昆明市儿童感染肺炎支原体流行病学调查分析

目的调查小儿肺炎支原体感染（mycoplasma pneumonia,MP）在昆明的发病率、性别、发病季节及发病年龄分布的情况.方法对2009年1月至2013年12云南省第一人民医院儿科门诊及住院部疑似肺炎支原体感染的呼吸道感染儿童11 473例做血清肺炎支原体抗体检测.结果近5 a云南省第一人民医院儿科共有11473例呼吸道感染患儿行支原体抗体检测,MP阳性数为2 952例,阳性率为25.73%,男性患儿阳性率21.89%,女性患儿阳性率30.87%,男性患儿低于女性患儿,差异有统计学意义（P〈0.001）;抗体阳性率最高季节,在冬季阳性率为28.41%,春季其次为28.24%,秋季最低为2...

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Bibliographic Details
Published in昆明医科大学学报 Vol. 37; no. 1; pp. 56 - 59
Main Author 田云粉 李利
Format Journal Article
LanguageChinese
Published 2016
Subjects
儿童呼吸道感染
肺炎支原体
阳性率
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Summary:目的调查小儿肺炎支原体感染（mycoplasma pneumonia,MP）在昆明的发病率、性别、发病季节及发病年龄分布的情况.方法对2009年1月至2013年12云南省第一人民医院儿科门诊及住院部疑似肺炎支原体感染的呼吸道感染儿童11 473例做血清肺炎支原体抗体检测.结果近5 a云南省第一人民医院儿科共有11473例呼吸道感染患儿行支原体抗体检测,MP阳性数为2 952例,阳性率为25.73%,男性患儿阳性率21.89%,女性患儿阳性率30.87%,男性患儿低于女性患儿,差异有统计学意义（P〈0.001）;抗体阳性率最高季节,在冬季阳性率为28.41%,春季其次为28.24%,秋季最低为23.07%;0～1岁年龄阳性率最低为9.86%,其次为1～3岁年龄段和4～6岁年龄阳性率,〉6岁年龄段阳性率最高为30.43%,趋势χ^2检验χ^2=178.208,P〈0.001,可见儿童阳性率随着年龄增长而增长;年间比较,2011年MP阳性率最高为33.75%,与其他年间比较差异均有统计学意义（P〈0.05）.结论 2011年昆明地区曾有MP感染流行,儿童阳性率随着年龄增长而增长,感染的高峰期春季和冬季,临床上应加强对肺炎支原体肺炎的检测和防治.
Bibliography:Mycoplasma pneumoniae; Positive rate; Children with respiratory tract infections
Objective To investigate the incidence, gender, season and age distribution of Mycoplasma pneumoniae（MP） infection in children in Kunming. Methods From January 2009 to December 2013,11,473 cases of respiratory infections with suspected Mycoplasma pneumoniae infection in our hospital were given serum test of the antibody of Mycoplasma pneumoniae.Results In recent five years, a total of 11,473 cases of respiratory tract infections in children in our hospital received MP antibody detection,the positive case was 2952 cases,the positive rate was 25.73%. The positive rate in male children and female children was 21.89% and 30.87%,respectively, the difference was statistically significant（ χ^2=118.294, P〈 0.001）. The highest antibody positive rate（28.41%） was found in the winter season,followed by in spring（28.24%） and autumn（23.07%）.The lowest positive rate（9.86%） was in 0-1year group,followed by 1-3 years group and 4-6 years group, the
ISSN:2095-610X