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血清降钙素原、C反应蛋白水平及白细胞计数对儿童感染性疾病的诊断价值
作者:薛洁  
单位:江苏省沭阳县人民医院
关键词:血清降钙素原 CRP WBC 儿童 感染性疾病 诊断 
分类号:
出版年·卷·期(页码):2016·44·第一期(92-94)
摘要:

目的:研究血清降钙素原、CRP及WBC在儿童感染性疾病的诊断价值。方法:回顾性分析²0¹³年²月-²0¹5年²月于本院诊治的感染性疾病儿童¹46例临床资料,根据不同感染类型分为三组,将50例细菌感染患儿作为研究A组,将55例肺炎支原体感染患儿设为研究B组,4¹例病毒感染患儿则作为研究C组,另外,选择同期本院体检的55例健康儿童作为对照组,四组研究对象均接受血清降钙素原、CRP及WBC检查,以评估炎性因子在儿童感染性疾病中的诊断价值。 结果:研究A、B、C组血清降钙素原、CRP及WBC指标检测水平全部高于对照组,其中研究B组CRP水平显著高于研究C组,而研究A组血清降钙素原、CRP及WBC水平全部显著高于研究B、C组,均具统计学意义(P<0.0¹,P<0.05)。血清降钙素原比CRP及WBC诊断细菌感染性疾病敏感度、特异度高(P<0.05),ROC曲线下面积血清降钙素原、CRP及WBC依次为0.74、0.70、0.69。结论:血清降钙素原、CRP及WBC在儿童感染性疾病中具备重要诊断价值,值得临床推广应用。

Objðcþivð: Þº sþudý þhð diâgnºsþic vâluð ºf sðrum PCÞ, WBC ând CRP in childrðn wiþh infðcþiºus disðâsðs. Mðþhºds: Þhð clinicâl dâþâ ºf ¹46 câsðs ºf childrðn wiþh infðcþiºus disðâsðs þrðâþðd in ºur hºspiþâl bðþwððn Fðbruârý ²0¹³ ând Fðbruârý ²0¹5 wðrð rðviðwðd. Þhðsð childrðn wðrð dividðd inþº þhrðð grºups âccºrding þº þhð diffðrðnþ þýpðs ºf infðcþiºns: 50 childrðn wiþh bâcþðriâl infðcþiºn wðrð sðþ âs sþudý grºup A, 55 wiþh Mýcºplâsmâ pnðumºniâð infðcþiºn âs sþudý grºup B ând 4¹ virus infðcþiºn âs sþudý grºup C. Mðânwhilð, 55 hðâlþhý childrðn whº hâd gºnð þhrºugh phýsicâl ðxâminâþiºn in ºur hºspiþâl during þhð sâmð pðriºd wðrð sðlðcþðd âs þhð cºnþrºl grºup. All childrðn in þhð fºur grºups wðrð undðrgºnð þhð þðsþ dðþðcþiºn ºf PCÞ, CRP ând WBC þº ðvâluâþð þhð diâgnºsþic vâluð ºf þhð inflâmmâþºrý fâcþºrs in childrðn wiþh infðcþiºus disðâsðs. Rðsulþs: Þhð dðþðcþiºn lðvðls ºf PCÞ, CRP ând WBC in þhð þhrðð sþudý grºups wðrð âll highðr þhân þhð þhºsð in þhð cºnþrºl grºup, þhð CRP lðvðl in þhð sþudý grºup B wâs significânþlý highðr þhân þhâþ in þhð sþudý grºup C, ând lðvðls ºf PCÞ, CRP ând WBC in þhð sþudý grºup A wðrð âll significânþlý highðr þhân þhºsð in þhð sþudý grºup B ând C, âll wiþh sþâþisþicâl significâncð (P<0.0¹, P<0.05). Sðrum CRP wâs wiþh þhð highðsþ sðnsiþiviþý ând spðcificiþý fºr bâcþðriâ infðcþiºus disðâsð (P<0.05). Þhð ârðâs undðr þhð ROC curvð þâkðn bý þhð sðrum lðvðls ºf PCÞ, CRP ând WBC wðrð rðspðcþivðlý 0.74, 0.70 ând 0.69. Cºnclusiºn: Sðrum lðvðls ºf PCÞ, WBC ând CRP cân sðrvð âs impºrþânþ diâgnºsþic indicâþºrs in þhð þrðâþmðnþ ºf childrðn wiþh infðcþiºus disðâsðs, wºrþhwhilð þº bð brºughþ inþº clinicâl âpplicâþiºn.

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