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分析全血CRP联合血常规在诊断儿科感染类型中的应用

作者:王玉梅

所属单位:河南省漯河市临颍县人民医院儿科 (河南 漯河 462600)

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摘要

目的 分析探讨血常规与全血C反应蛋白(CRP)联合应用在儿科感染类型诊断中的价值。方法 选取我院2015年2 月-2016年2月收治的感染性疾病的患儿390例,其中经临床病理学诊断确诊为病毒感染患儿195例为病毒感染组; 经临床病理学诊断确诊为细菌感染患儿195例为细菌感染组。将所有患儿均进行血常规WBC计数和全血CRP测定并比 较。结果 细菌组患儿的CRP检测值明显高于病毒组患儿的检测值;病毒组感染性疾病患儿WBC阳性率(5.13%)明显低 于细菌组患儿的WBC阳性率(97.44%), 两组对比差异有统计学意义(P<0.05)。结论 血常规与全血CRP联合可有效诊 断儿科感染性疾病,指导临床合理用药,避免药物对儿童身体的危害,值得临床大力推广使用。

Objective To investigate the value of blood routine examination combined with CRP in the diagnosis of types of pediatric infections. Methods 195 cases with infectious diseases in our hospital from February 2015 to February 2016 were selected. 93 cases diagnosed as virus infection by clinical pathological diagnosis were seen as virus infection group. 102 cases diagnosed as bacterial infection by clinical pathological diagnosis were seen as bacterial infection group. All patients were given CBC WBC counts and CRP detection, then compare the CRP, WBC counts and positive rate of the two groups. Results CRP, WBC counts of the virus group were significantly lower than those of the bacterial group, CRP, WBC positive rates of the virus group (39.22%, 42.16%) were significantly lower than those of the bacterial group (93.55%, 83.87%), the difference was statistic significant (P<0.05). Conclusion Blood routine examination combined with CRP can effectively diagnose pediatric infectious diseases, guide clinical rational drug use, avoid the harm of drugs on children. It is worthy of clinic wide promotion.

【关键词】CRP;血常规;儿科感染类型

【中图分类号】R72;R446

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.02.020

前言

过去对于儿童感染性疾病通常依靠白细胞(WBC) 和中性粒细胞老诊断,但是WBC受温度、药物、情绪 等因素影响较大,有很大的局限性,误诊的概率较 高。C反应蛋白(CRP)是急性时相反应蛋白,当机体发 生炎症或受到损伤时快速上升,为快速诊断早期儿 童感染性疾病提供依据[1]。为了进一步研究血常规与 CRP联合在儿科感染性疾病诊断中的应用价值,特选 取我院195例患儿进行研究的具体报告如下。