CAJ | 학술논문

目的：探究降钙素原、C反应蛋白及白细胞计数在小儿感染性肺炎的临床鉴别诊断中的意义。方法选取我院2013年10月~2014年4月住院小儿肺炎90例患儿为观察组，选取同期住院的非肺炎小儿54例为对照组，对两组患儿进行降钙素原、C反应蛋白及白细胞计数的检验，并进行比较分析。结果观察组中CRP的（+）检出率为47.78%，WBC的（+）检出率为38.87%，PCT的（+）检出率为91.11%；两组患儿在CRP、WBC、PCT三项检测指标的比较上x2分别为36.5287、16.8201、109.3631，差异有统计学意义（P＜0.05）。结论降钙素原、C反应蛋白及白细胞计数的监测有助于临床上对小儿感染性肺炎的鉴别诊断，对其动态的检测可促进细菌性肺炎的确诊，具有高度的临床使用价值。
목적：탐구강개소원、C반응단백급백세포계수재소인감염성폐염적림상감별진단중적의의。방법선취아원2013년10월~2014년4월주원소인폐염90례환인위관찰조，선취동기주원적비폐염소인54례위대조조，대량조환인진행강개소원、C반응단백급백세포계수적검험，병진행비교분석。결과관찰조중CRP적（+）검출솔위47.78%，WBC적（+）검출솔위38.87%，PCT적（+）검출솔위91.11%；량조환인재CRP、WBC、PCT삼항검측지표적비교상x2분별위36.5287、16.8201、109.3631，차이유통계학의의（P＜0.05）。결론강개소원、C반응단백급백세포계수적감측유조우림상상대소인감염성폐염적감별진단，대기동태적검측가촉진세균성폐염적학진，구유고도적림상사용개치。
Objective To explore significances of differential clinically diagnosis of procalcitonin, C-reactive protein and white blood cell count in children with infectious pneumonia. Methods Ninety children with infantile pneumonia admitted by this hospital from October 2013 to April 2014 were selected into the observation group, 54 patients with pneumonia admitted by this hospital during such period were selected into the control group, calcitonin, procalcitonin, C-reactive protein and white blood cell count tests were applied on patients in two groups, and results were compared and analyzed. Results The (+) detection rate of CRP in the observation group was 47.78%, the (+) detection rate of WBC hit 38.87%,(+)detection rate of PCT hit 91.11%. The comparison x2 in three test index CRP, WBC and PCT hit 36.5287, 16.8201, and 109.3631, P < 0.05 respectively, and the difference was statistically significant. Conclusion The monitoring on procalcitonin, C-reactive protein and white blood cell count is helpful to differential diagnosis on pediatric infectious pneumonia clinically, and dynamic testing is capable of promoting the diagnosis of bacterial pneumonia,being of high value of clinical use.