快速血清学检验和微生物快速培养检测诊断小儿肺炎支原体感染的临床价值分析

Clinical value of rapid serological test and microbial rapid culture test for diagnosing mycoplasma pneumoniae infection in children

目的探讨快速血清学检验和微生物快速培养检测用于诊断小儿肺炎支原体感染的临床价值。方法选择2018年1月至2018年3月本院收治的102例小儿肺炎支原体感染患者作为研究对象,均给予快速血清学检验、微生物快速培养检测。对比两种检测方法的阳性诊断率,以及阳性诊断率与患儿年龄和病程的相关性。结果两种检测方法阳性诊断率差异无统计学意义(P>0.05),均与年龄呈反比;对于微生物快速培养检测法,病程<7d的患儿的阳性率显著高于病程>7d的患儿,差异有统计学意义(P<0.05),而对于快速血清学检验,病程>7d的患儿的阳性率显著高于病程<7d的患儿,差异有统计学意义(P<0.05)。结论快速血清学检验、微生物快速培养检测用于诊断小儿肺炎支原体感染的临床价值较高,临床上可通过综合评估患儿的实际情况,选择合适的检测方法。

Objective To investigate the clinical value of rapid serological tests and rapid microbial culture tests for diagnosing mycoplasma pneumoniae infection in children. Methods A total of 102 children with mycoplasma pneumoniae infection admitted to our hospital from January 2018 to March 2018 were chosen. They were given rapid serological tests and rapid microbiological tests. Results There was no statistical difference between the two groups in the positive rate of detec tion（P〉0.05）; the positive detection rate of two detection was inversely proportional to age; The positive rate of children with disease course 〈7d detected by rapid microbiological detection was significantly higher than that of children with disease course 〉7d （P〈0.05）. However, the positive rate of children with disease course 〉7d detected by serological rapid test was signifi cantly higher than the course of children 〈7d, the difference was statistically significant （P〈0.05）. Conclusion The rapid serological test and rapid microbial culture test have a high clinical value in the diagnosis of Mycoplasma pneumoniae infection in children. Clinically, a comprehen sive assessment of the actual condition of the child can be used to select an appropriate test method.