门诊发热儿童尿常规检测结果及临床分析

Clinical Analysis of Urine Test Results of Fever Children in Clinic

目的调查分析发热儿童的尿常规变化以及泌尿系统疾病的感染情况。方法将213例门诊发热儿童与健康对照组分别进行尿干化学定性、尿沉渣定量和光学显微镜检查,并对发热儿童的病因进行分类比较。结果不同年龄组发热儿童尿常规检测阳性率差异有统计学意义(χ2=12.516,P<0.01),其中7～11岁组为38.10%(24/63),高于其他年龄组;发热儿童尿液检测总阳性率高于健康儿童;发热儿童中泌尿系统疾病占发热总人数的7.04%。结论儿童发热可以引起尿常规的变化,秋冬季节造成泌尿系统疾病的患儿增多,居第3位,应重视发热儿童的尿常规筛查,以免贻误病情。

[Objective]To investigate the change of urine test results and infection of urinary system disease of fever children. [ Methods]Totally 213 fever children in clinic and healthy children were selected, the uric dry chemical qualitative analysis, urine quantitative analysis and optical microscopy were performed on them. Cause of fever of children was classified to conduct comparison. [Results]The difference of positive rate of urine test among children of different age groups was significant （ χ^2 = 12. 516, P 〈 0.01 ）, that in children aged 7 - 11 years was 38.10% （ 24/63 ） which was higher than that of other age groups. The total positive rate of urine of fever children was higher than that of healthy children. Fever children with urinary system disease occupied 7. 04% of total cases. [ Conclusion] Fever on children can cause changes in urine. The increasing children with urinary system diseases in autumn ranked 3 in children＇s diseases that urine test should be attached importance on fever children to avoid delaying diseases.