C反应蛋白在儿科感染性疾病诊断中的应用.docVIP

C反应蛋白在儿科感染性疾病诊断中的应用 　　【摘要】 目的：分析全血C反应蛋白联合血常规在检测儿科感染性疾病诊断中的应用。方法：选择笔者所在医院2014年6月-2015年6月收治的感染性疾病患儿186例作为研究对象，所有患儿采用血常规WBC计数联合全血CRP进行诊断，其中细菌感染患儿90例，病毒感染患儿 　　96例。观察比较两组患儿CRP、WBC计数和阳性率。结果：细菌组CRP、WBC均明显高于病毒组，比较差异均有统计学意义（P0.05）；细菌组CRP、WBC阳性率均明显高于病毒组，比较差异均有统计学意义（P0.05）。结论：全血CRP联合血常规检测有助于诊断儿科感染性疾病，避免了滥用药物对患儿身体的危害，值得临床长期应用和推广。 　　【关键词】 C反应蛋白； WBC计数； 儿科感染性疾病 　　中图分类号 R446 文献标识码 B 文章编号 1674-6805（2016）13-0065-03 　　【Abstract】 Objective：To analyze the application of C-reactive protein combined with blood routine examination in the diagnosis of pediatric infectious diseases.Method：One hundred and eighty-six cases of children with infectious diseases in our hospital from June 2014 to June 2015 were selected as the research objects，all the children were diagnosed through WBC count of blood routine combined with blood CRP.90 cases of children were with bacteria infection，96 cases of children were with viral infection.The count and positive rates of CRP and WBC were observed and compared between the two groups.Result：The CRP and WBC levels of the bacteria group were obviously higher than that of the virus group，the differences were statistically significant（P0.05）.The positive rates of CRP and WBC of the bacteria group were obviously higher than those of the virus group，the differences were statistically significant（P0.05）.Conclusion：CRP combined with blood routine can accurately diagnose pediatric infectious disease，avoid the harm of drug abuse on child body，which is worthy of clinical application and popularization in the long run. 　　【Key words】 C-reactive protein； WBC count； Pediatric infectious diseases 　　First-author’s address：The People’s Hospital of Jinxiu County，Jinxiu 545700，China 　　由于儿童的年龄偏小，卫生意识和免疫力都比较弱，很容易被灰尘、空气中的病毒和细菌感染，导致儿童经常患感染性的疾病[1]。过去对于病毒性和细菌性儿童感染性疾病多依靠中性粒细胞和白细胞计数在全血里的比率来诊断，但是白细胞计数常会受到药物、温度、情绪等因素的影响，误诊率比较高，具有很大的局限性[2]。而人体中全血C反应蛋白是急性蛋白，如果人体组织受到感染或受伤均会急剧上升，因此用来诊断早期的儿童感染性疾病可以提供非常可靠的依据[3]。笔者所在医院为了分析全血C反应蛋白联合血常规在检测儿科感染性疾病诊断中的应用效果展开了本次研究，现报道如下。 　　1 资料与方法 　　1.1