儿童腺病毒肺炎降钙素原变化分析(1)
[摘要] 目的 评估降钙素原对儿童腺病毒肺炎的诊断价值，分析降钙素原变化与儿童腺病毒肺炎病情之间的关系。方法 方便选取2017年2月—2019年2月期间于该院治疗腺病毒肺炎、非腺病毒肺炎的患儿各40例，分别设为研究组、对照组。为所有患儿进行降钙素原检测。比较两组的降钙素原检测结果。研究组患儿接受治疗，对比治疗前后其降钙素原检测结果。结果 研究组降钙素原为(2.57±1.23)μg/mL，高于对照组的(0.19±0.13)μg/mL，差异有统计学意义(t=12.170，P=0.000<0.05)。研究组治疗前的降钙素原为(2.57±1.23)μg/mL，高于治疗后的(0.88±0.58)μg/mL，差异有统计学意义(t=7.860，P=0.000<0.05)。结论 降钙素原可以用于儿童腺病毒肺炎的诊断与預后评估，其临床价值非常显著。
[关键词] 儿童腺病毒肺炎;降钙素原;变化;诊断价值;预后
[中图分类号] R631 [文献标识码] A [文章编号] 1674-0742(2019)12(c)-0071-03
Analysis of changes in procalcitonin in children with adenovirus
ZHONG Hua-wen
Department of Pediatrics， Fenggang People's Hospital， Dongguan， Guangdong Province， 523690 China
[Abstract] Objective To evaluate the diagnostic value of procalcitonin in children with adenovirus pneumonia， and to analyze the relationship between procalcitonin changes and childhood adenovirus pneumonia. Methods Convenient selected a total of 40 children with adenoviral pneumonia and non-adenovirus pneumonia were treated in the hospital from February 2017 to February 2019. They were divided into study group and control group. Procalcitonin was tested in all children. The procalcitonin test results of the two groups were compared. The study group received treatment and compared the procalcitonin test results before and after treatment. Results The procalcitonin in the study group was (2.57±1.23) μg/mL， which was higher than that of the control group (0.19±0.13) μg/mL. The difference was statistically significant(t=12.170， P=0.000<0.05). The procalcitonin before treatment in the study group was (2.57±1.23) μg/mL， which was higher than (0.88±0.58) μg/mL after treatment. The difference was statistically significant (t=7.860， P=0.000<0.05). Conclusion Procalcitonin can be used for the diagnosis and prognosis evaluation of adenovirus pneumonia in children， and its clinical value is very significant.
[Key words] Childhood adenovirus pneumonia; Procalcitonin; Change; Diagnostic value; Prognosis
腺病毒肺炎是一种常见的小儿肺炎，这种在儿科中有较高发病率的呼吸系统疾病目前尚无特效疗法，患儿发病后死亡率较高。随着医疗技术和医疗设备的不断完善和进步，儿童腺病毒肺炎的治疗效果得到了明显的提高，患儿死亡率因此得到了有效的控制，但是及时准确的诊断对于患儿而言依然非常重要，其直接关系到患儿能否得到及时、正确的治疗。而与其他呼吸系统疾病的病毒相比，腺病毒易引发炎性指标——白细胞计数、C反应蛋白、降钙素原的升高，临床可以通过对炎性指标的检测来实现对腺病毒肺炎的诊断和鉴别[1-3]。该文方便选取2017年2月—2019年2月期间于该院治疗腺病毒肺炎、非腺病毒肺炎的患儿各40例，试探究降钙素原对儿童腺病毒肺炎的诊断价值，分析降钙素原变化与儿童腺病毒肺炎病情之间的关系，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该医院治疗腺病毒肺炎、非腺病毒肺炎的患儿各40例，分别设为研究组、对照组。具体资料为：研究组：男20例，女20例;年龄3个月～13岁，平均(6.78±1.23)岁。对照组：男21例，女19例;年龄4个月～13岁，平均(6.81±1.11)岁。将平均年龄、性别比例等资料纳入统计学软件进行对比，差异无统计学意义(P>0.05)，两组之间具有可比性。, 百拇医药(钟华文)
[关键词] 儿童腺病毒肺炎;降钙素原;变化;诊断价值;预后
[中图分类号] R631 [文献标识码] A [文章编号] 1674-0742(2019)12(c)-0071-03
Analysis of changes in procalcitonin in children with adenovirus
ZHONG Hua-wen
Department of Pediatrics， Fenggang People's Hospital， Dongguan， Guangdong Province， 523690 China
[Abstract] Objective To evaluate the diagnostic value of procalcitonin in children with adenovirus pneumonia， and to analyze the relationship between procalcitonin changes and childhood adenovirus pneumonia. Methods Convenient selected a total of 40 children with adenoviral pneumonia and non-adenovirus pneumonia were treated in the hospital from February 2017 to February 2019. They were divided into study group and control group. Procalcitonin was tested in all children. The procalcitonin test results of the two groups were compared. The study group received treatment and compared the procalcitonin test results before and after treatment. Results The procalcitonin in the study group was (2.57±1.23) μg/mL， which was higher than that of the control group (0.19±0.13) μg/mL. The difference was statistically significant(t=12.170， P=0.000<0.05). The procalcitonin before treatment in the study group was (2.57±1.23) μg/mL， which was higher than (0.88±0.58) μg/mL after treatment. The difference was statistically significant (t=7.860， P=0.000<0.05). Conclusion Procalcitonin can be used for the diagnosis and prognosis evaluation of adenovirus pneumonia in children， and its clinical value is very significant.
[Key words] Childhood adenovirus pneumonia; Procalcitonin; Change; Diagnostic value; Prognosis
腺病毒肺炎是一种常见的小儿肺炎，这种在儿科中有较高发病率的呼吸系统疾病目前尚无特效疗法，患儿发病后死亡率较高。随着医疗技术和医疗设备的不断完善和进步，儿童腺病毒肺炎的治疗效果得到了明显的提高，患儿死亡率因此得到了有效的控制，但是及时准确的诊断对于患儿而言依然非常重要，其直接关系到患儿能否得到及时、正确的治疗。而与其他呼吸系统疾病的病毒相比，腺病毒易引发炎性指标——白细胞计数、C反应蛋白、降钙素原的升高，临床可以通过对炎性指标的检测来实现对腺病毒肺炎的诊断和鉴别[1-3]。该文方便选取2017年2月—2019年2月期间于该院治疗腺病毒肺炎、非腺病毒肺炎的患儿各40例，试探究降钙素原对儿童腺病毒肺炎的诊断价值，分析降钙素原变化与儿童腺病毒肺炎病情之间的关系，现报道如下。
1 资料与方法
1.1 一般资料
方便选取该医院治疗腺病毒肺炎、非腺病毒肺炎的患儿各40例，分别设为研究组、对照组。具体资料为：研究组：男20例，女20例;年龄3个月～13岁，平均(6.78±1.23)岁。对照组：男21例，女19例;年龄4个月～13岁，平均(6.81±1.11)岁。将平均年龄、性别比例等资料纳入统计学软件进行对比，差异无统计学意义(P>0.05)，两组之间具有可比性。, 百拇医药(钟华文)