C-反应蛋白结合血常规对临床呼吸道感染性疾病检测结果分析

Analysis of C-Reactive Protein Combined with Blood Routine in Diagnosis of Respiratory Infectious Diseases

目的:研究并探讨C-反应蛋白与血常规检测对临床呼吸道感染性疾病中的诊断意义。方法:选取本院2016年6-12月收治的400例呼吸道感染性疾病患者,所有患者均接受C-反应蛋白和血常规检测,将C-反应蛋白水平升高和血常规检测中白细胞计数异常者(白细胞总数、中性粒细胞计数或淋巴细胞计数任一项高于正常参考值)视为检测结果阳性,分别计算C-反应蛋白、白细胞计数、两项检测中任一项阳性者的阳性率,对统计结果进行分析比较。结果:C-反应蛋白阳性率、白细胞计数阳性率、两项任一阳性者阳性率分别为71.50%、61.75%、84.50%。两项任一阳性者阳性率最高,其次为C-反应蛋白阳性率,而白细胞计数阳性率与C-反应蛋白阳性率相比较低,三者阳性率比较差异均有统计学意义(P<0.05)。结论:在呼吸道感染性疾病的临床诊断中,C-反应蛋白、血常规指标均可在一定程度上反映机体内感染状态和感染程度,但C-反应蛋白更能快速反映机体内的状态,二者结合诊断更有利于为临床诊断感染性疾病的类型和程度提供现实依据。

Objective:To study and explore the diagnostic significance of C-reactive protein and blood routine in detect respiratory infectious diseases.Method:Venous blood samples obtained from 400 patients with respiratory infection were tested by C-reactive protein and blood routine test from June to December 2016.Regard C-reactive protein levels and blood routine test(the total number of white blood cells,the count of neutral cell,or the count of lymphocyte cell)out of the normal range as positive,the positive rate of C-reactive protein,blood routine,and any positive in two detections were calculated.Result:The positive rate of C-reactive protein,blood routine test and any positive in two detections,were respectively 71.50%,61.75%and 84.50%.The rate of any positive in two detections was the highest,followed by the rate of C-reactive protein,the blood routine test was lowest.The differences of the rates are significant among three ones(P<0.05).Conclusion:In the clinical diagnosis of respiratory infectious diseases,the indexes of C-reactive protein and blood routine can reflect the infection status and degree of infection to some extent,but C-reactive protein can quickly reflect the true status of body,the diagnosis will be more advantageous to the type and degree of infectious disease,and provide proofs for the clinical diagnosis,if combined C-reactive protein with blood routine.