164例肺炎支原体感染患儿临床分析

Clinical analysis of mycoplasma pneumoniae infection in 164 cases of children

目的探讨肺炎支原体感染患儿在年龄、性别、症状及肺外并发症的情况,以进一步提高对肺炎支原体的认识。方法随机选取816例住院患儿血清,用免疫法检测肺炎支原体特异性抗体IgM（Mp-IgM）。结果 Mp-IgM阳性者有164例,占20%,其中男性患儿74例,女性患儿90例,有上呼吸道感染症状27例,下呼吸道感染症状137例,合并有肺外并发症49例,按年龄段分,～3岁（包括3岁）患儿占11.0%,3～7岁（包括7岁）患儿占27.2%,7岁～患儿占20.2%,各组间差异有统计学意义（P〈0.05）。结论肺炎支原体现已成为儿童呼吸道感染的主要病原体之一,对感染肺炎支原体患儿应高度重视,及时检查Mp-IgM抗体,以便做到及早发现,对症治疗,使患者早日康复。

Objective To explore the characteristics of children mycoplasma pneumonia（MP）in age,gender,symptoms and complications,and to further improve the understanding of MP.Methods Eight hundred and sixteen cases of hospitalized children were enrolled randomly,and MP specific antibodies IgM（Mp-IgM）in serum were measured through the mmunization method.Results There were 164subjects（20.0%）with positive Mp-IgM,including 74 male children and90 female children,27 cases with upper respiratory tract symptoms and 137 cases with lower respiratory symptoms,49 cases with extrapulmonary complications.To rank according to age,the positive rates were 11.0%,27.2%,20.2%in age groups（0-3years,3-7years,〉7years）respectively.The differences among groups were statistically significant（P〈0.05）.Conclusion Children with MP infection,one of the most pathogens,should be highly valued.In order to discover,treat and recover early,the detection of Mp-IgM antibody in time is essential.