小儿肺炎支原体肺炎合并腹泻的临床检验分析

Clinical inspection analysis of pediatric mycoplasma pneumoniae pneumonia complicated diarrhea

目的:分析小儿肺炎支原体肺炎合并腹泻的临床检验结果。方法:2012年8月-2013年6月收治肺炎支原体肺炎患儿358例,按年龄分为3组。检测3组患儿肺炎支原体Ig M抗体、轮状病毒抗原及其他病原菌,分析腹泻发生情况及病原体分布。结果:358例肺炎支原体肺炎患儿合并腹泻150例(41.9%),其中婴幼儿组腹泻发生率22.9%,明显高于学龄前组及学龄组,差异比较有统计学意义(P<0.05)。所选患儿腹泻多见于细菌性肠炎(45.3%),其次为轮状病毒肠炎。婴幼儿组轮状病毒肠炎腹泻46.3%,明显高于其他类型腹泻,差异比较有统计学意义(P<0.05)。结论:肺炎支原体肺炎可引起小儿腹泻,且多见于婴幼儿,在重视患儿粪便细菌培养的同时应加强轮状病毒的检测,防止肺炎支原体肺炎合并腹泻发生。

Objective:To analyze the clinical inspection results of pediatric mycoplasma pneumoniae pneumonia complicated diarrhea.Methods:358 cases of children with mycoplasma pneumoniae pneumonia from August 2012 to June 2013 were divided into three groups according to the age.Mycoplasma pneumoniae Ig M antibody,rotavirus antigen and other pathogens of the three groups were detected and the diarrhea occurrence and distribution of pathogens were analyzed.Results:150 cases of children(41.9%) were combined with diarrhea in 358 cases with mycoplasma pneumoniae pneumonia,and the diarrhea incidence of the infant group was 22.9%,which was significantly higher than that of the preschool group and school-age group,and the difference were statistically significant(P<0.05).The bacterial enteritis were the most among selected children with diarrhea(45.3%),followed by rotavirus enteritis.The rotavirus enteritis in infant group with diarrhea was 46.3%,which was significantly higher than other types of diarrhea,and the difference was statistical significant(P<0.05).Conclusion:Mycoplasma pneumoniae pneumonia could cause diarrhea in children,which was found most in infants and young children,so the detection of rotavirus should be strengthen as well as fecal bacteria culture in children to prevent diarrhea merger mycoplasma pneumoniae pneumonia.