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目的:探讨C反应蛋白(CRP)、白细胞(WBC)与血细胞形态学联合检测在儿童肺炎早期诊断的应用。方法:对2012至2015年来肇庆市端州区红十字会医院就诊的272例肺炎病例进行回顾性分析,按年龄不同予以分组:A组为1个月~3岁的婴幼儿共195例,B组为3~14岁的儿童,共127例,并同期选取100名健康体检儿童作对照,并将其分为两组,各50名,分别与A组及B组比较,均行CRP、WBC与血细胞形态学联合检测,观察其检测结果。。结果:与健康组相比,细菌性肺炎和支原体肺炎的WBC、CRP和形态学阳性率均有不同程度的升高,差异有统计学意义(P<0.05);而细菌性肺炎组和支原体肺炎组比较,差异无统计学意义(P>0.05)。结论:CRP、WBC与血细胞形态学联合检测在儿童肺炎早期诊断及治疗具有较高的临床应用价值。
Objective: To investigate the application of combined detection of C-reactive protein (CRP), white blood cell (WBC) and hemocyte morphology in the early diagnosis of childhood pneumonia. Methods: A retrospective analysis of 272 pneumonia cases from 2012 to 2015 in Duanzhou Red Cross Hospital of Zhaoqing was conducted and grouped according to their age. A group of 195 infants aged 1 months to 3 years old, B A total of 127 children aged 3-14 years were enrolled in this study. 100 healthy children were selected as the control group in the same period. The children were divided into two groups (n = 50 each). CRP and WBC were compared with group A and group B respectively Combined with blood cell morphology test to observe the test results. . Results: Compared with the healthy group, the WBC, CRP and morphological positive rate of bacterial pneumonia and mycoplasma pneumonia were increased to some extent, the difference was statistically significant (P <0.05); while bacterial pneumonia group and mycoplasma pneumonia There was no significant difference between the two groups (P> 0.05). Conclusion: The combined detection of CRP, WBC and hemocyte morphology in early diagnosis and treatment of childhood pneumonia has high clinical value.