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The Diagnostic Value of High-Resolution Computed Tomography Features Combined with Mycoplasma Pneumoniae Ribonucleic Acid Load Detection for Refractory Mycoplasma Pneumonia

肺炎支原体 克拉霉素 耐火材料(行星科学) 支原体肺炎 胃肠病学 内科学 医学 病毒载量 肺炎 生物 免疫学 病毒 天体生物学 幽门螺杆菌
作者
Hongping Wei,Chunyan Wang,Lili Ding,Min Wu
出处
期刊:Contrast Media & Molecular Imaging [Hindawi Publishing Corporation]
卷期号:2022 (1) 被引量:2
标识
DOI:10.1155/2022/6460865
摘要

The aim of this study was to investigate the value of high‐resolution computed tomography (CT) images and mycoplasma pneumoniae (MP) ribonucleic acid (RNA) load detection in the early diagnosis of refractory mycoplasma pneumoniae (RMP) and provide more methods for the diagnosis and treatment of RMP. Seventy children with MP were divided into the RMP group (H1 group, 31 cases) and the MP group (H2 group, 39 cases) according to pathological findings, and all of them underwent CT scanning. MP‐RNA load and genotype distribution were analyzed in both groups, and the diagnostic efficacy of CT combined with MP‐RNA load for RMP was calculated. The sensitivity of children in the H1 group to erythromycin (59.17% vs 71.56%) and clarithromycin (53.21% vs 67.03%) was lower than that in the H2 group, and the resistance rate of children in the H1 group to erythromycin (71.43% vs 67.53%) and clarithromycin (64.24% vs 50.37%) was higher than that in the H2 group ( P < 0.05); the regression coefficients between lactate dehydrogenase (LDH) and the MPLI value of RMP were −0.064 and −0.413, respectively, which were significantly negatively correlated ( P < 0.05); the accuracy (96.5%), sensitivity (92.5%), and specificity (88%) of CT + MP‐RNA in the diagnosis of RMP were significantly higher than those of CT alone (91%, 88%, and 82%) and MP‐RNA alone (88%, 84.5%, and 74%), which were significantly different ( P < 0.05). The results of high MP‐RNA load detection can be used as an indicator to predict RMP, and the diagnostic efficacy is significantly improved after combination with high‐resolution CT, with high clinical application value.
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