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小儿肺炎支原体感染的早期诊断
引用本文:杨莉,汤云珍,刘炅,乔立兴,唐月华,许桦,夏家珍. 小儿肺炎支原体感染的早期诊断[J]. 东南大学学报(医学版), 1997, 0(2)
作者姓名:杨莉  汤云珍  刘炅  乔立兴  唐月华  许桦  夏家珍
作者单位:南京铁道医学院附属医院儿科,南京铁道医学院附属医院临床免疫室
摘    要:探讨小儿肺炎支原体感染的早期诊断方法。方法:对385例呼吸道感染的住院患儿应用聚合酶链反应(Polymerasechainreaction,PCR)技术检测咽拭子肺炎支原体DNA,同时行血冷凝集试验(Coldagglutinationtest,CAT),进行配对资料研究。结果:不同年龄患儿呼吸道感染肺炎支原体发病情况有所不同。PCR法检测肺炎支原体DNA阳性率不受自然病程的影响,CAT法检测阳性率则明显受到病程的影响。PCR法阳性率为38.18%,CAT法阳性率为11.69%,差异有极显著性意义。结论:咽拭子PCR法检测肺炎支原体DNA,不受病程、年龄因素的影响,具有特异、快速、敏感、标本易于采集等优点。

关 键 词:肺炎支原体;聚合酶链反应;冷凝集试验

Early Diagnosis of Mycoplasma Pneumoniae Infection in Children
Yang Li,Tang Yunzhen,Liu Jiong,Qiao Lixing,Tang Yuehua,Xu Hua,Xia Fengzhen. Early Diagnosis of Mycoplasma Pneumoniae Infection in Children[J]. Journal of Southeast Univ: Medical Sci Ed, 1997, 0(2)
Authors:Yang Li  Tang Yunzhen  Liu Jiong  Qiao Lixing  Tang Yuehua  Xu Hua  Xia Fengzhen
Affiliation:Yang Li,Tang Yunzhen,Liu Jiong,Qiao Lixing,Tang Yuehua,*Xu Hua,Xia Fengzhen
Abstract:Objective:To study an early diagnostic method for mycoplasma pneumoniae(MP) infection in childhood.Method:MP DNAs were determined by polymerase chain reaction(PCR) from nasopharyngeal swabs of 385 children with respiratory tract infection,and their serum samples were collected on the same day for cold agglutination test(CAT).Results:The positive rate of MPPCR was 38.18%,whereas that of serum CAT was 11.69%( P <0.001).The result of MP PCR was not related to the natural course of the respiratory tract infection,but the value of the serum CAT was associated with it.Conclusion:The MPPCR is a method with a good specificity and rapidity for early diagnosis of MP infection.
Keywords:mycoplasma pneumoniae  polymerase chain reaction  cold agglutination test
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