[1]徐永水.血常规和CRP联合检测诊断急性发热患儿的临床价值[J].医学信息,2023,36(22):152-155.[doi:10.3969/j.issn.1006-1959.2023.22.035]
　XU Yong-shui.Clinical Value of Combined Detection of Blood Routine and CRP in the Diagnosis of Children with Acute Fever[J].Journal of Medical Information,2023,36(22):152-155.[doi:10.3969/j.issn.1006-1959.2023.22.035]
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血常规和CRP联合检测诊断急性发热患儿的临床价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年22期
页码:
152-155
栏目:
诊疗技术
出版日期:
2023-11-15

文章信息/Info

Title:
Clinical Value of Combined Detection of Blood Routine and CRP in the Diagnosis of Children with Acute Fever
文章编号:
1006-1959（2023）22-0152-04
作者:
徐永水
（抚州市临川区第二人民医院检验科，江西 抚州 344099）
Author(s):
XU Yong-shui
(Department of Laboratory,the Second People’s Hospital of Linchuan District,Fuzhou 344099,Jiangxi,China)
关键词:
急性发热; 血常规; 白细胞; C反应蛋白; 细菌感染; 病毒感染
Keywords:
Acute fever; Blood routine; White blood cell; C-reactive protein; Bacterial infection; Virus infection
分类号:
R725.1
DOI:
10.3969/j.issn.1006-1959.2023.22.035
文献标志码:
A
摘要:
目的 探究血常规和C反应蛋白（CRP）联合检测在急性发热患儿中的应用价值。方法 以2020年5月-2023年5月抚州市临川区第二人民医院收治的100例急性发热患儿为研究对象，其中细菌性感染患儿59例、病毒性感染患儿41例，给予血常规与CRP检测，比较不同感染类型患儿的白细胞（WBC）与CRP水平，统计WBC、CRP检测及联合检测的阳性检出率，分析WBC、CRP检测及联合检测对不同感染类型的诊断效能。结果 细菌感染性发热患儿的WBC、CRP水平高于病毒感染性发热患儿（P＜0.05）；WBC与CRP联合检测对细菌感染、病毒感染的阳性检出率高于其单独检测（P＜0.05）；WBC、CRP检测及联合检测对细菌感染具有确切诊断价值（P＜0.05），且WBC、CRP联合检测AUC高于其单独检测（P＜0.05）；WBC、CRP单独检测对病毒感染无诊断价值（P＞0.05），但二者联合检测对病毒感染具有确切诊断价值（P＜0.05）。结论 血常规WBC联合CRP检测对急性发热患儿具有确切诊断价值，其可为细菌与病毒感染的鉴别提供可靠实验室依据。
Abstract:
Objective To explore the value of combined detection of blood routine and C-reactive protein (CRP) in children with acute fever.Methods A total of 100 children with acute fever admitted to the Second People’s Hospital of Linchuan District, Fuzhou City from May 2020 to May 2023 were selected as the research objects, including 59 children with bacterial infection and 41 children with viral infection. Blood routine and CRP tests were performed to compare the levels of white blood cell (WBC) and CRP in children with different types of infection. The positive detection rates of WBC, CRP detection and combined detection were counted, and the diagnostic efficacy of WBC, CRP detection and combined detection for different types of infection was analyzed.Results The levels of WBC and CRP in children with bacterial infectious fever were higher than those in children with viral infectious fever (P<0.05). The positive detection rate of bacterial infection and viral infection by combined detection of WBC and CRP was higher than that by single detection (P<0.05). WBC, CRP detection and combined detection had definite diagnostic value for bacterial infection (P<0.05), and the AUC of combined detection of WBC and CRP was higher than that of single detection (P<0.05). WBC and CRP alone had no diagnostic value for viral infection (P＞0.05), but the combined detection of the two had a definite diagnostic value for viral infection (P<0.05).Conclusion Routine blood WBC combined with CRP detection has a definite diagnostic value for children with acute fever, which can provide a reliable laboratory basis for the identification of bacterial and viral infections.

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更新日期/Last Update: 1900-01-01