C反应蛋白在小儿支原体肺炎检测中的临床价值

Clinical value of C-reactive protein in detection of mycoplasma pneumonia in children

目的探讨C反应蛋白(CRP)在小儿支原体肺炎(MP)检测中的临床价值。方法选取2019年3月至2021年3月茂名市妇幼保健院门诊接诊的60例MP患儿作为观察组,以及同期门诊体检的60例健康儿童作为参照组,均进行血清CRP检测。比较两组血清CRP水平、CRP阳性率,比较观察组急性期、恢复期血清CRP水平,比较观察组轻症、重症组血清CRP水平,比较观察组入院时、治疗5 d后血清CRP水平。结果观察组血清CRP水平高于参照组,观察组CRP阳性率高于参照组,差异有统计学意义(P<0.05)。急性期血清CRP水平高于恢复期,差异有统计学意义(P<0.05)。重症组血清CRP水平高于轻症组,差异有统计学意义(P<0.05)。治疗5 d后血清CRP水平低于入院时,差异有统计学意义(P<0.05)。结论MP患儿机体血清CRP水平较高,随着疾病的好转、改善,血清CRP水平会降低,加强血清CRP检测,可准确评估MP患儿病情。

Objective To explore the clinical value of C-reactive protein(CRP)in the detection of mycoplasma pneumonia(MP)in children.Methods A total of 60 cases of MP children in Maoming Maternal and Child Health Care Hospital from March 2019 to March 2021 were selected as the observation group,and a total of 60 cases of healthy children in the same period were selected as the reference group.The serum CRP levels and CRP positive rates of the two groups were compared,the serum CRP levels of the observation group in the acute stage and recovery stage was compared,and the mild and severe cases in the observation group was compared.The levels of serum CRP in the severe group was compared with those in the observation group at admission and 5 days after treatment.Results The level of serum CRP in the observation group was higher than that in the reference group,the positive rate of CRP in the observation group was higher than that in the reference group,and the differences were statistically significant(P<0.05).The level of serum CRP in acute stage was higher than that in convalescent stage,and the difference was statistically significant(P<0.05).The level of serum CRP in severe group was higher than that in mild group,the difference was statistically significant(P<0.05).After 5 days of treatment,the serum CRP level was lower than that on admission,the difference was statistically significant(P<0.05).Conclusion The level of serum CRP in children with MP is high.With the improvement of the disease,the level of serum CRP will decrease.Strengthening the detection of serum CRP can accurately evaluate the condition of children with MP.