首页|1 619例儿童EB病毒的分布特点和临床表现

1 619例儿童EB病毒的分布特点和临床表现

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目的 了解儿童EB病毒感染的分布、流行趋势和临床症状,为EB病毒感染的早期诊断提供依据。方法 选取2019年1月至2021年12月绵阳市第三人民医院儿科收治的4 667例患儿作为研究对象,采用实时荧光定量聚合酶链式反应(PCR)的方法对其进行EB病毒DNA检测,并对结果进行统计学分析,观察EB病毒感染与患儿性别、年龄与季节分布等的关系。结果 4 667例患儿共检出EB-DNA阳性1 619例,阳性率为34。70%。男女患儿EB-DNA阳性检出率比较,差异无统计学意义(P>0。05)。冬季EB-DNA阳性检出率高于春季,差异有统计学意义(P<0。008)。学龄期组患儿EB-DNA阳性率最高,婴儿组阳性率最低。EB病毒感染后临床症状以传染性单核细胞增多症典型临床表现(如发热、咽峡炎和淋巴结肿大)多见。结论 学龄期患儿易感染EB病毒,以发热、咽峡炎和淋巴结肿大等临床症状多见,冬季是患儿EB病毒感染高发季节,学龄期儿童EB病毒感染率最高。
Distribution characteristics and clinical manifestations of Epstein-Barr virus in 1 619 children
Objective To investigate the distribution,trend and clinical symptoms of Epstein-Barr virus(EBV)infection a-mong children to provide evidence for early diagnosis of EBV infection.Methods Real-time fluorescence quantitative PCR was used to detect EB-DNA in 4 667 children in Department of Pediatrics of the Third Hospital of Mianyang from January 2019 to December 2021.Statistical analysis was carried out on the test results.Study on the correlation between EBV infec-tion and gender,age,and season in pediatric patients.Results Among 4 667 children,1619 were found to be positive for EB-DNA,with a positive rate of 34.70%.There was no statistical difference in the positive rate of EB-DNA between male and female children.The positive rate of EB-DNA in winter was higher than that of spring,and the difference was statisti-cally significant(P<0.008).The positive rate of EB-DNA was the highest in the school-age group and the lowest in the in-fant group.The typical clinical manifestations of infectious mononucleosis(such as fever,angina and lymphadenopathy)were more common after EBV infection.Conclusion School-age children are susceptible to EBV infection,and the clinical symptoms such as fever,angina and lymphadenopathy are more common.Winter is the season of high incidence of EBV infection.The highest EBV infection rate was found in school-age children.

Epstein-Barr virusChildrenQuantitative PCRMonocytosis

游玮、徐丽

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四川省绵阳市第三人民医院四川省精神卫生中心儿科,四川绵阳 621000

四川省绵阳市第三人民医院四川省精神卫生中心检验科,四川绵阳 621000

EB病毒 儿童 定量PCR 单核细胞增多症

四川省绵阳市第三人民医院科研立项课题

202138

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(21)