海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
8期
1152-1153
,共2页
何凯%廖翠芳%邱莉%骆朋
何凱%廖翠芳%邱莉%駱朋
하개%료취방%구리%락붕
降钙素原%危重监护病房%感染性疾病
降鈣素原%危重鑑護病房%感染性疾病
강개소원%위중감호병방%감염성질병
PCT%ICU%Infectious disease
目的:探讨血清降钙素原对儿科危重监护病房感染性疾病的诊断以及预后判断的临床价值。方法回顾性分析我院儿科在2010年1月至2012年12月期间收治的120例感染性疾病患儿的临床资料,按照患者不同感染类型将上述患儿分为两组,其中细菌感染组65例,病毒感染组55例,对所有患儿进行血清降钙素原检查以及细菌血培养检查,选择同期在我院进行体检的正常儿童50例,对所有儿童的检查结果进行分析。结果细菌感染组患儿血清降钙素原检测结果为阳性者53例,阳性率为81.54%;病毒感染组患儿血清降钙素原检测结果为阳性者4例,阳性率为7.27%;正常组儿童血清降钙素原检测结果为阳性者为4例,阳性率为8.00%。细菌感染组患儿降钙素原阳性率显著高于病毒感染组和正常组,差异均具有统计学意义(P<0.05);病毒感染组患儿降钙素原阳性率与正常组差异无统计学意义(P>0.05)。结论血清降钙素原能够准确地反映患儿感染性疾病的程度,对于患儿疾病的诊断以及预后判断具有良好的临床应用价值,对于患儿疾病的诊断、治疗以及预后评估具有很好的指导意义,值得临床推广。
目的:探討血清降鈣素原對兒科危重鑑護病房感染性疾病的診斷以及預後判斷的臨床價值。方法迴顧性分析我院兒科在2010年1月至2012年12月期間收治的120例感染性疾病患兒的臨床資料,按照患者不同感染類型將上述患兒分為兩組,其中細菌感染組65例,病毒感染組55例,對所有患兒進行血清降鈣素原檢查以及細菌血培養檢查,選擇同期在我院進行體檢的正常兒童50例,對所有兒童的檢查結果進行分析。結果細菌感染組患兒血清降鈣素原檢測結果為暘性者53例,暘性率為81.54%;病毒感染組患兒血清降鈣素原檢測結果為暘性者4例,暘性率為7.27%;正常組兒童血清降鈣素原檢測結果為暘性者為4例,暘性率為8.00%。細菌感染組患兒降鈣素原暘性率顯著高于病毒感染組和正常組,差異均具有統計學意義(P<0.05);病毒感染組患兒降鈣素原暘性率與正常組差異無統計學意義(P>0.05)。結論血清降鈣素原能夠準確地反映患兒感染性疾病的程度,對于患兒疾病的診斷以及預後判斷具有良好的臨床應用價值,對于患兒疾病的診斷、治療以及預後評估具有很好的指導意義,值得臨床推廣。
목적:탐토혈청강개소원대인과위중감호병방감염성질병적진단이급예후판단적림상개치。방법회고성분석아원인과재2010년1월지2012년12월기간수치적120례감염성질병환인적림상자료,안조환자불동감염류형장상술환인분위량조,기중세균감염조65례,병독감염조55례,대소유환인진행혈청강개소원검사이급세균혈배양검사,선택동기재아원진행체검적정상인동50례,대소유인동적검사결과진행분석。결과세균감염조환인혈청강개소원검측결과위양성자53례,양성솔위81.54%;병독감염조환인혈청강개소원검측결과위양성자4례,양성솔위7.27%;정상조인동혈청강개소원검측결과위양성자위4례,양성솔위8.00%。세균감염조환인강개소원양성솔현저고우병독감염조화정상조,차이균구유통계학의의(P<0.05);병독감염조환인강개소원양성솔여정상조차이무통계학의의(P>0.05)。결론혈청강개소원능구준학지반영환인감염성질병적정도,대우환인질병적진단이급예후판단구유량호적림상응용개치,대우환인질병적진단、치료이급예후평고구유흔호적지도의의,치득림상추엄。
Objective To explore the clinical value of serum PCT detection in the diagnosis and prognosis of infectious disease in pediatric ICU. Methods 120 cases of children with infectious disease in the Pediatric Depart-ment of our hospital from January 2010 to December 2012 were retrospectively analyzed. According to different types of infections, these cases were divided into two groups. There were 65 cases in bacterial infection group while 55 cas-es in viral infection. All of these children had taken serum PCT detection and examination of bacteria in blood culture. Besides, 50 cases of normal children went through health examination in our hospital at the same term were chosen as the control group. The inspection results of all children were analyzed. Results In bacterial infection group, there were 53 positive cases of PCT detection and the positive results rate was 81.54%. In viral infection group, there were 4 pos-itive cases of PCT detection and the positive results rate was 7.27%. In normal children group, there were 4 positive cases of PCT detection and the positive results rate was 8.0%. The positive rate of PCT detection in bacterial infection group was significantly higher than those in viral infection group and normal group (P<0.05). The positive rate of PCT detection in vi-ral infection group and normal groups had no significant difference (P>0.05). Conclusion Serum PCT could accurately reflect the degree of infectious diseases in children and had a great clinical value and guiding significance in the diagnosis, treatment and prognosis of infectious disease in children, which is worthy of promotion.