CAJ | 학술논문

目的探讨血清降钙素原检测在儿童感染性疾病中的诊断价值.方法将324例患儿根据诊断的疾病分为病毒性感染疾病组(B组)、细菌性感染疾病组(A组)和非感染性疾病组(C组),所有患儿入院后即采集静脉血测全血细胞计数,采用免疫比浊法测定C-反应蛋白浓度,采用免疫色谱法测定PCT浓度.结果 A组PCT、CRP和CBC水平显著高于B组、C组,差异有统计学意义(P＜0.05);A组PCT阳性检出率显著高于B组、C组,差异有统计学意义(P＜0.05);A组PCT阳性检出率显著高于CRP阳性检出率和CBC阳性检出率,差异有统计学意义(P＜0.05).结论在儿童感染性疾病的诊断中,血清降钙素原是细菌感染性疾病的特异性指标,能够准确鉴别诊断细菌感染性疾病,有助于临床治疗方案的确定,帮助患者尽早康复.
목적 탐토혈청강개소원검측재인동감염성질병중적진단개치.방법 장324례환인근거진단적질병분위병독성감염질병조(B조)、세균성감염질병조(A조)화비감염성질병조(C조),소유환인입원후즉채집정맥혈측전혈세포계수,채용면역비탁법측정C-반응단백농도,채용면역색보법측정PCT농도.결과 A조PCT、CRP화CBC수평현저고우B조、C조,차이유통계학의의(P＜0.05);A조PCT양성검출솔현저고우B조、C조,차이유통계학의의(P＜0.05);A조PCT양성검출솔현저고우CRP양성검출솔화CBC양성검출솔,차이유통계학의의(P＜0.05).결론 재인동감염성질병적진단중,혈청강개소원시세균감염성질병적특이성지표,능구준학감별진단세균감염성질병,유조우림상치료방안적학정,방조환자진조강복.
Objective To explore the value of serum procalcitonin in the diagnosis of pediatric infectious diseases.Methods According to the diagnosis of the disease,324 cases were divided into a viral infection group (group B),a bacterial infection group (group A),and a non-infectious diseases group (group C).Complete blood count was carried out,C-reactive protein concentration was determined by immune turbidimetry,and PCT concentrations were measured by immune chromatography in all the children after being admitted into hospital.Result The levels of PCT,CRP,and CBC and the positive rate of PCT were significantly higher in group A than in group B and group C,with statistical differences (P ＜ 0.05).The PCT positive detection rate was significantly higher than the CRP positive detection rate and the CBC positive detection rate in group A,with statistical differences (P ＜ 0.05).Conclusions In the diagnosis of infectious diseases in children,the serum procalcitonin is a specific index of bacterial infections,can accurately diagnose bacterial infection and help pin down the clinical treatment plan,and is helpful for the patients' early rehabilitation.