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目的探讨肺炎患儿呼吸道病原检测的实际临床意义。方法 139例肺炎患儿采用间接免疫荧光法(IFA),同时检测血清中9种呼吸道感染病原体的免疫球蛋白M(Ig M)抗体。结果检出肺炎支原体65例,腺病毒9例,呼吸道合胞病毒4例,乙型流感病毒25例,副流感病毒19例。检出阳性男44例,女37例,男女阳性率比较,差异无统计学意义(P=0.482>0.05)。其中,有41例同时有2种以上呼吸道病原感染。1个月~1岁组和1~3岁组阳性率比较(P=0.000),1个月~1岁组和3~12岁组,阳性率组间比较,差异具有统计学意义(P<0.05);1~3岁组和3~12岁组阳性率比较,差异无统计学意义(P=0.974>0.05)。结论做呼吸道病原检测,针对病因治疗,可缩短疗程。
Objective To investigate the actual clinical significance of respiratory pathogen detection in children with pneumonia. Methods 139 cases of children with pneumonia were immunized by indirect immunofluorescence (IFA), and the serum immunoglobulin M (Ig M) antibodies of 9 pathogens of respiratory tract infection were detected at the same time. Results Mycoplasma pneumoniae was detected in 65 cases, adenovirus in 9 cases, respiratory syncytial virus in 4 cases, influenza B virus in 25 cases and parainfluenza virus in 19 cases. There were 44 males and 37 females, the positive rate was no significant difference between men and women (P = 0.482> 0.05). Among them, there are 41 cases of more than two kinds of respiratory tract infection at the same time. The positive rates of 1 month to 1 year old group and 1 to 3 years old group were significantly different (P = 0.000), 1 month to 1 year old group and 3 to 12 years old group, the difference was statistically significant (P < 0.05). There was no significant difference in the positive rate between 1 ~ 3 years old group and 3 ~ 12 years old group (P = 0.974> 0.05). Conclusion Do respiratory pathogen detection, for the cause of treatment, can shorten the course of treatment.