呼吸道感染患儿 MP感染临床特点分析

摘要

Objective To investigate the clinical characteristics of mycoplasma pneumoniae infection in children .Methods Two hun-dred and fifty-three children with respiratory tract infection from October 2010 to October 2013 were included .The detection of antibody was detected MP.Results Seventy-two cases of 253 were MP positive,and the positive rate was 28.5%.Children in 3~6 years old were more likely to develop MP infection ,and the lowest incidence occurred in children aged 6~12 years old.There was no significant differences of MP infection in season (P>0.05).There were significant differences in breathing ,wheezing sound among the three groups.There were 41 cases(60.3%),34(50.0%)for children of 1~3 years old,34 cases(30.6%),34 cases(30.6%) for children of 3~6 years old,and 15 cases(20.3%),12 cases(16.2%) for children of 6~12 years old,respectively(P<0.05).White blood cell counts also had differences(P<0.05).Conclusions MP infection rate is very high among children with respiratory tract infection .For the children diagnosed with MP infection antibiotic treatment of macrolides has better clinical curative effect .%目的：探讨呼吸道感染患儿肺炎支原体（ MP）感染临床特点状况，为其临床诊断提供有力依据。方法采用回顾性分析方法选择2010年10月-2013年10月253例该院儿科表现为呼吸道感染患儿作为研究对象。详细记录其相关信息，分析临床特点。结果253例标本中72例MP阳性，阳性率为28．5％；年龄分析3～6岁儿童更容易发生MP感染，6～12岁儿童发生率最低；季节分析发现冬秋季发生率高，但四节发生率比较差异不明显（P＞0．05）。喘息、哮鸣音表现比较三组有差异，分别为1～3岁41例（60．3％）、34（50．0％），3～6岁34例（30．6％）、34例（30．6％），6～12岁15例（20．3％）、12例（16．2％）（P均＜0．05）；白细胞计数亦有差异（P均＜0．05），3～6岁以白细胞计数正常为主，6～12岁以白细胞计数升高为主。结论患儿MP感染的发生率比较高，在临床实际工作中，对于诊断为MP感染的患儿行大环内酯类抗生素治疗有较好的临床疗效。