实验指标联合检测对小儿细菌性肺炎诊断和治疗价值的研究

Research on the value of combined indexes detection in the diagnosis and treatment of bacterial pneumonia in children

目的探讨白细胞计数(WBC)、中性粒细胞百分率(NEUT%)、全程C-反应蛋白(全程CRP)和降钙素原(PCT)在小儿细菌性肺炎诊断和治疗中的价值。方法随机选取2014年1月1日-2015年1月1日本院儿科住院的62例小儿细菌性肺炎患者和47例非细菌性肺炎患者,并选取同期的50例健康体检的小儿作为对照组,测定各组水平并进行回顾性分析。结果 62例小儿细菌性肺炎组WBC、NEUT%、全程CRP和PCT水平均高于非细菌性肺炎组和对照组,差异有统计学意义(P<0.05);且在治疗前后WBC、NEUT%、全程CRP和PCT水平变化差异有统计学意义(P<0.05)。结论小儿细菌性肺炎患者WBC、NEUT%、全程CRP和PCT水平增高,其联合检测可作为小儿细菌性肺炎的临床重要参考指标进行诊断和治疗。

Objective To study the value of the white blood cell count（ WBC）,neutrophil percentage（ NEUT %）,the whole C- reactive protein（ the whole CRP） and procalcitonin（ PCT） in the diagnosis and treatment of children with bacterial pneumonia. Methods 62 cases of pediatric children with bacterial pneumonia and 47 cases of nonbacterial pneumonia were randomly selected from January 1,2014 to January 1,2015 in our hospital. During the period,we also randomly selected 50 healthy children as a control group to determine the levels in each group and analyze them retrospectively. Results The WBC,NEUT %,full of CRP and PCT levels of 62 bacterial pneumonia children were higher than those in non- bacterial pneumonia group and the control group,and the differences were statistically significant（ P〈0. 05）; and the difference of WBC,NEUT %,PCT and CRP levels changes between before and after the treatment was statistically significant（ P〈0. 05）. Conclusion The WBC,NEUT %,CRP and PCT levels of the children with bacterial pneumonia increased,and the joint detection can be used as an important reference index for diagnosis and treatment in clinical pediatric bacterial pneumonia.