WBC、CRP和PCT在急诊发热患者诊治中的应用(1)
摘 要：目的 探讨WBC、CRP和PCT在急诊发热患者诊治中的应用效果。方法 选用2015年11月～2017年11月中山市人民医院救治的119例急诊发热患者为研究对象，给予患者实施WBC、CRP和PCT检测和病因学检查，依据诊断结果中是否感染细菌分为对照组和观察组，对照组32例为非细菌感染患者，观察组87例为细菌感染患者，对比两组WBC、CRP、PCT诊断情况。结果 观察组的WBC、CRP、PCT水平高于对照组，血液WBC、CRP、PCT的指标中，敏感度、特异度等进行比较，三种联合检测的敏感度和准确度最高。结论 WBC、CRP和PCT在急诊发热患者诊治中的应用效果显著，细菌感染发热患者WBC、CRP和PCT水平明显提升，PCT的特异性更优，CRP敏感度更优，联合检测的应用价值最高。
关键词：WBC；CRP；PCT；急诊发热
中图分类号：R446.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.055
, http://www.100md.com
文章编号：1006-1959(2018)07-0157-02
Application of WBC，CRP and PCT in Diagnosis and Treatment of Emergency Fever Patients
ZHANG Jie
(Department of Emergency，Zhongshan People's Hospital，Guangzhou 528403，Guangdong，China)
Abstract：Objective To investigate the effect of WBC CRP and PCT in the diagnosis and treatment of emergency fever.Methods 119 patients with emergency fever treated in Zhongshan people's Hospital from November 2015 to November 2017 were selected as the study subjects.The patients were given WBC CRP and PCT detection and etiology examination.According to the diagnostic results， the patients were divided into control group and observation group.32 patients in control group were non-bacterial infection patients and 87 patients in observation group were bacterial infection patients，the diagnosis of two groups of WBC， CRP and PCT was compared.Results The levels of WBC，CRP and PCT in the observation group were higher than those in the control group.The sensitivity and specificity of blood WBC，CRP and PCT were compared，and the sensitivity and accuracy of the three combined tests were the highest.Conclusion WBC，CRP and PCT have significant effect in the diagnosis and treatment of fever patients.The levels of WBC，CRP and PCT in patients with bacterial infection and fever are significantly improved，PCT has better specificity，CRP sensitivity is better，and the value of combined detection is the highest.
, 百拇医药
Key words：WBC；CRP；PCT；Emergency fever
發热为临床上极为常见的病症，该病症的产生多为急性感染所导致，有细菌感染和非细菌感染之分，对于患者感染与非感染的诊断价值极高，一旦诊断错误，不仅会导致治疗不合理，还会导致病情恶化，危及患者的生命安全，因此，针对急诊发热患者是否感染非常的关键和重要[1，2]。本文为探讨WBC、CRP和PCT在急诊发热患者诊治中的应用效果，特选取2015年11月～2017年11月中山市人民医院救治的119例急诊发热患者为研究对象，报道如下。
1资料与方法
1.1一般资料 选用2015年11月～2017年11月中山市人民医院救治的119例急诊发热患者为研究对象，给予患者实施WBC、CRP和PCT检测和病因学检查，所有程序均经过医院伦理委员会审核。依据诊断结果中是否感染细菌分为对照组和观察组，对照组为非细菌感染患者32例，观察组为细菌感染患者87例。对照组男性20例，女性12例，年龄24～75岁，平均年龄(38.24±1.21)岁，观察组男性52例，女性35例，年龄23～77岁，平均年龄(38.54±1.23)岁；观察组中，细菌性肺炎患者为40例、败血症患者9例、急性支气管炎患者16例、泌尿系统感染患者7例、化脓性脑膜炎患者6例、脐炎患者2例、坏死性小肠炎患者2例、脓疱疮患者3例、中耳炎患者2例；对照组中急疹患者8例、风湿热患者2例、呼吸道合胞病毒感染患者14例、腺病毒感染患者7例、传染性单核细胞增多症患者1例。两组的基本资料对比，无统计学意义(P>0.05)。, http://www.100md.com(张洁)
关键词：WBC；CRP；PCT；急诊发热
中图分类号：R446.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.07.055
, http://www.100md.com
文章编号：1006-1959(2018)07-0157-02
Application of WBC，CRP and PCT in Diagnosis and Treatment of Emergency Fever Patients
ZHANG Jie
(Department of Emergency，Zhongshan People's Hospital，Guangzhou 528403，Guangdong，China)
Abstract：Objective To investigate the effect of WBC CRP and PCT in the diagnosis and treatment of emergency fever.Methods 119 patients with emergency fever treated in Zhongshan people's Hospital from November 2015 to November 2017 were selected as the study subjects.The patients were given WBC CRP and PCT detection and etiology examination.According to the diagnostic results， the patients were divided into control group and observation group.32 patients in control group were non-bacterial infection patients and 87 patients in observation group were bacterial infection patients，the diagnosis of two groups of WBC， CRP and PCT was compared.Results The levels of WBC，CRP and PCT in the observation group were higher than those in the control group.The sensitivity and specificity of blood WBC，CRP and PCT were compared，and the sensitivity and accuracy of the three combined tests were the highest.Conclusion WBC，CRP and PCT have significant effect in the diagnosis and treatment of fever patients.The levels of WBC，CRP and PCT in patients with bacterial infection and fever are significantly improved，PCT has better specificity，CRP sensitivity is better，and the value of combined detection is the highest.
, 百拇医药
Key words：WBC；CRP；PCT；Emergency fever
發热为临床上极为常见的病症，该病症的产生多为急性感染所导致，有细菌感染和非细菌感染之分，对于患者感染与非感染的诊断价值极高，一旦诊断错误，不仅会导致治疗不合理，还会导致病情恶化，危及患者的生命安全，因此，针对急诊发热患者是否感染非常的关键和重要[1，2]。本文为探讨WBC、CRP和PCT在急诊发热患者诊治中的应用效果，特选取2015年11月～2017年11月中山市人民医院救治的119例急诊发热患者为研究对象，报道如下。
1资料与方法
1.1一般资料 选用2015年11月～2017年11月中山市人民医院救治的119例急诊发热患者为研究对象，给予患者实施WBC、CRP和PCT检测和病因学检查，所有程序均经过医院伦理委员会审核。依据诊断结果中是否感染细菌分为对照组和观察组，对照组为非细菌感染患者32例，观察组为细菌感染患者87例。对照组男性20例，女性12例，年龄24～75岁，平均年龄(38.24±1.21)岁，观察组男性52例，女性35例，年龄23～77岁，平均年龄(38.54±1.23)岁；观察组中，细菌性肺炎患者为40例、败血症患者9例、急性支气管炎患者16例、泌尿系统感染患者7例、化脓性脑膜炎患者6例、脐炎患者2例、坏死性小肠炎患者2例、脓疱疮患者3例、中耳炎患者2例；对照组中急疹患者8例、风湿热患者2例、呼吸道合胞病毒感染患者14例、腺病毒感染患者7例、传染性单核细胞增多症患者1例。两组的基本资料对比，无统计学意义(P>0.05)。, http://www.100md.com(张洁)