血清CRP联合WBC在并发感染的支气管哮喘患儿中的检测意义

Significance of the combined detection of CRP and WBC in bronchial asthma children complicated with infection

目的:探析血清C反应蛋白(CRP)及白细胞(WBC)计数在并发感染的哮喘患儿中的检测价值。方法:分析84例哮喘患儿的临床资料,其中单纯哮喘患儿30例(A组)、并发细菌感染的哮喘患儿28例(B组)和并发肺炎支原体的哮喘患儿26例(C组)。另外选取同期接受健康体检的28例健康者作为对照组。比较4组儿童的基线资料及治疗前后的血清CRP及WBC水平。结果:B组患儿的血清CRP与WBC水平较A组、C组及对照组高(P<0.05),C组患儿的血清CRP与WBC水平较A组和对照组高(P<0.05),且A组患儿的血清CRP水平较对照组高(P<0.05)。治疗后A、B、C 3组患儿的血清CRP与WBC水平均明显低于治疗前(P<0.05);治疗后B组患儿的血清CRP与WBC水平仍较A组与C组高(P<0.05)。结论:血清CRP与WBC的联合检测在并发感染的哮喘患儿中不但可以帮助临床医师判断患儿的感染类型,还能有效判断患儿的预后情况,值得推广。

Objective：To analyze the detective value of the values of the serum CRP and WBC in bronchial asthma children complicated with infection.Methods：Clinical data of 84 children with bronchial asthma was retrospectively analyzed,including group A （bronchial asthma children,30 cases）,group B （bronchial asthma children complicated with bacterial infection,28 cases） and group C （bronchial asthma children complicated with mycoplasma pneumonia,26 cases）.28 healthy children at the same time were chosen as the control group.The general information and the levels of CRP and WBC before and after treatment in four groups were compared.Results：The levels of CRP and WBC in group B were obviously higher than those in group A,group C and the control group （P〈0.05）,the levels of CRP and WBC in group C were obviously higher than those in group A and the control group （P〈0.05）,and the levels of CRP in group A was higher than that in the control group （P〈0.05）.The levels of CRP and WBC in group A,group B and group C after treatment were all obviously higher than those in the same group before treatment （P〈0.05）,and the levels of CRP and WBC in group B were obviously higher than those in group A and group C after treatment （P〈0.05）.Conclusion：The combined detection of CRP and WBC in bronchial asthma children complicated with infection could help to identify the clinical identification and prognosis of pediatric asthma children,which is worth promoting.