血常规与C-反应蛋白检测在急性腹泻患者中的诊断意义

Blood and C-reactive protein in patients with diagnosis of acute diarrhea

目的研究分析血常规与C-反应蛋白的检测在急性腹泻患者中的诊断性意义。方法搜集1 000例急性腹泻患者,根据患者的病历资料,把所有患者分为三个组,根据脱水程度可分:重度脱水组为100例,中度脱水组为250例,轻度脱水组为650例,对三组患者全部进行血常规与C-反应蛋白的检验,对比分析三组患者血常规指标及C-反应蛋白等项目的差异。结果中度与重度脱水组患者HCT水平一样;但均高于轻度脱水组(P<0.05),组间对比有显著的差异性。将所有患者的体温、C-反应蛋白、白细胞的数目(WBC)及中性粒细胞比率(NE)的差异进行对比,其差异无显著性(P>0.05)。结论对于急性腹泻患者脱水程度的诊断,血常规HCT指标变化状态具有积极意义,C-反应蛋白指标数值与白细胞的数目为指导临床用药提供可靠保证。

Objective To analyze blood and C-reactive protein detection diagnostic significance in patients with acute diarrhea. Methods 1,000 patients with acute diarrhea gathering medical records,according to the degree of dehydration all the patients were divided into three groups： group of 650 cases of mild dehydration,250 cases of moderate dehydration group,and the remaining 100 cases of severe dehydration group,for all three groups of patients conduct and C-reactive protein blood test,compared to the three groups analyzed differences in blood indicators and C-reactive protein and other projects. Results Patients with severe dehydration and HCT levels in patients with moderate dehydration group quite; but both groups of patients were higher than mild dehydration HCT group（ P〈0. 05） comparing the difference between the two groups was significant. Three groups of patients the number of white blood cells（ WBC）,body temperature,the ratio of neutrophils（ NE） C-reactive protein and comparing the difference,the difference was not significant（ P〈0. 05）.Conclusions Changes in the status of blood HCT index has a positive significance in the diagnosis of the degree of dehydration in patients with acute diarrhea,WBC C-reactive protein values of the indicators for clinical treatment and provide a reliable guarantee.