尿常规检验与C―反应蛋白对小儿急性阑尾炎诊断价值比较.docVIP

尿常规检验与C―反应蛋白对小儿急性阑尾炎诊断价值比较 　　[摘要] 目的 ?R床观察小儿急性阑尾炎分别以C-反应蛋白、尿常规检验判断疾病的准确性。 方法 本次研究对象为2015年5月～2016年7月期间疑似急性阑尾炎入院检查的78例儿童患者，对78例患儿分别进行尿检（尿检组）以及C-反应蛋白测定（蛋白组），以病理检查为标准，比较两种检查方式疾病诊断准确度，不同阑尾炎两种检测方法疾病检出率，记录两组检查所用时间。 结果 尿检组疾病检查阳性率为88.5%，明显低于蛋白组97.4%，蛋白组疾病检出率高、准确度高（P0.05）。 结论 CRP、尿常规对小儿急性阑尾炎均有良好诊断准确度，前者疾病检出率相对较高，能有效反映患者阑尾炎病情程度，对疾病进行病理分型；后者检出率相对较低，但检查耗时短，临床可根据实际情况选择检测方式。 　　[关键词] 诊断；小儿；C-反应蛋白；急性阑尾炎；尿常规 　　[中图分类号] R726.5 [文献标识码] B [文章编号] 1673-9701（2017）17-0108-04 　　[Abstract] Objective To observe the accuracy of C-reactive protein and urine routine test in the diagnosis of pediatric acute appendicitis. Methods A total of 78 children patients with suspected acute appendicitis who were admitted to our hospital from May 2015 to July 2016 were selected as the study subjects. 78 patients were given urine test（urine test group） and C-reactive protein determination （protein group） respectively. The pathological examination was taken as the standard. The diagnosis accuracy by the two types of examination methods， and the disease detection rate of different appendicitis by the two examination methods were compared， and the duration of examinations in both groups was recorded. Results The positive rate of diagnosis of disease in the urine test group was 88.5%， which was significantly lower than that of 97.4% in the protein group. The disease detection rate and the accuracy was higher in the protein group（P0.05）. Conclusion CRP and urine routine test have a good diagnostic accuracy for pediatric acute appendicitis. The disease detection rate of the former method is relatively higher， which can effectively reflect the degree of appendicitis in the patients and the pathological classification of the disease. The detection rate of the latter method is relatively lower， but the test is less time-consuming. The appropriate test method can be selected according to the actual clinical situations. 　　尿常规作为现今医学三大常规检查之一，其取样简单、无害，检查快速、操作简单，疾病检测敏感性、准确性良好，能有效检查出尿蛋白以及尿沉渣中的一些物质，目前不仅常用于早期肾脏病变检查，同时也用于