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肺炎支原体感染与小儿反复呼吸道感染关系的临床分析(1)
http://www.100md.com 2015年10月25日 《中国医学创新》 2015年第30期
     【摘要】 目的:研究肺炎支原体感染与小儿反复呼吸道感染间的关系。方法:选取本院在2013年11月-2014年11月收治的120例反复呼吸道感染患儿的临床资料,回顾分析所有患儿的临床资料,利用颗粒凝集法对MP-lgM进行检测,利用聚合酶链反应法方法对MP-DNA进行检测,针对确诊为肺炎支原体感染的患儿进行详细分析。结果:120例反复呼吸道感染患儿中,52例MP-lgM阳性,阳性率为43.33%;64例MP-DNA阳性,阳性率为53.33%,伴随患儿年龄的增长,MP-lgM、MP-DNA阳性率会逐渐上升。不同感染部位患儿的MP-lgM阳性检出率中上呼吸道感染阳性率最低,肺炎感染阳性率最高,两者比较差异有统计学意义(P<0.05);MP-DNA阳性检出率中肺炎感染阳性率最低,上呼吸道感染阳性率最高,两者比较差异有统计学意义(P<0.05)。结论:年龄2~7岁的患儿MP-lgM、MP-DNA阳性率较高,进入幼儿园学习的患儿会在公共场所活动且集体活动较多,因此要更加注重对这类儿童进行保护。

    【关键词】 肺炎支原体感; 反复呼吸道感染; 患儿
, 百拇医药
    The Clinical Relationship of Mycoplasma Pneumoniae Infection in Children with Recurrent Respiratory Infections/CHEN Ji.//Medical Innovation of China,2015,12(30):121-123

    【Abstract】 Objective: To study the relationship of Mycoplasma pneumoniae in children with recurrent respiratory tract infection.Method: 120 children in our hospital with recurrent respiratory tract infections were selected from November 2013 to November 2014, the clinical data of all patients were retrospective analysed,MP-lgM were detected by particle agglutination method,MP-DNA were tested by polymerization enzymatic chain reaction method,the diagnosis of Mycoplasma pneumoniae infection in children were detailed analysis.Result:In 120 children with recurrent respiratory tract infections, 52 cases of MP-lgM positive,positive rate was 43.33%;64 cases of MP-DNA positive,positive rate was 53.33%, accompanied with the growth of the age,MP-lgM and MP-DNA positive rate would gradually rise.In different infection parts of children,the upper respiratory tract infection positive rate was the lowest and pneumonia infection positive rate was highest in MP-lgM positive rate,the difference was statistically significant(P<0.05);pneumonia infection positive rate was lowest and upper respiratory tract infection positive rate was highest in MP-DNA positive detection rate,the difference was statistically significant(P<0.05).Conclusion:The ages of 2-7 years old children with higher of MP-lgM and MP-DNA positive rate who enter the nursery school will be active in public places and have more collective activities,therefore should pay more attention to such children protection.
, 百拇医药
    【Key words】 Mycoplasma pneumoniae sense; Recurrent respiratory tract infections; Children

    First-author’s address:The People’s Hospital of Dianbai District in Maoming City,Maoming 525400,China

    doi:10.3969/j.issn.1674-4985.2015.30.040

    MP(肺炎支原体)所诱发的反复呼吸道感染在临床中很常见,这种感染疾病的治疗难度较大,据数据资料统计,在年龄超过5岁的肺炎患儿中,肺炎支原体感染为66.7%[1]。近几年,肺炎支原体感染发生率越来越高,易诱发严重肺外并发症,且难以进行彻底治疗,会导致反复呼吸道感染的形成。本文主要分析肺炎支原体感染与小儿反复呼吸道感染间的关系,选取了本院在2013年11月-2014年11月收治的120例病例进行研究,现报道如下。, 百拇医药(陈寄)
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