论文部分内容阅读
目的:探讨hs-CRP、PCT、白细胞联合检测在新生儿呼吸道感染中的临床价值。方法:检测120例2010年1月至2013年6月我院儿科呼吸道感染新生儿,将观察对象分为细菌感染组、病毒感染组、支原体感染组以及20例健康体检组hs-CRP、PCT、WBC的水平。分析3项指标联合检测的诊断价值。结果:正常对照组与呼吸道感染新生儿比较,细菌感染组hs-CRP、PCT、WBC值明显增高,差异显著(P<0.05)。细菌组与病毒感染组和支原体感染组比较,细菌组各项指标明显增高(P<0.05),病毒感染组与支原体感染组比较,各项指标无明显差异(P>0.05)。细菌感染组、病毒感染组患儿hsCRP异常率(94.5%、89.3%)高于PCT(83.6%、21.4%)、WBC(65.8%、17.8%)的检出异常率,支原体感染组hs-CRP异常率(84.2%)高于PCT(10.5%)、WBC(15.8%)异常率。结论:联合检测血清hs-CRP、PCT、白细胞对新生儿呼吸道感染性疾病的鉴别诊断和治疗具有重要意义。
Objective: To investigate the clinical value of combined detection of hs-CRP, PCT and leucocyte in neonatal respiratory infection. Methods: From January 2010 to June 2013, 120 neonates with respiratory tract infection in pediatrics were enrolled in this study. The subjects were divided into bacterial infection group, viral infection group, mycoplasma infection group and 20 healthy subjects with hs-CRP, PCT, WBC level. To analyze the diagnostic value of the combined detection of three indexes. Results: The hs-CRP, PCT and WBC values in bacterial infection group were significantly higher than those in normal control group (P <0.05). Compared with the virus-infected group and the mycoplasma-infected group, the indexes of bacterial group were significantly higher (P <0.05). There was no significant difference between the virus-infected group and the mycoplasma-infected group (P> 0.05). The abnormal rates of hsCRP in bacterial infection group and virus infection group were higher than those in PCT (83.6%, 21.4%), WBC (65.8%, 17.8%), hs-CRP The abnormal rate (84.2%) was higher than that of PCT (10.5%) and WBC (15.8%). Conclusion: The combined detection of serum hs-CRP, PCT, white blood cells in neonatal respiratory disease diagnosis and treatment of great significance.