快速血清学检验和微生物快速培养检测对肺炎支原体感染患儿的诊断价值  

Diagnostic Value of Rapid Serological Test and Microbial Rapid Detection in Children with Mycoplasma Pneumoniae Infection

作　　者：谭颖 刘艳军 王艳华[1] 林琳[1] TAN Ying;LIU Yanjun;WANG Yanhua;LIN Lin(Department of Laboratory,Shenyang Children's Hospital,Shenyang 110000,China)

机构地区：[1]沈阳市儿童医院检验科,辽宁沈阳110000

出　　处：《中国医药指南》2020年第25期93-94,共2页Guide of China Medicine

摘　　要：目的探究快速血清学检验(RST)和微生物快速培养检测(MRD)对小儿肺炎支原体感染患儿的诊断价值。方法从沈阳市儿童医院2017年6月至2019年6月收治的肺炎支原体感染患儿中选取85例进行相关研究。全部患儿均给予RST和MRD。对比RST和MRD两种检测方法对患儿的阳性检出率;对比两种检测方法对不同年龄段及不同病程患儿的阳性检出率。结果RST对患儿的阳性检出率为91.76%,明显高于MRD的76.47%(P<0.05);随着患儿年龄增长,RST对不同年龄段患儿的阳性检出率呈上升趋势(P<0.05);MRD对不同年龄段患儿的阳性检出率呈下降趋势(P<0.05)。而RST对10~12岁患儿的阳性检出率为96.67%,明显高于MRD的63.33%(P<0.05);RST和MRD对病程≤7 d患儿的阳性检出率分别为83.33%、94.44%,比较差异无统计学意义(P>0.05);RST对病程>7 d患儿的阳性检出率为97.96%,明显高于MRD的63.27%(P<0.05);RST对病程>7 d患儿的阳性检出率高于病程≤7 d患儿(P<0.05);MRD对病程>7 d患儿的阳性检出率低于病程≤7 d患儿(P<0.05)。结论RST和MRD对于小儿肺炎支原体感染均有显著的临床诊断价值,针对不同情况两种检测方法各有利弊,因此,在临床检测中,可以根据患儿自身的具体情况选择适合的检测方式。Objective To explore the diagnostic value of rapid serological test(RST)and microbial rapid detection(MRD)for children with Mycoplasma pneumoniae infection.Methods From June 2017 to June 2019,85 childrens with Mycoplasma pneumoniae infection were enrolled in Shenyang Children's Hospital.All patients were given RST and MRD.Compare the positive detection rates of the two detection methods of RST and MRD;compare the positive detection rates of the two detection methods of different age groups and different disease courses.Results The positive detection rate of RST in children was 91.76%,which was significantly higher than 76.47%of MRD(P<0.05).With the increase of children's age,the positive detection rate of RST in children of different ages showed an upward trend(P<0.05);and the positive detection rate of MRD in children of different ages showed a downward trend(P<0.05).The positive detection rate of RST in Children aged 10-12 was 96.67%,which was significantly higher than 63.33%of MRD(P<0.05);The positive detection rates of RST and MRD in children with a disease course of less than or equal to 7 days were 83.33%and 94.44%,respectively,and the difference was not statistically significant(P>0.05).The positive detection rate of RST in children with disease course greater than 7 days was 97.96%,which was significantly higher than the 63.27%of MRD(P<0.05);the positive detection rate of RST in children with disease course greater than 7 days was higher than that in children with disease course less than or equal to 7 days(P<0.05);the positive detection rate of MRD in children with disease course greater than 7 days was lower than that in children with disease course less than or equal to 7 days(P<0.05).Conclusion The detection of RST and MRD is of great clinical value in the diagnosis of Mycoplasma pneumoniae infection in children.According to different conditions,the two detection methods have advantages and disadvantages.Therefore,in clinical detection,we can choose the appropriate detection method according to the sp

关 键 词：肺炎支原体感染 儿童 快速血清学检验 微生物快速培养检测 阳性检出率 

分 类 号：R725.6[医药卫生—儿科] R446.5[医药卫生—临床医学]