南通地区住院儿童肺炎支原体流行性分析  

Epidemic Analysis of Mycoplasma Pneumoniae in Hospitalized Children in Nantong Region

作　　者：朱艳 唐爱华[1] 施惠[1] 郭晓理[1] ZHU Yan;TANG Aihua;SHI Hui;GUO Xiaoli(Department of Pediatrics,Affiliated Hospital of Nantong University,Nantong,Jiangsu Province,226000 China)

机构地区：[1]南通大学附属医院儿科,江苏南通226000

出　　处：《系统医学》2022年第22期161-165,共5页Systems Medicine

基　　金：南通市关键技术研究项目(YYZ16003)。

摘　　要：目的为了解南通地区儿童肺炎支原体流行的特点,为南通地区的肺炎支原体感染预防和早期诊断提供理论依据,从根本上控制肺炎支原体感染的发生和流行。方法收集2014年3月—2017年2月南通大学附属医院儿科病房收治的患儿共10297例,筛选出诊断为呼吸道感染的患儿,以研究肺炎支原体在呼吸道感染中的比例。结果(1)诊断符合呼吸道感染患儿共8569例,其中肺炎支原体抗体阳性的共有2477例,占28.90%,3年的肺炎支原体阳性率呈逐年递增的趋势,差异有统计学意义(χ^(2)=40.870,P<0.05)。(2)在总病例中男性患儿肺炎支原体阳性率为25.50%,女性患儿为33.60%,差异有统计学意义(χ^(2)=66.080,P<0.05)。(3)将患儿分上呼吸道感染和下呼吸道感染,上呼吸道MP阳性率为27.00%,下呼吸道为29.60%,差异有统计学意义(χ^(2)=5.330,P<0.05)。(4)按年龄将患儿分为4组:婴儿、幼儿、学龄前期、学龄期,学龄前期的患儿肺炎支原体阳性率(40.00%)为最高,差异有统计学意义(P<0.05)。(5)按季节将所有病例分为春、夏、秋、冬4组,春季(26.30%)、夏季(28.00%)、秋季(32.70%)、冬季(28.60%),差异有统计学意义(P<0.05)。(6)12个月份中,10月份的肺炎支原体阳性率(34.0%)最高,差异有统计学意义(P<0.05)。(7)根据患儿临床症状表现将所有患儿分为有气喘组和无气喘组,无气喘组MP阳性率高于有气喘组,差异有统计学意义(χ^(2)=55.108,P<0.05)。结论肺炎支原体感染在本地区呈逐年上升的趋势,女性患儿MP阳性率高,学龄前期肺炎支原体阳性率最高,秋季是MP在一年中的流行季节,一年中10月份阳性率最高。Objective To understand the epidemic characteristics of Mycoplasma pneumoniae in children in Nantong,and provide theoretical basis for the prevention and early diagnosis of Mycoplasma pneumoniae infection in Nantong,and fundamentally control the occurrence and prevalence of Mycoplasma pneumoniae infection.Methods A total of 10297 children admitted to the pediatric ward of the Affiliated Hospital of Nantong University from March 2014 to February 2017 were collected,the children diagnosed as respiratory tract infection were screened and the proportion of mycoplasma pneumoniae in respiratory tract infection was studied.Results 1.A total of 8569 cases children with respiratory tract infection were diagnosed,of which 2477 were positive for Mycoplasma pneumoniae antibody,accounting for 28.90%.The positive rate of Mycoplasma pneumoniae in the past three years was increasing year by year,and the difference was statistically significant(χ^(2)=40.870,P<0.05).2.Among the total cases,the positive rate of mycoplasma pneumoniae in male children was 25.50%,and that in female children was 33.60%,the difference was statistically significant(χ^(2)=66.080,P<0.05).3.The children were divided into upper respiratory tract infection and lower respiratory tract infection,and the positive rate of mycoplasma pneumoniae in upper respiratory tract(27.00%)and lower respiratory tract(29.60%)were obtained,the difference was statistically significant(χ^(2)=5.330,P<0.05).4.The children were divided into four groups according to age:infants,young children,preschool children,and preschool children.The positive rate of Mycoplasma pneumoniae in preschool children(40.00%)was the highest,and the difference was statistically significant(P<0.05).5.All cases were divided into four groups according to seasons:spring,summer,autumn and winter.It was found that:spring(26.30%),summer(28.00%),autumn(32.70%)and winter(28.60%),the difference was statistically significant(P<0.05).6.Among the 12 months,the positive rate of Mycoplasma pneumoniae antibody in Octo

关 键 词：南通地区 呼吸道感染 儿童肺炎支原体 

分 类 号：R72[医药卫生—儿科]