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目的:探讨PCT、hs-CRP和WBC在新生儿蜂窝组织炎中的早期诊疗价值。方法:以60例急性蜂窝组织炎患儿为病例组,30例选择切开引流治疗,30例选择针刺引流治疗,以同期60例健康新生儿作为对照组,检测记录各组PCT、hsCRP和WBC三项指标,同时观察各组的临床疗效。结果:切开引流总有效率93.3%,针刺引流总有效率86.7%,两组疗效无统计学差异(P>0.05);病例组治疗前PCT、hs-CRP和WBC分别为(4.8±2.4)g/L、(11.8±5.6)mg/L和(16.8±5.2)×109/L,对照组PCT、hs-CRP和WBC分别为(0.6±0.3)g/L、(0.8±0.2)mg/L和(10.2±1.8)×109/L,组间比较差异具有统计学意义(P<0.05),病例组治疗后PCT、hs-CRP和WBC明显低于治疗前(P<0.05)。结论:PCT、hs-CRP和WBC是新生儿蜂窝组织炎早期诊断的有效指标,针刺引流术疗效明显,可作为蜂窝组织炎新的治疗途径。
Objective: To investigate the early diagnosis and treatment of PCT, hs-CRP and WBC in neonatal cellulitis. Methods: Sixty cases of children with acute cellulitis were selected as the case group, 30 cases were treated by incision and drainage and 30 cases were treated by acupuncture and drainage. Sixty healthy newborns were used as control group. The PCT, hsCRP and WBC three indicators, while observing the clinical efficacy of each group. Results: The total effective rate of incision and drainage was 93.3%, and the total effective rate of acupuncture and drainage was 86.7% (P> 0.05). The PCT, hs-CRP and WBC before treatment were (4.8 ± 2.4) (0.6 ± 0.3) g / L, (0.8 ± 0.2) mg / L, (11.8 ± 5.6) mg / L and (16.8 ± 5.2) / L and (10.2 ± 1.8) × 109 / L, respectively. There was significant difference between the two groups (P <0.05). The PCT, hs-CRP and WBC in the patients after treatment were significantly lower than those before treatment (P <0.05). Conclusion: PCT, hs-CRP and WBC are effective indicators for the early diagnosis of neonatal cellulitis. Acupuncture and drainage are effective and can be used as a new treatment for cellulitis.