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目的探讨手足口病患儿高敏C反应蛋白(CRP)、前白蛋白(PA)及淀粉样蛋白A(SAA)的临床检验意义。方法选取濮阳市妇幼保健院2013年5月至2016年5月期间收治的经确诊为手足口病患儿100例,其中普通病例设为普通组(n=55),重症病例设为重症组(n=45),另选同期来我院体检的健康儿童设为对照组(n=50)。采集普通组、重症组患儿住院当天、出院前及对照组体检时的静脉血检测CRP、PA、SAA水平,并进行比较分析。结果与对照组相比,普通组和重症组CRP、SAA水平显著较高,PA水平显著较低(P<0.05);与普通组相比,重症组CRP、SAA水平明显较高,PA水平明显较低(P<0.05)。与对照组相比,经治疗出院前普通组CRP、SAA、PA比较无统计学意义(P>0.05);重症组CRP、SAA水平明显较入院时降低,但仍高于明显对照组,PA水平明显较入院时升高,但仍低于对照组(P<0.05)。普通组、重症组出院前CRP、SAA比较无统计学意义(P>0.05)。结论手足口病患儿CRP、SAA、PA水平显著异常于健康儿童,且CRP、SAA、PA水平高低可反映病情严重程度和评价临床治疗效果。
Objective To investigate the clinical significance of high sensitivity C-reactive protein (CRP), prealbumin (PA) and amyloid A (AAV) in children with hand-foot-mouth disease. Methods 100 cases of hand-foot-mouth disease diagnosed in Puyang Maternal and Child Health Hospital from May 2013 to May 2016 were selected, among which common cases were set as normal group (n = 55) and severe cases as severe group n = 45). The healthy children in the same period were enrolled as the control group (n = 50). The venous blood samples of common group, severe group were collected on the day of hospitalization, before discharge and in the control group. The levels of CRP, PA, SAA were measured and compared. Results Compared with the control group, the levels of CRP and SAA were significantly higher and the levels of PA were significantly lower in the general group and the severe group (P <0.05). Compared with the normal group, the levels of CRP and SAA in the severe group were significantly higher and the PA levels were significantly higher Lower (P <0.05). Compared with the control group, CRP, SAA and PA had no significant difference (P> 0.05) before treatment in general group, but significantly lower than those in control group and PA group Obviously higher than admission, but still lower than the control group (P <0.05). The CRP and SAA levels of the general group and severe group before discharge were not statistically significant (P> 0.05). Conclusion The levels of CRP, SAA and PA in children with HFMD are significantly abnormal in healthy children. The levels of CRP, SAA and PA may reflect the severity of the disease and evaluate the clinical effects.