白细胞与全血C反应蛋白联合检测对儿科感染性疾病的诊断研究

Study on Diagnosis of Pediatric Infectious Disease by Combined Detection of WBC and Whole Blood C-reactive Protein

目的:探究进行血常规白细胞计数和全血C反应蛋白检测对诊断儿科感染性疾病的价值。方法:选取本院2017年1月—2018年1月临床儿科收治的感染性疾病患儿88例为研究对象,所有患儿均行全血C反应蛋白(C-reactive protein,CRP)、血常规白细胞计数(White blood cellcoun,WBC)检验和联合检验,对比观察细菌感染与病毒感染患者CRP、WBC水平,同时对比观察CRP、WBC单独检验与联合检验的阳性检出率。结果:88例患儿中, 61例患儿为细菌性感染,27例为病毒感染;其中细菌感染患儿全血CRP、血常规WBC计数水平均高于病毒感染患儿;而全血CRP与血常规WBC联合检验,其阳性检出率(77.27%)明显高于单独血常规检验(54.55%)和CRP检验(63.64%),(P<0.05)。结论:全血C反应蛋白与血常规联合检验有助于临床诊断小儿感染性疾病,并对鉴别细菌性感染具有显著效果,诊断价值较高。

Objective:To explore the value of routine leukocyte count and whole blood C reactive protein in the diagnosis of pediatric infectious diseases.Methods:From January 2017 to January 2018,88 children with infectious diseases were enrolled in our hospital.All the patients were examined by(WBC)and combined test of whole blood C-reactive protein(CRP),)blood leucocyte count.The levels of CRP,WBC in patients with bacterial infection and viral infection were observed,and the positive rates of CRP,WBC alone and combined tests were observed.Results:Among 88 children,61 were bacterial infection,27 cases were virus infection,among them,the whole blood CRP,blood routine WBC count level of bacterial infection children was higher than that of virus infection children.The positive rate of whole blood CRP combined with routine WBC(77.27%)was significantly higher than that of blood routine test(54.55%)and CRP test(63.64%)(P<0.05).Conclusion:The combined detection of whole blood C-reactive protein and blood routine is helpful to clinical diagnosis of infective diseases in children and has significant effect in differentiating bacterial infections with high diagnostic value.