肺炎支原体抗体检测对婴幼儿呼吸道感染的临床应用

Clinical application of detection on mycoplasma pneumoniae antibody of infants with respiratory infection

目的了解桂林地区肺炎支原体不同季节和不同年龄的感染情况,为临床提供参考。方法通过对2011年3月至2012年2月本院儿科住院的上呼吸道感染患儿1 015例进行肺炎支原体抗体检测,并进行统计学分析。结果上呼吸道感染患儿肺炎支原体抗体阳性率为30.05%(305/1 015)。以大于1～3岁组阳性率最高为36.61%,0～1岁组阳性率最低为10.49%,两组差异有统计学意义(P<0.01)。冬季MP抗体阳性检出率最高,为31.72%,但与各季节间差异无统计学意义(P>0.05)。结论对有上呼吸道感染症状的患儿及时进行肺炎支原体抗体检测,及早诊断,合理指导临床用药,可有效控制病情,减少并发症的发生。

Objective To understand the infection of mycoplasma pneumoniae in different seasons and ages in Guilin area,in order to provide the reference for clinic. Methods 1 015 infants with upper respiratory infection in our hospital from March 2011 to February 2012 were collected. And the results were statistically analyzed. Results The positive rate of mycoplasma pneumoniae antibody of infants with upper respiratory infection was 30. 05% （305/1 015）. The highest positive rate was 36. 61% in 〉 1- 3 years old group, and the lowest positive rate was 10.49 % in 0- 1 years old group, with significant difference （P〈0.01）. The highest detection rate of mycoplasma pneumoniae was 31.72% in winter, and there was no significant difference among different seasons（P〉0.05）. Con- clusion The detection and early diagnosis of mycoplasma pneumoniae antibody in infants with upper respiratory in- fection should be enhanced, which could guide the clinical medication reasonably, control disease progression, and decrease the occurrence of complication.