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目的探讨尿常规检验与C-反应蛋白(CRP)对急性阑尾炎患儿的鉴别效果。方法选取2014年7月至2015年9月期间围场满族蒙古族自治县医院收治的76例急性阑尾炎患儿作为研究对象,所有患儿在手术前均行常规的尿常规与CRP检验,对比分析两种检验方法的应用价值。结果 CRP的阳性检出率明显高于尿常规的阳性检出率,差异有统计学意义(P<0.05);应用尿常规检验的平均检测时间明显低于CRP检验,差异有统计学意义(P<0.05);37例单纯性阑尾炎患儿应用CRP检验的阳性检出率明显高于尿常规检验,差异有统计学意义(P<0.05);24例化脓性阑尾炎患儿和15例坏疽性阑尾炎患儿应用CRP检验的阳性检出率与尿常规检验的阳性检出率比较,差异无统计学意义(P>0.05)。结论急性阑尾炎患儿应用CRP检验诊断的阳性检出率高于尿常规,对单纯性阑尾炎患儿的敏感性高,但其检测时间较长,因此,可以根据临床需求选取合适的检验方式。
Objective To investigate the diagnostic value of routine urine test and C-reactive protein (CRP) in children with acute appendicitis. Methods A total of 76 children with acute appendicitis admitted to the Manchu Mongolian Autonomous County Hospital from July 2014 to September 2015 were enrolled in this study. All children underwent routine routine urine tests and CRP tests before surgery. Application of test methods. Results The positive detection rate of CRP was significantly higher than that of urinalysis (P <0.05). The average detection time of urine routine test was significantly lower than that of CRP test (P <0.05), and the difference was statistically significant (P <0.05). The positive rate of CRP test in 37 cases of simple appendicitis was significantly higher than that of urine routine test (P <0.05), 24 cases of purulent appendicitis and 15 cases of gangrenous appendicitis Children with CRP test positive detection rate and urine routine test positive detection rate, the difference was not statistically significant (P> 0.05). Conclusions The positive rate of CRP test in children with acute appendicitis is higher than that of routine urinalysis. The sensitivity of children with simple appendicitis is high, but the detection time is longer. Therefore, appropriate test methods can be selected according to clinical needs.