刘嘉琳 暴志满 王洁

[摘要] 目的 分析肺炎支原体抗体测定对小儿呼吸道感染的诊断价值。方法 方便选取2016年12月—2017年12月该院收治的呼吸道感染患儿116例作为观察组，同时选取同段时间内健康小儿116名作为对照组，将两组支原体抗体进行检测，对比两组的支原体抗体阳性率同时对比观察组内不同年龄段、不同性别患儿的支原体抗体阳性率。结果 观察组的支原体抗体阳性率81.90%显著高于对照组6.90%，差异有统计学意义（χ2=34.508，P=0.000<0.05），观察组中3～7岁患儿的支原体抗体阳性率91.67%显著高于其余年龄段的患儿，差异有统计学意义（P<0.05）;观察组内男性患儿支原体阳性率84.75%与女性患儿78.95%比较差异无统计学意义（χ2=1.132，P=0.287>0.05）。结论 肺炎支原体抗体测定在小儿呼吸道感染的诊断中具有较高的价值，值得推广。

[关键词] 小儿呼吸道感染;肺炎支原体抗体;检测;诊断价值

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0177-03

Study on the Diagnostic Value of Mycoplasma Pneumoniae Antibody in the Diagnosis of Respiratory Infection in Children

LIU Jia-lin， BAO Zhi-man， WANG Jie

Department of Lab， Daxing District Maternal and Child Health Hospital， Beijing， 102600 China

[Abstract] Objective To analyze the diagnostic value of Mycoplasma pneumoniae antibody in the diagnosis of respiratory infection in children. Methods A total of 116 children with respiratory tract infection treated in the hospital from December 2016 to December 2017 were convenient selected as the observation group. At the same time， 116 healthy children in the same period were selected as the control group. The two groups of mycoplasma antibodies were tested and compared. The positive rate of mycoplasma antibody in the group was also compared with the positive rate of mycoplasma antibodies in the children of different ages and genders in the observation group. Results The positive rate of mycoplasma antibody in the observation group was 81.90%， which was significantly higher than that of the control group （6.90%），the different was statistically significant （χ2=34.508， P=0.000<0.05）. The positive rate of mycoplasma antibody in the observation group of children aged 3 to 7 years was 91.67%， which was significantly higher than that of the other groups. The difference was statistically significant in children of the age group （P<0.05）. There was no significant difference in the positive rate of mycoplasma among males in the observation group （84.75% vs. 78.95% in females） （χ2=1.132， P=0.287>0.05）. Conclusion Mycoplasma pneumoniae antibody has high value in the diagnosis of respiratory tract infection in children and is worthy of promotion.

[Key words] Pediatric respiratory infection; Mycoplasma pneumoniae antibody; Detection; Diagnostic value

肺炎支原體是引发儿童呼吸道感染的主要病原体之一，作为一种介于病毒和细菌之间的微生物，是呼吸系统感染中较为常见的病原体之一，其传播方式主要为呼吸道飞沫传播[1]。而由肺炎支原体感染引起的呼吸道感染具有久治不愈等特点，患者临床上通常表现为咳嗽、发热、乏力等症状，并且大多并不明显，但是对于儿童来说，该病病情相对严重，有可能出现多器官多系统损伤的情况[2]。若不能及时进行诊断和治疗，会对患儿的身体健康造成严重影响，因此临床上应重视对肺炎支原体抗体的检测。为了探讨肺炎支原体抗体检测在小儿呼吸道感染诊断中的意义，该次研究对该院2016年12月—2017年12月收治的116例患儿的检测结果进行分析，现报道如下。

1  资料与方法