PCT、CRP和WBC计数在小儿感染性肺炎诊断中的应用研究
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摘要
目的分析PCT、 CRP和WBC计数在小儿感染性肺炎诊断中的效果。方法选取细菌感染性肺炎患儿30例(感染组),非细菌感染性肺炎患儿30例(非感染组),健康儿童30例(正常组),比较三组的PCT、 CRP、 WBC计数水平,比较感染组的PCT、 CRP、 WBC计数阳性率。结果感染组的PCT、 CRP、 WBC计数水平均显著高于非感染组和正常组(P <0.05)。在感染组中, PCT的阳性率为63.33%,显著高于CRP的阳性率40.00%以及WBC计数的阳性率36.67%(P <0.05)。结论 PCT、CRP和WBC计数可有效鉴别小儿细菌感染性肺炎和非细菌感染性肺炎,在临床诊断和预后评估中具有重要的应用价值。
Objective To analyze the effect of PCT, CRP and WBC count in the diagnosis of children with infectious pneumonia.Methods 30 cases of children with bacterial infectious pneumonia(infected group), 30 cases of children with non-bacterial infection pneumonia(non-infected group), and 30 healthy children(normal group) were selected. The levels of PCT, CRP and WBC count of the three groups were compared. The positive rates of PCT, CRP and WBC count in infected group were compared. Results The levels of PCT, CRP and WBC count of the infected group were significantly higher than those of the non-infected group and the normal group(P <0.05). In the infected group, the positive rate of PCT was 63.33%, significantly higher than 40.00% of CRP and 36.67% of WBC count(P <0.05).Conclusions PCT, CRP and WBC count can effectively differentiate bacterial infectious pneumonia from non-bacterial infectious pneumonia in children, and have important application value in clinical diagnosis and prognosis evaluation.
Objective To analyze the effect of PCT, CRP and WBC count in the diagnosis of children with infectious pneumonia.Methods 30 cases of children with bacterial infectious pneumonia(infected group), 30 cases of children with non-bacterial infection pneumonia(non-infected group), and 30 healthy children(normal group) were selected. The levels of PCT, CRP and WBC count of the three groups were compared. The positive rates of PCT, CRP and WBC count in infected group were compared. Results The levels of PCT, CRP and WBC count of the infected group were significantly higher than those of the non-infected group and the normal group(P <0.05). In the infected group, the positive rate of PCT was 63.33%, significantly higher than 40.00% of CRP and 36.67% of WBC count(P <0.05).Conclusions PCT, CRP and WBC count can effectively differentiate bacterial infectious pneumonia from non-bacterial infectious pneumonia in children, and have important application value in clinical diagnosis and prognosis evaluation.
引文
[1]张杰,龚妙添.降钙素原、 C反应蛋白及白细胞计数鉴别小儿感染性肺炎的意义[J].中国医药科学, 2014, 4(19):109-111.
[2]黎艺.联合检测降钙素原、 C反应蛋白和白细胞计数在小儿感染性肺炎诊断中的价值[J].国际检验医学杂志, 2016, 37(8):1132-1134.
[3]章杭湖,陈啸洪,潘波艇.心莲清肺汤联合喜炎平注射液对小儿细菌性肺炎患者PCT、 CRP的影响[J].中国生化药物杂志, 2016,36(7):138-140, 144.
[4]夏振雄,高春娜,曾沛丰,等.探讨不同病原体致小儿肺炎中的降钙素原改变[J].中国医学创新, 2014, 11(3):67-69.
[5]傅雅浓.白细胞计数、 C反应蛋白联合呼吸道病原体抗体检测在小儿肺炎的早期诊断价值[J].中国生化药物杂志, 2017, 37(4):416-418.
[6]马洪刚,梁凌云,孙静.血清降钙素原和C反应蛋白在小儿感染性肺炎诊断中的应用[J].中国中西医结合儿科学, 2013, 5(6):537-538.
[7]史凤梅.血清降钙素原检测在小儿感染性肺炎诊断中的应用效果观察[J].中国基层医药, 2017, 24(13):2052-2054.
[8]伊忻,靳晶,陈纳纳,等.血清降钙素原联合C反应蛋白和IL-6检测在小儿感染性肺炎诊断中的应用效果[J].国际呼吸杂志, 2016,36(14):1045-1048.
[2]黎艺.联合检测降钙素原、 C反应蛋白和白细胞计数在小儿感染性肺炎诊断中的价值[J].国际检验医学杂志, 2016, 37(8):1132-1134.
[3]章杭湖,陈啸洪,潘波艇.心莲清肺汤联合喜炎平注射液对小儿细菌性肺炎患者PCT、 CRP的影响[J].中国生化药物杂志, 2016,36(7):138-140, 144.
[4]夏振雄,高春娜,曾沛丰,等.探讨不同病原体致小儿肺炎中的降钙素原改变[J].中国医学创新, 2014, 11(3):67-69.
[5]傅雅浓.白细胞计数、 C反应蛋白联合呼吸道病原体抗体检测在小儿肺炎的早期诊断价值[J].中国生化药物杂志, 2017, 37(4):416-418.
[6]马洪刚,梁凌云,孙静.血清降钙素原和C反应蛋白在小儿感染性肺炎诊断中的应用[J].中国中西医结合儿科学, 2013, 5(6):537-538.
[7]史凤梅.血清降钙素原检测在小儿感染性肺炎诊断中的应用效果观察[J].中国基层医药, 2017, 24(13):2052-2054.
[8]伊忻,靳晶,陈纳纳,等.血清降钙素原联合C反应蛋白和IL-6检测在小儿感染性肺炎诊断中的应用效果[J].国际呼吸杂志, 2016,36(14):1045-1048.