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目的:分析血常规联合超敏C-反应蛋白检测在诊断小儿肺炎中的应用效果。方法:选取2012年8月-2013年9月间我院接收的180例小儿肺炎患者为对象进行分析,另选取同期健康对照组,均进行血常规检测和hs-CRP检测,对比两组患儿检测结果和对阳性检出率。结果:病毒性肺炎、细菌性肺炎、支原体肺炎三组患儿白细胞计数和hs-CRP检测结果均显著高于对照组,差异具有统计学意义(P<0.05);细菌性肺炎显著高于其余两组(P<0.05);三种肺炎类型白细胞阳性检出率无显著差异(P>0.05),hs-CRP阳性检出率细菌性肺炎显著高于其他两组(P<0.05)。结论:血常规联合超敏C-反应蛋白检测在诊断小儿肺炎中应用效果较好,hs-CRP可有效鉴别细菌性肺炎,血常规在分型检测中应用价值不高。
Objective: To analyze the application of blood routine combined with high sensitivity C-reactive protein in diagnosing pediatric pneumonia. Methods: One hundred and eighty children with pneumonia admitted in our hospital from August 2012 to September 2013 were selected as subjects for analysis. Blood samples and hs-CRP were also detected in the same period. Test results and positive detection rate. Results: The leukocyte count and hs-CRP in children with viral pneumonia, bacterial pneumonia and mycoplasma pneumonia were significantly higher than those in the control group (P <0.05). Bacterial pneumonia was significantly higher than the other two (P <0.05). There was no significant difference in the positive rates of leukocyte among the three pneumonia types (P> 0.05). The positive rate of hs-CRP in bacterial pneumonia was significantly higher than that in the other two groups (P <0.05). Conclusion: The combined use of blood and high-sensitivity C-reactive protein detection in children with diagnosis of pneumonia is better, hs-CRP can effectively identify bacterial pneumonia, blood routine in the detection of typing is not high value.