儿童肺炎支原体肺炎临床特征和流行病学分析

发布时间：2018-05-10 20:08

本文选题：肺炎支原体肺炎 + 季节　；参考：《中华医院感染学杂志》2017年14期

【摘要】：目的探讨儿童肺炎支原体肺炎(MPP)的临床特征和流行病学特点,为本地区儿童MPP的临床诊断和治疗提供依据。方法收集2010年-2015年在医院收治住院1 369例患儿临床资料,进行回顾性分析;按年龄分为1岁组892例、1~3岁组353例、4~12岁124例,另选择106例正常体检儿童为对照组;比较不同组别患儿临床症状及检查结果。结果共检测标本数4 741例,其中诊断为MPP的患儿1 369例,平均检出率为28.88%,冬季检出率最高,与其他季节相比差异有统计学意义(P0.05);在1 369例MPP中,有1 140例出现发热症状,发热率为83.27%,热型多以不规则热为主;喘息症状的比较,1岁组与1~3岁组和4~12岁组相比较,高于其他两个年龄组,差异有统计学意义(P0.05)。结论肺炎支原体肺炎在本地区患病率呈逐年上升的趋势,冬季发病率最高;同时肺炎支原体肺炎的临床症状、体征还有实验室检查为本地区MPP诊断和治疗提供参考依据。
[Abstract]:Objective to investigate the clinical and epidemiological characteristics of mycoplasma pneumoniae pneumonia (MPP) in children in order to provide evidence for the clinical diagnosis and treatment of children with MPP. Methods Clinical data of 1 369 children in hospital from 2010 to 2015 were collected and analyzed retrospectively, 892 cases were divided into 1 year old group (892 cases), 3 years old group (353 cases) and 4 cases (12 years old) 124 cases, and 106 normal children were selected as control group. The clinical symptoms and examination results of different groups of children were compared. Results A total of 4 741 samples were detected, of which 1 369 were diagnosed as MPP, the average detection rate was 28.88, the highest rate was detected in winter, and the difference was statistically significant compared with other seasons (P 0. 05), among the 1 369 cases of MPP, 1 140 had fever symptoms. The rate of fever was 83.27, the fever type was mostly irregular fever, and the comparison of wheezing symptoms in 1 year old group was higher than that in the other two age groups (P 0.05). Conclusion the prevalence rate of mycoplasma pneumoniae pneumonia in this area is increasing year by year, and the incidence in winter is the highest. At the same time, the clinical symptoms, signs and laboratory examination of mycoplasma pneumoniae pneumonia can provide reference for the diagnosis and treatment of MPP in this area.
【作者单位】：衡水市人民医院检验科;衡水市人民医院儿科;
【分类号】：R725.6

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