2006～2014年住院儿童呼吸道肺炎支原体感染的流行病学特征  

Epidemiological features of children hospitalized with mycoplasma pneumoniae infectionfrom the year of 2006 to 2014

作　　者：钱前[1] 季伟[2] 

机构地区：[1]江苏省连云港市妇幼保健院儿科,222000 [2]苏州大学附属儿童医院儿科,江苏苏州215003

出　　处：《重庆医学》2016年第29期4113-4116,共4页Chongqing medicine

摘　　要：[摘要]目的了解苏州地区2006-2014年住院儿童肺炎支原体（MP）呼吸道感染的流行病学特征，为本地区MP感染的防治提供循证医学依据。方法收集2006年1月至2014年12月在苏州儿童医院呼吸科住院的5395例呼吸道MP感染患儿的临床资料，对其进行回顾性分析。结果9年间MP总阳性检出率30．27％（5395／17820），2009、2013年呈暴发流行，阳性率分别为40．35％、40．38％。MP感染全年均可发生，夏秋季发病率高于冬春季节；女童MP阳性检出率高于男童；婴儿组、幼儿组、学龄前期组、学龄期组阳性率分别为15．75％、38．14％、53．96％、59．42％，各组间阳性率比较差异有统计学意义（P〈0．05）。MP在不同疾病的阳性检出率，以大叶性肺炎居首位，高达76．20％。喘息患者MP阳性检出率为27．00％，各季节喘息患者MP阳性检出率比较，差异有统计学意义（P〈0．05）。MP感染所致肝功能异常总的发生率为8．14％，以大叶性肺炎肝功能异常发生率最高，达10．84％。结论苏州地区MP流行周期约为4年，夏秋季为高发季节，感染率与患儿年龄呈正相关。MP感染可引起喘息症状及肝功能损害。Objective To learn the epidemiological characteristics of mycoplasma pneumoniae （MP） infection in children hos- pitalized of soochow region from 2006 to 2014,in order to provide evidence based medicine for the endemic prevention and treatment of MP infection. Methods the clinical datas of 5 395 children diagnosed with MP infection from respiratory ward of our hospital from January 2006 to December 2014 were collected and analyzed retrospectively. Results The total positive rate was 30. 27% （5 395/17 820） in 9 years,there were epidemic outbreaks of MP in 2009 and 2013, the positive rates were 40.35%,40. 38%,re- spectively. MP infection could happen all year round,the positive rates in summer and fail were higher than winter and spring. The incidence of girls was higher than boys. The infection rates of babies, infants, preschool children and school age children were 15.75% ,38.14%,53.96% ,59.42% ,respectively,the differences between each group had statistical signifieance（P〈0.05）. There were different positive ＂rates in various dieases, the rate of lobar pneumonia was the highest（76.20 %）. MP infection rate of patients with wheezing symptom was 27.00 %, and in different seasons, the incidences of wheezy children were significantly different. The total positive rate of abnormal liver function caused by MP infection was 8.14% ,of which,incidence of lobar pneumonia combined abnormal liver function was the highest（10.84%）. Conclusion In soochow area,epidemic period of MP was about four years,infec- tions tended to occur in summer and autumn, MP infection rate have a positive correlation with children＇s age. MP infection can cause wheezing symptom and hepatic injury.

关 键 词：肺炎 支原体 呼吸道感染 流行病学 儿童 

分 类 号：R725.6[医药卫生—儿科]