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目的探讨全血C反应蛋白(CRP)联合血常规检查在儿科细菌性感染类疾病中的应用价值及临床意义。方法选取2013年6月至2014年11月恩施土家族苗族自治州中心医院收治的感染性疾病患儿110例。依据患儿感染类型,45例细菌性感染患儿为A组,35例病毒性感染患儿为B组,30例肺炎支原体感染患儿为C组。三组患儿均行全血CRP及血常规检验,并对比分析三组患儿临床资料及检验结果。结果三组患儿全血CRP检验情况对比:阳性率A组>B组>C组,差异有统计意义(P<0.05);三组患儿血常规白细胞呼吸水平对比:A组>B组>C组,差异有统计意义(P<0.05);三组患儿CRP联合血常规情况对比:A组>B组>C组,差异有统计意义(P<0.05)。结论全血CRP检验与血常规联合应用可准确判断患儿感染情况,有助于临床治疗中合理用药及遏制抗菌药物滥用。
Objective To investigate the value and clinical significance of whole blood C-reactive protein (CRP) combined with blood tests in pediatric bacterial infections. Methods A total of 110 children with infectious diseases admitted from Central Hospital of Enshi Tujia and Miao Autonomous Prefecture from June 2013 to November 2014 were selected. According to the type of infection in children, 45 cases of bacterial infection in children with A group, 35 cases of viral infection in children with B group, 30 cases of Mycoplasma pneumoniae infection in children with C group. Three groups of children underwent whole blood CRP and blood tests, and comparative analysis of three groups of children with clinical data and test results. Results The levels of CRP in the whole blood of the three groups were compared: the positive rate of A group> B group> C group, the difference was statistically significant (P <0.05); The comparison of respiration level of blood routine white blood cells in three groups: A group> B group> (P <0.05). The comparisons of CRP and blood routine in the three groups were statistically significant (P <0.05): A group> B group> C group, the difference was statistically significant (P <0.05). Conclusion The combination of whole blood CRP and blood tests can accurately determine the infection in children and help to rationalize the use of drugs in clinical treatment and to prevent the abuse of antimicrobial drugs.