CAJ | 학술논문

目的：研究通过对降钙素原（PCT）进行检测，明确其在小儿肠炎中的诊断价值。方法研究对象为2013年1月～2014年11月我院门诊收集的150例肠炎患儿，其中80例细菌性肠炎患儿作为观察组，70例病毒性肠炎患儿作为对照组，两组患儿均进行血清降钙素原、超敏C反应蛋白、白细胞的测定，以此进行临床评价。结果细菌性小儿肠炎中PCT诊断的敏感性为91.25％，特异性为97.50％。两组患儿在CRP、WBC、PCT三项指标检测阳性率比较，差异有统计学意义（P＜0.05）。结论血清降钙素原、超敏C反应蛋白、白细胞等指标的测定有助于临床对小儿肠炎的鉴别诊断；在细菌性肠炎中血清降钙素原检测的诊断较其余指标临床使用价值更高，值得在临床推广。
목적：연구통과대강개소원（PCT）진행검측，명학기재소인장염중적진단개치。방법연구대상위2013년1월～2014년11월아원문진수집적150례장염환인，기중80례세균성장염환인작위관찰조，70례병독성장염환인작위대조조，량조환인균진행혈청강개소원、초민C반응단백、백세포적측정，이차진행림상평개。결과세균성소인장염중PCT진단적민감성위91.25％，특이성위97.50％。량조환인재CRP、WBC、PCT삼항지표검측양성솔비교，차이유통계학의의（P＜0.05）。결론혈청강개소원、초민C반응단백、백세포등지표적측정유조우림상대소인장염적감별진단；재세균성장염중혈청강개소원검측적진단교기여지표림상사용개치경고，치득재림상추엄。
Objective To investigate the clinically diagnostic value of procalcitonin (PCT) on pediatric enteritis by determinate.Methods150 children with pediatric enteritis admitted by the outpatient service of our hospital from January 2013 to December 2013 were selected as research subject, in which 80 children with bacterial enteritis were divided into the observation group, 70 patients with viral enteritis children were divided into the control group, serum procalcitonin, hypersensitive c-reactive protein and white blood cells in two groups were measured, and clinically diagnosed.ResultsThe diagnostic sensitivity and specificity of PCT in pediatric bacterial enteritis were 91.25% and 97.50% respectively. The determination rates of three positive indicators including CRP, WBC and PCT were compared (P<0.05), and there were statistically significant differences.Conclusion The determinations on the serum procalcitonin, hypersensitive C-reactive protein and white blood cells make for clinically differential diagnosis of pediatric enteritis. And they deliver higher clinical use value in the determination on serum procalcitonin of bacterial enteritis in the diagnosis when compared to that of rest indicators, is worth popularizing in clinical practices.