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目的分析北方辽河油田地区不同年龄儿童肺炎的痰液病原学。方法连续选择近一年前往辽河油田总医院妇婴医院儿科就诊及住院治疗的儿童肺炎患儿377例,入选对象均接受了无菌负压吸引法采集痰液标本,并进行了病原学检测。结果 377例肺炎患儿中,有264例(70.02%)痰液病原学检测结果阳性,其中病毒感染患儿112例(42.42%),细菌感染患儿53例(20.08%),支原体感染患儿89例(33.71%);衣原体感染患儿10例(3.79%)。不同年龄儿童肺炎患儿的痰液病原学分类比较中,<1岁组的病毒感染例数均明显高于1～3岁组和≥3岁组,同时≥3岁组的支原体感染也明显高于<1岁组和≥3岁组(P均<0.01～0.05)。结论不同年龄儿童肺炎的痰液病原学有明显区别,在制定治疗计划时应予考虑。
Objective To analyze sputum etiology of pneumonia in children of different ages in the Liaohe Oilfield in North China. Methods A total of 377 children with pneumonia admitted to LOHU Oilfield General Hospital Hospital for maternal and child hospital were enrolled in this study. All the patients received sputum samples by sterile vacuum aspiration method and pathogeny was performed. Results Among the 377 cases of pneumonia, 264 cases (70.02%) had sputum etiological test results, of which 112 cases (42.42%) were infected with virus and 53 cases (20.08%) were infected with bacterial infection. Mycoplasma infection 89 cases (33.71%); chlamydial infection in 10 cases (3.79%). In sputum etiology classification of children with pneumonia of different ages, the number of cases of virus infection in <1 year old group was significantly higher than that of 1-3 years old group and ≥3 years old group, meanwhile, mycoplasma infection in ≥3 years old group was also significantly higher In <1 year old group and> 3 years old group (P <0.01 ~ 0.05). Conclusions There is a clear distinction between sputum etiology of pneumonia in children of different ages and should be taken into consideration in formulating the treatment plan.