多重实时定量PCR核酸检测技术在社区获得性肺炎患儿呼吸道病毒检测中的价值分析
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1.郑州凯普医学检验实验室有限公司分子实验室;2.项城市中医院

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Value of Multiplex Real-Time Quantitative PCR in Detecting Respiratory Viruses in Children with Community-Acquired Pneumonia
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    摘要:

    目的:探讨多重实时定量PCR(Multiplex real-time quantitative PCR,mRT-qPCR)核酸检测技术在社区获得性肺炎患儿呼吸道病毒检测中的价值。方法:选取2023年4月至2025年11月于郑州凯普医学检验实验室PCR实验室收治的102例社区获得性肺炎患儿病例,采集深部呼吸道吸引物,分别采用传统病毒检测方法(病毒分离培养与病毒抗原检测)、mRT-qPCR技术进行检测,比较病原体检出率、检测时效,以及呼吸道病毒病原谱分布特征、病毒-病毒混合感染情况,展开Kappa一致性分析,评估mRT-qPCR核酸检测技术和传统病毒检测方法对社区获得性肺炎患儿呼吸道病毒的检测价值。结果:mRT-qPCR核酸检测对呼吸道病毒检出率高于传统病毒检测(P<0.05),检出时效短于传统病毒检测(P<0.05),患儿呼吸道病毒病原谱分布以病毒为呼吸道合胞病毒(Respiratory syncytial virus,RSV)、流感病毒A型为主,且mRT-qPCR核酸检测对RSV、流感病毒A型、腺病毒、鼻病毒4种病毒检出率均高于传统病毒检测(P<0.05),mRT-qPCR核酸检测病毒-病毒感染检出率高于传统病毒检测(P<0.05);经Kappa一致性分析,mRT-qPCR核酸灵敏度、准确率较高,提示mRT-qPCR核酸检测技术在社区获得性肺炎病原体筛查中具有一定诊断效能。结论:mRT-qPCR核酸检测技术相较于传统病毒检测手段更有助于提高社区获得性肺炎患儿呼吸道病毒检出率,且检测效率更高,可有效识别多重病毒混合感染,可用于指导临床早期治疗策略。

    Abstract:

    Objective: To investigate the value of multiplex real-time quantitative PCR (mRT-qPCR) in detecting respiratory viruses in children with community-acquired pneumonia (CAP). Methods: Deep respiratory aspirates which were from 102 children with CAP and sent to the PCR laboratory of Zhengzhou Kaipu Medical Laboratory from April 2023 to November 2025 were collected and tested using traditional viral detection methods (virus isolation and culture and viral antigen detection) and mRT-qPCR. The detection rates of pathogens, detection efficiency, distribution characteristics of respiratory viruses, and viral-viral co-infection status were compared. Kappa consistency analysis was performed to evaluate the value of mRT-qPCR and traditional viral detection methods in detecting respiratory viruses in children with CAP. Results: mRT-qPCR achieved higher detection rates of respiratory viruses compared to traditional viral detection methods (P<0.05), and its efficiency is higher (P<0.05). The respiratory viruses detected were dominated by respiratory syncytial virus (RSV) and influenza A virus. The detection rates of RSV, influenza A virus, adenovirus, and rhinovirus by mRT-qPCR were higher than those by traditional methods (P<0.05). Additionally, the detection rate of viral-viral co-infection was also higher than that by traditional viral detection methods (P<0.05). Kappa consistency analysis found that mRT-qPCR had high sensitivity and accuracy, suggesting that it could assist in screening pathogens of CAP. Conclusion: Compared to traditional viral detection methods, mRT-qPCR is more effective in detecting respiratory viruses in children with CAP, and it is more efficient. Moreover, mRT-qPCR can effectively help identify multiple viral co-infections, guiding early clinical treatment.

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  • 收稿日期:2026-01-30
  • 最后修改日期:2026-03-18
  • 录用日期:2026-04-13
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