快速血清学检验和微生物快速培养检测对小儿肺炎支原体感染诊断临床价值.docVIP

快速血清学检验和微生物快速培养检测对小儿肺炎支原体感染诊断临床价值 　　[摘要] 目的 探讨快速血清学检验和微生物快速培养检测对小儿肺炎支原体感染的诊断价值。方法 整群抽取2014年2月―2015年2月在该院就诊的126例肺炎支原体感染小儿病例资料进行回顾性研究，随机分为对照组和观察组，每组63例，对照组采用快速血清学检验，观察组采用微生物快速培养检验，对比两组患儿的阳性检测结果和不同年龄患儿的血清学检验阳性率。 结果 观察组患儿的阳性检测率为87.3%，对照组患儿的阳性检测率为61.9%，观察组患儿的阳性检测率明显高于对照组，差异具有统计学意义（P0.05）； 4～7岁患儿的血清检验阳性率明显高于其他年龄段患儿，差异具有统计学意义（P0.05）。结论 微生物快速培养检验对小儿肺炎支原体感染的诊断的敏感性高，阳性率高，可作为支原体感染检验的首选方法，可作为可靠的诊断依据提供给临床。 　　[关键词] 快速血清学检验；微生物快速培养检测；小儿肺炎支原体感染 　　[中图分类号] R725 [文献标识码] A [文章编号] 1674-0742（2016）07（c）-0026-03 　　[Abstract] Objective To study the rapid serological test and microorganism cultivation test value to the diagnosis of infantile pneumonia mycoplasma infection. Methods Group selection from February 2014 to February 2015 in our hospital 126 cases of pneumonia mycoplasma infection in pediatric clinical data were retrospectively study and randomly divided into control group and observation group， 63 cases in each group， control group adopts rapid serological test， observation group using microorganism inspection， compared two groups of children with positive test results and serological test positive rate of different age children. Results Children with positive detection rate of observation group was obviously higher than that of control group（P 0.05）， statistically significant； 4 to 7 years old children with serum test were significantly higher than other age groups， children （P 0.05）， with statistical significance. Conclusion The microorganism cultivation test in the diagnosis of infantile pneumonia mycoplasma infection of high sensitivity， high positive rate， can be used as the test of mycoplasma infection preferred method， and can be used as a reliable diagnostic basis for clinical. 　　[Key words] Rapid serological test； Microorganism culture tests； Pediatric pneumonia mycoplasma infection 　　小儿肺炎多发于春季和冬季，不同年龄段的儿童发病时的临床症状也各有不同，且并发症发生率高[1]。因此，及时、有效的明确肺炎支原体感染患儿诊断对提高患儿治疗效果、避免病情进一步发展、促进患儿康复至关重要[2]。微生物快速培养检测和快速血清学检验是临床上常用的小儿肺炎支原体感染诊断方法[3]。为探讨微生物快速培养检测和快速血清学检验验的诊断效果，该研究整群抽取201