小儿肺炎支原体感染85例临床检验的的结果分析.docVIP

小儿肺炎支原体感染85例临床检验的的结果分析 　　【摘要】目的：探讨小儿肺炎支原体感染的不同临床检验方法及效果。方法：选取85例小儿肺炎支原体感染患者作为研究对象，分别给予微生物培养法及血清学检验法进行检验，对检验结果进行分析。结果：血清学检验1次检验阳性率为44.71%，明显低于2次检验阳性率（P0.05）；微生物培养检测中，咽拭子检验阳性率明显低于痰液检测阳性率（P0.05）；微生物培养检测肺炎支原体阳性率为87.06%，明显高于血清学检验阳性率（P0.05）；1岁患儿血清学检验支原体检出阳性率明显低于其他年龄段患儿（P0.05）。结论：在小儿肺炎支原体感染临床检验中，微生物培养法相对于血清学检验法诊断准确性更高。 　　【关键词】小儿； 肺炎支原体；感染；临床检验 　　【中图分类号】R446.5 【文献标志码】 A 【文章编号】1007-8517（2016）08-0055-02 　　Abstract：Objective To investigate different clinical examination methods of mycoplasma pneumonia infection in children and its results. Methods 85 cases of pediatric patients with mycoplasma pneumoniae infection were selected as research objects. 85 cases were examined by microbiological cultivation and serological test， and the test results were analyzed. Results The positive rate of the first serological test was 44.71%， which was significantly lower than that tested for the second time （P0.05）. In microbiological cultivation detection， the positive rate of throat swab test was significantly lower than that of sputum detection （P0.05）. The positive rate of mycoplasma pneumonia by microbiological cultivation detection was 87.06%， which was significantly higher than that by serological test （P0.05）. The positive rate of serological test for children less than one year old was significantly lower than that of other age groups （P0.05）. Conclusion In the clinical examination of children with Mycoplasma pneumoniae infection， the accuracy of microbiological cultivation method is higher than that of the serological test. 　　Keywords：Children；Mycoplasma Pneumonia；Infection；Clinical Examination 　　肺炎支原体（M.Pneumonia）是人类支原体肺炎的病原体。支原体肺炎的病理改变以间质性肺炎为主，有时并发支气管肺炎， 主要经飞沫传染，潜伏期2～3周，发病率以青少年最高。一年四季均可发生，但多见于秋冬时节。小儿肺炎支原体感染为常见儿童呼吸道感染疾病[1]，以头痛、咳痰、胸痛、浑身无力为主要临床表现，感染后易引发咽炎、扁桃体炎等疾病，病情严重时可致脏器损伤或死亡。小儿肺炎支原体感染是肺部感染性疾病的一种，其临床症状与其他肺部感染并无明显差异，故诊断结果会存在误差。肺炎支原体是传染性、耐药性均强的一种致病菌，若未能及时治疗[2]，后期病情很难控制，患儿预后较差。近年来，随着医疗水平的的进步，临床检验手段也在不断改进。为探讨小儿肺炎支原体感染的不同临床检验方法对诊断结果的影响，笔者对85例小儿肺炎支原体感染患儿分别给予微生物培养法及血清学检验法进行检验，现报告如下。