摘要
目的临床观察小儿急性阑尾炎分别以C-反应蛋白、尿常规检验判断疾病的准确性。方法本次研究对象为2015年5月~2016年7月期间疑似急性阑尾炎入院检查的78例儿童患者,对78例患儿分别进行尿检(尿检组)以及C-反应蛋白测定(蛋白组),以病理检查为标准,比较两种检查方式疾病诊断准确度,不同阑尾炎两种检测方法疾病检出率,记录两组检查所用时间。结果尿检组疾病检查阳性率为88.5%,明显低于蛋白组97.4%,蛋白组疾病检出率高、准确度高(P<0.05);尿检组检查所用时间为(1.57±0.61)h明显少于蛋白组(6.35±1.25)h(P<0.05);蛋白组检查单纯性阑尾炎CRP水平明显低于坏疽穿孔性、化脓性,化脓性CRP水平低于坏疽穿孔性(P<0.05);蛋白组化脓性、单纯性阑尾炎检出率分别为92.3%、98.3%,明显高于尿检组的76.9%、90.0%,蛋白组化脓性、单纯性阑尾炎检出率高(P<0.05),蛋白组坏疽穿孔性阑尾炎检出率为100.0%,与尿检组100.0%比较,组间差异无统计学意义(P>0.05)。结论 CRP、尿常规对小儿急性阑尾炎均有良好诊断准确度,前者疾病检出率相对较高,能有效反映患者阑尾炎病情程度,对疾病进行病理分型;后者检出率相对较低,但检查耗时短,临床可根据实际情况选择检测方式。
Objective To observe the accuracy of C-reactive protein and urine routine test in the diagnosis of pediatric acute appendicitis. Methods A total of 78 children patients with suspected acute appendicitis who were admitted to our hospital from May 2015 to July 2016 were selected as the study subjects. 78 patients were given urine test（urine test group） and C-reactive protein determination （protein group） respectively. The pathological examination was taken as the standard. The diagnosis accuracy by the two types of examination methods, and the disease detection rate of different appendicitis by the two examination methods were compared, and the duration of examinations in both groups was recorded. Results The positive rate of diagnosis of disease in the urine test group was 88.5%, which was significantly lower than that of 97.4% in the protein group. The disease detection rate and the accuracy was higher in the protein group（P〈0.05）; the duration of examination in the urine test group was （1.57±0.61） hours, significantly shorter than that of （6.35±1.25） hours in the protein group （P〈0.05）; the CRP level of simple appendicitis in the protein group was significantly lower than that of gangrened and perforated appendicitis and purulent appendicitis. The CRP level of purulent appendicitis was lower than that of gangrened and perforated appendicitis （P〈0.05）; the detection rate of purulent ap- pendicitis and simple appendicitis was 92.3% and 98.3% respectively in the protein group, which was significantly higher than that of 76.9% and 90.0% in the urine test group. The detection rate of purulent appendicitis and simple appendicitis was higher （P〈0.05）. The detection rate of gangrened and perforated appendicitis was 100.0% in the protein group and 100.0% in the urine test group. There was no significant difference between the two groups （P〉0.05）. Conclusion CRP and urine routine test have a good diagnostic accuracy for pediatric acute appendicitis. The disease detection rate of the former method is relatively higher, which can effectively reflect the degree of appendicitis in the patients and the pathological classification of the disease. The detection rate of the latter method is relatively lower, but the test is less ti ng. The appropriate test method can be selected according to the actual clinical situations.
出处
《中国现代医生》
2017年第17期108-111,共4页
China Modern Doctor
基金
浙江省金华市科学技术局社会发展类一般项目(2015-3-076)
关键词
诊断
小儿
C-反应蛋白
急性阑尾炎
尿常规
Diagnosis
Pediatric
C-reactive protein
Acute appendicitis
Urine routine test
