全血CRP联合血常规检验在儿科细菌性感染类疾病诊断中的应用价值(1)
[摘要]目的 探討全血C反应蛋白(CRP)联合血常规检验在儿科细菌性感染疾病诊断中的应用价值。方法 选择2017年10月～2018年10月我院收治的130例儿科细菌性感染患儿，均行血常规检验、全血CRP联合血常规检验;比较分析两种方法病原菌检出率及病原菌诊断准确率。结果 全血CRP联合血常规检验的肺炎检出率为93.75%，肠炎检出率为93.75%，脑膜炎检出率为96.15%，尿路感染检出率为92.86%，其他检出率为66.67%，与血常规检验的90.63%、75.00%、76.92%、85.71%、58.33%比较，两种检查方法的肺炎、尿路感染、其他检出率比较，差异无统计学意义(χ2=0.2169，0.7467，0.1778，P>0.05);肠炎和脑膜炎检出率高于血常规检验，差异有统计学意义(P<0.05)。全血CRP联合血常规检验的病原菌诊断准确率高于常规检验，差异有统计学意义(χ2=7.0900，P<0.05)。结论 在儿科细菌性感染类疾病中用全血CRP联合血常规检验的价值显著，可取得较高疾病阳性检出率以及诊断准确率，给临床治疗提供有效参考依据。
[关键词]全血C反应蛋白;血常规检验;儿科;细菌性感染类疾病;应用价值
[中图分类号] R725.1 [文献标识码] A [文章编号] 1674-4721(2019)11(c)-0156-03
Value of whole blood CRP combined with routine blood test in diagnosis of bacterial infectious diseases in pediatrics
ZHOU Yu-xiu
Department of Laboratory， Ji′an Central People′s Hospital， Jiangxi Province， Ji′an 343000， China
[Abstract] Objective To explore the value of whole blood C reactive protein (CRP) combined with routine blood test in the diagnosis of pediatric bacterial infectious diseases. Methods A total of 130 children with bacterial infectious diseases in pediatrics from October 2017 to October 2018 were enrolled in the study. 130 children were examined by blood routine test， whole blood CRP combined with blood routine test. The detection rate of pathogenic bacteria and the diagnostic accuracy of pathogenic bacteria were compared and analyzed. Results The detection rates of pneumonia， enteritis， meningitis， urinary tract infection and other infections were 93.75%， 93.75%， 96.15%， 92.86% and 66.67% respectively. Compared with 90.63%， 75.00%， 76.92%， 85.71% and 58.33% of routine blood test methods， there were no significant differences in the detection rate of pneumonia， urinary tract infection and other detection rates between the two methods (χ2=0.2169， 0.7467， 0.1778， P>0.05). The detection rate of enteritis and meningitis were higher than those of routine blood test， the difference was statistically significant (P<0.05). The diagnostic accuracy of CRP combined with routine blood test was higher than that of routine blood test， the difference was statistically significant (χ2=7.0900， P<0.05). Conclusion The value of whole blood CRP combined with blood routine test in pediatric bacterial infections is significant， and the high positive rate of disease detection and the accuracy of diagnosis can be obtained， which can provide effective reference for clinical treatment., http://www.100md.com(周迂秀)
[关键词]全血C反应蛋白;血常规检验;儿科;细菌性感染类疾病;应用价值
[中图分类号] R725.1 [文献标识码] A [文章编号] 1674-4721(2019)11(c)-0156-03
Value of whole blood CRP combined with routine blood test in diagnosis of bacterial infectious diseases in pediatrics
ZHOU Yu-xiu
Department of Laboratory， Ji′an Central People′s Hospital， Jiangxi Province， Ji′an 343000， China
[Abstract] Objective To explore the value of whole blood C reactive protein (CRP) combined with routine blood test in the diagnosis of pediatric bacterial infectious diseases. Methods A total of 130 children with bacterial infectious diseases in pediatrics from October 2017 to October 2018 were enrolled in the study. 130 children were examined by blood routine test， whole blood CRP combined with blood routine test. The detection rate of pathogenic bacteria and the diagnostic accuracy of pathogenic bacteria were compared and analyzed. Results The detection rates of pneumonia， enteritis， meningitis， urinary tract infection and other infections were 93.75%， 93.75%， 96.15%， 92.86% and 66.67% respectively. Compared with 90.63%， 75.00%， 76.92%， 85.71% and 58.33% of routine blood test methods， there were no significant differences in the detection rate of pneumonia， urinary tract infection and other detection rates between the two methods (χ2=0.2169， 0.7467， 0.1778， P>0.05). The detection rate of enteritis and meningitis were higher than those of routine blood test， the difference was statistically significant (P<0.05). The diagnostic accuracy of CRP combined with routine blood test was higher than that of routine blood test， the difference was statistically significant (χ2=7.0900， P<0.05). Conclusion The value of whole blood CRP combined with blood routine test in pediatric bacterial infections is significant， and the high positive rate of disease detection and the accuracy of diagnosis can be obtained， which can provide effective reference for clinical treatment., http://www.100md.com(周迂秀)