尿常规检查与C反应蛋白诊断小儿急性阑尾炎的临床价值

Clinical value of routine urine examination and Creactive protein in the diagnosis of acute appendicitis in children

目的探究尿常规检查与C反应蛋白诊断小儿急性阑尾炎(AP)的临床价值。方法选取2018年3月至2021年3月伊犁哈萨克自治州新华医院收治的80例疑似AP患儿作为研究对象,均实施尿常规检查、C反应蛋白诊断、病理性诊断,比较各检查方法诊断结果、诊断时间及费用。结果疑似AP患儿病理性诊断阳性率为93.75%,高于尿常规检查的75.00%,差异有统计学意义(P<0.05)。疑似AP患儿C反应蛋白诊断阳性率与病理性诊断比较差异无统计学意义。疑似AP患儿尿常规检查与C反应蛋白联合诊断阳性率与病理性诊断比较差异无统计学意义。疑似AP患儿C反应蛋白诊断阳性率为92.50%,高于尿常规检查的75.00%,差异有统计学意义(P<0.05)。疑似AP患儿尿常规检查时间短于C反应蛋白诊断,检查费用低于C反应蛋白诊断,差异有统计学意义(P<0.05)。结论小儿AP诊断采用尿常规检查方式能实现快速诊断,检查费用较低,但C反应蛋白诊断更精准,接近病理性诊断结果,联合应用可提升诊断精准度。

Objective To explore the clinical value of routine urine examination and C-reactive protein in the diagnosis of acute appendicitis in children.Methods 80 children with suspected AP admitted to Xinhua Hospital of Ili Kazak Autonomous Prefecture from March 2018 to March 1,2021 were selected as the research subjects,routine urine examination,C-reactive protein diagnosis and pathological diagnosis were performed in all children,the diagnostic results,diagnostic time and cost of each examination method were compared.Results The positive rate of pathological diagnosis in children with suspected AP was 93.75%,which was higher than 75.00%in routine urine examination(P<0.05).There was no significant difference between the positive rate of C-reactive protein diagnosis and pathological diagnosis in children with suspected AP.There was no significant difference between the positive rate of urine routine examination and C-reactive protein combined diagnosis and pathological diagnosis in children with suspected AP.The positive rate of C-reactive protein in suspected AP children was 92.50%,which was higher than 75.00%in routine urine examination(P<0.05).The time of routine urine examination of suspected AP children was shorter than that of C-reactive protein diagnosis,and the examination cost was lower than that of C-reactive protein diagnosis(P<0.05).Conclusion Routine urine examination can achieve rapid diagnosis in the diagnosis of acute appendicitis in children,the examination cost is low,but the diagnosis of C-reactive protein is more accurate and close to the pathological diagnosis results,the combined application can improve the diagnostic accuracy.