176例儿童感染性疾病的c反应蛋白检测分析.docVIP

精品论文 参考文献 176例儿童感染性疾病的C反应蛋白检测分析 慈利县零阳镇中心卫生院检验科 湖南慈利 422700 【摘 要】目的 探讨儿童感染性疾病C反应蛋白及血常规的检测价值。方法 将2015年1月-2015年3月期间就诊于我院的176例感染性疾病患儿依据感染情况的不同分为82例病毒组和94例细菌组，随机选取70例健康儿童作为健康组，检测三组儿童的CRP及白细胞含量。结果 细菌组CRP及WBC水平与健康组及病毒组相比差异显著，Plt;0.01；病毒组CRP及WBC与健康组相比差异无统计学意义，Pgt;0.05；CRP阳性共90例，细菌感染总检查率为95.74%，健康组阳性28例，误诊率40%，WBC阳性共66例，细菌感染总检查率为70.21%，健康组阳性23例，误诊率32.86%，两者之间细菌检出率差异有统计学意义，Plt;0.05。结论 CRP及WBC均可作为鉴别儿童病毒感染和细菌感染的诊断指标之一，但CRP及WBC的变化有明显差异，应联合其他指标及患儿病情综合分析。 【关键词】C反应蛋白 儿童感染性疾病 诊断价值 【 abstract 】 objective to study the infectious disease in children c-reactive protein and blood routine test value. Methods in January 2015 - March 2015 clinic in our hospital during the period of 176 cases of children with infectious disease based on divided into 82 cases of virus infection group and 94 cases of bacteria group，70 cases were randomly selected healthy children as health group，to detect the contents of CRP and WBC of three groups of children. Results CRP and WBC level and health groups of bacteria and virus group compared with significant difference，P lt; 0.01；Viruses set of CRP and WBC there was no statistically significant difference compared with the healthy group，P gt; 0.05；CRP positive，a total of 90 cases，bacterial infection always check rate was 95.74%，the positive health group 28 cases，the misdiagnosis rate was 40%，the WBC positive，a total of 66 cases，bacterial infection always check rate was 70.21%，the positive health group 23 cases，the misdiagnosis rate was 32.86%，bacteria detection rate between the difference was statistically significant，P lt; 0.05）. Conclusion CRP and WBC can be used as identification of children viral infection and one of the diagnostic index of bacterial infection，but the changes of CRP and WBC have obvious difference，should be combined other indicators and illness in children with comprehensive analysis. 【 key words 】 children c-reactive protein infectious disease diagnosis value 儿童感染性疾病是儿科中发病率较高的一种疾病，发病者未有明显的体征和症状，因此为了改善预后效果，对其进行早期诊断尤为重要。C反应