中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
21期
3256-3258
,共3页
轮状病毒肠炎%儿童%血常规
輪狀病毒腸炎%兒童%血常規
륜상병독장염%인동%혈상규
Rotavirus enteritis%Infant%Routine blood test
目的:探讨轮状病毒(RV)肠炎儿童血常规的变化及临床意义。方法对314例 RV 肠炎患儿(观察组)在治疗前和治疗5~7 d 后采血,用全自动血细胞分析仪测定血常规参数[白细胞计数(WBC)、血小板计数(PLT)、血小板体积(MPV)、血小板分布宽度(PDW)、]同时测定 CRP,并与对照组(40例)比较。结果治疗前观察组 WBC(10.77±4.20)×109/L、PLT(330.02±117.70)×109/L、MPV(8.46±2.15)fL,均高于对照组[WBC(7.69±2.06)×109/L、PLT(298.45±57.19)×109/L、MPV(7.52±0.85)fL,t =4.569、1.670、2.746,P =0.000、0.000、0.047],差异均有统计学意义。治疗后观察组 WBC(7.76±2.83)×109/L、CRP(5.18±5.82)mg/L,均较治疗前[WBC(10.77±4.20)×109/L、CRP(7.70±11.28)mg/L]降低,差异均有统计学意义(t =9.794、2.810,均 P =0.000)。结论儿童 RV 肠炎常见 WBC、PLT、CRP 增高,不能单纯以WBC 和 CRP 增高作为腹泻患儿应用抗生素的指征。
目的:探討輪狀病毒(RV)腸炎兒童血常規的變化及臨床意義。方法對314例 RV 腸炎患兒(觀察組)在治療前和治療5~7 d 後採血,用全自動血細胞分析儀測定血常規參數[白細胞計數(WBC)、血小闆計數(PLT)、血小闆體積(MPV)、血小闆分佈寬度(PDW)、]同時測定 CRP,併與對照組(40例)比較。結果治療前觀察組 WBC(10.77±4.20)×109/L、PLT(330.02±117.70)×109/L、MPV(8.46±2.15)fL,均高于對照組[WBC(7.69±2.06)×109/L、PLT(298.45±57.19)×109/L、MPV(7.52±0.85)fL,t =4.569、1.670、2.746,P =0.000、0.000、0.047],差異均有統計學意義。治療後觀察組 WBC(7.76±2.83)×109/L、CRP(5.18±5.82)mg/L,均較治療前[WBC(10.77±4.20)×109/L、CRP(7.70±11.28)mg/L]降低,差異均有統計學意義(t =9.794、2.810,均 P =0.000)。結論兒童 RV 腸炎常見 WBC、PLT、CRP 增高,不能單純以WBC 和 CRP 增高作為腹瀉患兒應用抗生素的指徵。
목적:탐토륜상병독(RV)장염인동혈상규적변화급림상의의。방법대314례 RV 장염환인(관찰조)재치료전화치료5~7 d 후채혈,용전자동혈세포분석의측정혈상규삼수[백세포계수(WBC)、혈소판계수(PLT)、혈소판체적(MPV)、혈소판분포관도(PDW)、]동시측정 CRP,병여대조조(40례)비교。결과치료전관찰조 WBC(10.77±4.20)×109/L、PLT(330.02±117.70)×109/L、MPV(8.46±2.15)fL,균고우대조조[WBC(7.69±2.06)×109/L、PLT(298.45±57.19)×109/L、MPV(7.52±0.85)fL,t =4.569、1.670、2.746,P =0.000、0.000、0.047],차이균유통계학의의。치료후관찰조 WBC(7.76±2.83)×109/L、CRP(5.18±5.82)mg/L,균교치료전[WBC(10.77±4.20)×109/L、CRP(7.70±11.28)mg/L]강저,차이균유통계학의의(t =9.794、2.810,균 P =0.000)。결론인동 RV 장염상견 WBC、PLT、CRP 증고,불능단순이WBC 화 CRP 증고작위복사환인응용항생소적지정。
Objective To investigate the changes and clinical significance of routine blood test in infants with rotavirus enteritis.Methods The white blood cell count (WBC),the platelet parameters (PLT),the platelet volume (MPV)and the platelet distribution width (PDW)were detected by automatic blood cell analyzer respectively in 314 infants with rotavirus enteritis before and after the therapy for 5 -7 days.The C -reactive protein (CRP)was also detected,then made comparison with the normal control group (40 cases).Results The WBC (10.77 ±4.20)× 109 /L,PLT(330.02 ±117.70)×109 /L,MPV(8.46 ±2.15)fL in the infants with rotavirus enteritis were higher than the WBC(7.69 ±2.06)×109 /L,PLT(298.45 ±57.19)×109 /L and MPV(7.52 ±0.85)fL in the control group before the therapy.The differences were statistically significant (t value =4.569,1.670,2.746,P =0.000, 0.000 and 0.047).The WBC(7.76 ±2.83)×109 /L and CRP(5.18 ±5.82)mg/L in the infants with rotavirus enteritis after the therapy were lower than the WBC(10.77 ±4.20)×109 /L and CRP(7.70 ±11.28)mg/L before the therapy(t value =9.794 and 2.810,P =0.000).Conclusion The WBC,PLT and CRP in infants with rotavirus enteritis were usually higher.But the raise of WBC and CRP could not be the only indication of using antibiotic in infants suffered from diarrhea.