联合检测PCTCRPWBC在细菌性感染患儿诊断价值.docVIP

联合检测PCTCRPWBC在细菌性感染患儿诊断价值 　　[摘要]目的 探讨联合检测PCT、CRP、WBC在细菌性感染患儿的诊断价值。方法 选取2014年10月～2017年2月因感染在我院就诊的150例患者，对其临床资料进行回顾性分析，根据最终诊断分为病毒感染组（A组）、局部细菌感染?M（B组）、重症细菌感染组（C组）。比较三组患儿的血清PCT、外周血白细胞（WBC）、C反应蛋白（CRP）等指标数值情况。结果 C组患儿的PCT、CRP水平最高，B组次之，A组最低，差异有统计学意义（P0.05）。C组及B组患者的WBC水平无显著差异，但均高于A组（P0.05）。CRP诊断局部细菌感染敏感性最高，为74.00%（44/50）；PCT则对于重症感染的敏感性高达100.00%（50/50）（P0.05）。结论 PCT、CRP、WBC在细菌性感染中均有重要评估价值，CRP对于局部细菌感染敏感性较高，PCT对于重症细菌感染敏感性最高，WBC则敏感性相对较低。 　　[关键词]联合检测；降钙素原；C反应蛋白；白细胞；细菌性感染 　　[中图分类号] R446.11 [文献标识码] A [文章编号] 1674-4721（2017）10（c）-0142-03 　　Diagnosis value of combined detection of PCT，CRP and WBC in the children patients with bacterial infection 　　ZHANG Xiao-yan FENG Xin-ran 　　Clinical Laboratory，the Third Hospital of Nanchang City in Jiangxi Province，Nanchang 330009，China 　　[Abstract]Objective To investigate the diagnostic value of combined detection of PCT，CRP and WBC in children patients with bacterial infection.Methods 150 patients who were admitted to our hospital due to infection from October 2014 to February 2017 were included in the study.The clinical data were retrospectively analyzed.According to the final diagnosis，the patients were divided into the virus infection group （group A），the local bacterial infection group （group B），and the severe bacterial infection group （group C）.The level of serum PCT，peripheral blood leukocyte （WBC），C-reactive protein （CRP） and other indices were compared between the three groups.Results The levels of PCT and CRP in group C were the highest，followed by group B and the lowest in group A，the differences were significant （P0.05）.There was no significant difference in WBC level between group C and group B，but all higher than that in group A （P0.05）.The sensitivity of local bacterial infection diagnosed by CRP was 74.00% in the highest （44/50），and the sensitivity of PCT to severe infection was as high as 100.00% （50/50） （P0.05）.Conclusion PCT，CRP and WBC have important evaluation value in bacterial infection.CRP is more sensitive to local