不同检测方法在儿童肺炎支原体感染中的比较观察

Comparative Observation of Different Test Method on Mycoplasma Pneumoniae Infection in Children

目的：比较三种检测方法在儿童肺炎支原体感染中检测的效果。方法选取我院儿科肺炎患儿270例作为研究对象，随机分成三组，每组各90例，分别为支原体抗体被动凝聚法检测组、肺炎支原体培养法检测组以及支原体金标免疫斑点法检测组，比较三种方法的检测结果。结果支原体抗体被动凝聚法检测组中阳性18例（18/90），肺炎支原体培养法检测组中阳性23例（23/90），支原体金标免疫斑点法检测组中阳性21例（21/90）；其中3岁以下患儿支原体阳性率检测结果为18.6%；4～7岁患儿支原体阳性率检测结果为27.4%；8岁以上患儿支原体阳性率检测结果为29.5%，三个年龄阶段中患儿支原体阳性检测率相比，差异不明显（P＞0.05）。结论儿童肺炎支原体感染临床诊断需要参考患儿病情选择适当检测方法，并且儿童肺炎支原体感染几率和患儿年龄无关。

Objective To compare three methods of detection in child pneumonia mycoplasma infection detection effect. Methods Our hospital pediatric pneumonia in children with 270 cases as the research object, the random is divided into three groups, each group of 90 cases of mycoplasma antibodies respectively passive condensation method to detect group, pneumonia mycoplasma culture method to detect and mycoplasma jinbiao immune group spots method and compare the results of three methods of detecting. Results Passive condensing method to detect mycoplasma antibodies positive group 18 cases （18/90）, and mycoplasma pneumoniae culture method group testing positive for 23 cases （23/90）, mycoplasma jinbiao positive immune spots method in testing group 21 cases （21/90）;Three of the children under the age of mycoplasma positive test results is 18.6%;4 to 7 years old children with mycoplasma positive test results is 27.4%;More than 8 years old children with mycoplasma positive test results was 29.5%, the three stages of age in children with mycoplasma positive detection rate, compared to no obvious difference （P〉0.05）. Conclusion Mycoplasma pneumoniae infection of children clinical diagnosis need to refer cases to choose appropriate detection method, and child pneumonia mycoplasma infection rate has nothing to do with age.