。方法采用酶联免疫吸附测定(ELISA)捕获法检测肺炎支原体抗体IgM(MP-IgM)。结果 1342例儿童肺炎支原体感染中男、女肺炎支原体感染阳性率分别为21.49%、22.18%,1～3岁、3～6岁、6～14岁年龄组阳性率分别为16.36%、28.16%、21.59%,春夏秋冬四季感染肺炎支原体阳性率分别为15.76%、16.87%、35.80%、24.73%,秋季阳性率与其他季节比较,MP-IgM阳性率差异有统计学意义,春夏季MP-IgM阳性率差异无统计学意义。结论儿童感染肺炎支原体无性别差异,3～6岁年龄组高发,具有流行病学季节性分布,秋季高发,秋季儿童非典型肺炎多考虑肺炎支原体感染。

Objective To study clinical significance of serological results of the Mycoplasma pneumoniae infection. Methods Detected the Mycoplasma pneumoniae lgM with the method of capture EIASA antibody. Results Among 1342 cases of children infected with Mycoplasma pneumoniae, the positive rate was 21.49% for male,22. 18% for femal, and the positive rate was 16.36% for 1-3 years old,28.16% for 3 6 years old,and 21.59% for 6-14-years old. About the different seasons, the positive rates were 15.76 for spring,16. 87% for summer, 35.80% for autumn and 24.73% for winter. There existed significant difference between autumn and other seasons, the drastic differenl did not exist between spring and summer. Conclusion There is no gender difference in the infection of Myeoplasma pneumoniae, but it clustered in 3-6-years-old group. It have the epidemiological characteristic of seasonal distribution, the autumn is very high. Clinical Pediatrics recommends that the atypical pneumonia in autumn should be con sidered as Mycoplasma Pneumoniae infection among children.