全血C反应蛋白与血常规联合检验对小儿感染性疾病的诊断价值

The diagnostic value of combined detection of whole blood C reactive protein and routine blood test in children with infectious diseases

目的探讨全血C反应蛋白与血常规联合检验对小儿感染性疾病的诊断价值。方法于2017年3月至2018年3月,选取本院收治的35例小儿感染性疾病者作为研究组,另选择同一时间段在本院进行健康检查的受检者35例作为常规组。所有研究对象均进行全血C反应蛋白与血常规联合检验。对两组C反应蛋白水平、白细胞计数水平进行统计处理,并对比两组阳性检出率。结果研究组患儿C反应蛋白水平(18.5±2.9)mg/L、白细胞计数水平(21.5±4.5)×10^9/L均高于常规组(4.3±0.8)mg/L、(8.6±2.2)×10^9/L,组间数据比较差异具有统计学意义(P<0.05);同时研究组中细菌性感染性疾病患儿联合检验的阳性率显著高于病毒性感染性疾病患儿,组内数据比较差异具有统计学意义(P<0.05)。结论在小儿感染性疾病的诊断中,全血C反应蛋白与血常规联合检验的价值更高,有利于临床准确判断小儿感染的实际情况,并促使临床合理用药,以免引起滥用抗菌药物的现象。

Objective To discuss the diagnostic value of combined detection of whole blood C reactive protein and routine blood test in children with infectious diseases. Methods 35 cases of infantile infectious diseases admitted to our hospital from March 2017 to March 2018 were selected as the study group, and 35 subjects who underwent health examination in our hospital in the same period were selected as routine group. All subjects were tested for total blood C reactive protein and routine blood test. The levels of C reactive protein and white blood cell counts of the two groups were statistically analyzed, and the positive rates of two groups were compared. Results The level of C reactive protein (18.5±2.9) mg/L and white blood cell count (21.5±4.5)×10^9/L in the study group were higher than those in the conventional group (4.3±0.8) mg/L and (8.6±2.2)×10^9/L, and there was a statistical significance between the groups (P<0.05);At the same time, the positive rate of the joint test for children with bacterial infection in the study group was significantly higher than that of the virus infected children, the data in the group had statistical significance (P<0.05). Conclusion In the diagnosis of infantile infectious diseases, the value of the combined test of whole blood C reactive protein and blood routine is higher, which is beneficial to the accurate diagnosis of the actual situation of infantile infection, and to promote the rational use of drugs in order to avoid the phenomenon of abusing the antiseptic drugs.