九项呼吸道病原体IgM抗体联合检测的临床意义  

The Clinical Significance of the Respiratory Tract Infection of Nine Kinds of Pathogens Joint Detection

作　　者：卢永芳[1] 林卿 谢丹萍[1] 王宝珍[1] 王玉霞[1] 

机构地区：[1]福建医科大学附属龙岩市第一医院,福建省龙岩市364000 [2]福建省龙岩市新罗区疾病控制中心

出　　处：《医学理论与实践》2014年第18期2383-2384,2398,共3页The Journal of Medical Theory and Practice

摘　　要：目的：为了解我院住院患者呼吸道病原体的感染状况,为临床提供一种快速诊断呼吸道感染病原体的方法。方法：对3 449例呼吸道疾病患者运用九项呼吸道联检试剂同时检测9种病原体的IgM抗体,包括嗜肺军团菌（LP）、肺炎支原体（MP）、Q热立克次体（QFR）、肺炎衣原体（CP）、腺病毒（ADV）、呼吸道合胞病毒（RSV）、甲型流感病毒（IFA）、乙型流感病毒（IFB）和副流感病毒1、2和3型（PIVS）。结果：3 449例呼吸道疾病患者总感染率为30.3%,其中以肺炎支原体最为常见,占13.38%,其次为乙型流感病毒,再次为呼吸道合胞病毒。混合感染率达14.4%（495/3 449）;感染人群以儿童和老人多见,多为肺炎支原体合并乙型流感病毒感染,2~4岁年龄段感染率差异有统计学意义（P〈0.01）。结论：肺炎支原体、乙型流感病毒是呼吸道疾病中非典型病原体的主要病原体,临床表现不特异,应重视多种病原体联合检测,以免漏诊误诊,以达到快速诊断的目的。Objective：To understand the infection status of hospitalized patients with respiratory tract pathogen in our,for clinical provides a method of rapid diagnosis of respiratory tract infection pathogens.Methods：In 3 449 cases of patients with respiratory diseases using nine respiratory joint inspection reagent and detecting IgM antibody of 9kinds of pathogens,including eosinophilic lung legionella bacteria（LP）,mycoplasma pneumoniae（MP）,Q fever rickettsia（QFR）,chlamydia pneumonia（CP）,adenovirus（ADV）and respiratory syncytial virus（RSV）,influenza a virus（IFA）and b（IFB）and parainfluenza virus type 1,2and 3（PIVS）.Results：Total 449 patients with respiratory disease infection rate was 30.3%,of which the most mycoplasma pneumoniae,accounted for 13.38%,followed by hepatitis b virus,again for respiratory syncytial virus.Mixed infection rate was 14.4%（495/3 449）;Infection in children and the elderly see more,more for mycoplasma pneumoniae combined hepatitis b virus infection,2to 4years infection rate difference was statistically significant（P0.01）.Conclusion：Mycoplasma pneumonia,hepatitis b virus is a major pathogen of respiratory diseases of central pathogens,clinical manifestation is not specific,should pay attention to a variety of pathogens joint detection,in order to avoid misdiagnosis and misdiagnosis,in order to achieve the purpose of rapid diagnosis.

关 键 词：呼吸道疾病 九项病原体 感染率 

分 类 号：R446[医药卫生—诊断学]