摘要
目的探讨血中C反应蛋白(CRP)的检测对儿科细菌感染性发热和非细菌感染性发热的鉴别诊断。方法选取163例发热患者为研究对象,依据其发热类型分为细菌感染性发热组95例以及非细菌感染性发热组57例,剔除不明原因发热病例11例,检测其其CRP含量及白细胞计数(WBC)并进行比对。结果细菌感染性发热组患者CRP阳性率76.8%,与非细菌感染性发热组患者10.5%相比较,差异有统计学意义(P<0.05),细菌感染性发热患者中CRP的敏感性高于白细胞计数的敏感性(P<0.05)。结论血CRP的检测有助于儿科细菌感染性发热与非细菌感染性发热的鉴别诊断,结合CRP和WBC计数可以准确地为临床提供诊断依据,更好地指导临床应用抗生素。
Objective To discuss clinical analysis on detection of C-reactive protein （CRP） in blood conducted for differential diagnosis of pediatric bacterial infective fever and non-bacterial infective fever.Methods To select 163 patients with fever were admitted for the study, divided according to their type of bacterial infection fever fever group （95 cases） and non-bacterial infectious fever group （57 cases）, excluding 11 cases of unexplained fever, detect their CRP levels and white blood cell count （WBC） and for comparison.Results Bacterial infection fever patients CRP positive rate 76.8%, and non-bacterial infectious fever group compared with 10.5% of patients, the difference was statistically signiifcant （P〈0.05）, bacterial infection in patients with fever of CRP is more sensitive than the sensitivity of white blood cell count.Conclusion CRP blood testing can help in the differential diagnosis of pediatric infectious bacterial fever with non-bacterial infectious fever, combined with CRP and WBC count can accurately provide the basis for clinical diagnosis, to better guide clinical use of antibiotics.
出处
《当代医学》
2015年第9期22-23,共2页
Contemporary Medicine
关键词
C反应蛋白
细菌感染
儿科
发热患者
白细胞计数
C reactive protein
Bacterial Infection
Pediatric
Patients with fever
White blood cell count
