C反应蛋白联合血常规检验在发热患儿诊治中的临床价值

Clinical value of C-reactive protein plus blood routine test in diagnosis and treatment of febrile children

目的了解C反应蛋白联合血常规检验在发热患儿诊治中的临床价值。方法将100例发热患儿设为研究组，50名健康儿童设为对照组，分别检测C反应蛋白与白细胞计数，并对检测结果进行对比分析。结果研究组患儿C反应蛋白与白细胞计数水平均显著高于对照组（P〈0．01），C反应蛋白值较白细胞计数有更大的离散趋势。研究组发热患儿多为病毒感染。结论发热患儿多以病毒感染为主，C反应蛋白是急性期炎症反应的敏感指标，与血常规联合检测对发热病例的早期诊治具有重要意义。

Objective To survey the correlation and clinical value of C-reactive protein （CRP） and white blood cell count （WBC） in diagnosis and treatment of febrile children. Methods A total of 100 febrile children were assigned to re-search group and 50 healthy ones to control group, CRP and WBC detected in both groups, and detection Results contrastively analyzed. Results CRP and WBC levels were significantly higher in research than in control group （P〈0.01）, CRP had greater discrete tendency than WBC did. Most children in research group suffered from virus infection. Conclusion Most febrile children suffered from virus infection, CRP is sensitive index of acute inflammatory reaction, and CRP plus WBC detection has an important signifi-cance for early diagnosis of febrile case.