CAJ | 학술논문

目的：探究血清 c 反应蛋白在小儿肺炎诊断中的应用意义。方法择取我院2013年7月至2014年12月，接收入院的小儿肺炎患者，共计110例。严格按照患者的患病类型，将其分成 A、B、C 三组。其中，A 组为病毒性肺炎患者，共计31例；B 组为细菌性肺炎患者，共计49例；C 组为支原体性肺炎患者，共计30例。择同期来我院行全身检查的健康儿，共计40例，并将其作为对照组。仔细观察并剖析各组患者的血清 c 反应蛋白水平检测值，同时准确的统计出各组检查结果为阳性的患者人数。结果 B 组血清 c 反应蛋白水平的检测值，明显高于另外三组，且其白细胞数也显著高于另外三组（P<0.05）。针对阳性检出率，不论是在 c 反应蛋白方面上，还是在白细胞方面上，B 组的检出率，均明显高于 B、C 两组，差异有统计学意义（P<0.05）。结论针对不同类型的小儿肺炎患者，其血清 c 反应蛋白水平的检测值都是存在着差异性的。因此，当在排除由其它因素诱发的血清 c 反应蛋白异常升高病症之后，可将 c 反应蛋白作为小儿肺炎疾病的一种临床诊断法。
목적：탐구혈청 c 반응단백재소인폐염진단중적응용의의。방법택취아원2013년7월지2014년12월，접수입원적소인폐염환자，공계110례。엄격안조환자적환병류형，장기분성 A、B、C 삼조。기중，A 조위병독성폐염환자，공계31례；B 조위세균성폐염환자，공계49례；C 조위지원체성폐염환자，공계30례。택동기래아원행전신검사적건강인，공계40례，병장기작위대조조。자세관찰병부석각조환자적혈청 c 반응단백수평검측치，동시준학적통계출각조검사결과위양성적환자인수。결과 B 조혈청 c 반응단백수평적검측치，명현고우령외삼조，차기백세포수야현저고우령외삼조（P<0.05）。침대양성검출솔，불론시재 c 반응단백방면상，환시재백세포방면상，B 조적검출솔，균명현고우 B、C 량조，차이유통계학의의（P<0.05）。결론침대불동류형적소인폐염환자，기혈청 c 반응단백수평적검측치도시존재착차이성적。인차，당재배제유기타인소유발적혈청 c 반응단백이상승고병증지후，가장 c 반응단백작위소인폐염질병적일충림상진단법。
Objective To explore significance of serum C reactive protein in diagnosis of infantile pneumonia. Method choose 110 cases children with pneumonia received in our hospital from July 2013 to December 2014. In strict accordance with patient's type, divide them into A, B, C group. Among them, group A was virus pneumonia patients, 31 cases, group B was bacterial pneumonia patients, 49 cases, group C was patients with mycoplasma pneumonia, 30 cases. Choose 40 healthy children at the same period examined in our hospital as control group. Observe and analyze serum level of C reactive protein of each group, and caculate patients of each group who were positive of test results.Results C reactive protein level in serum of group B was significantly higher than other three groups, and white blood cells also were significantly more than other three groups (P<0.05). Positive detection rate, C reactive protein level, white blood cells of B group were significantly higher than group B and C, and difference showed statistical significance(P<0.05). Conclusion level of C reactive protein in serum shows difference for children with different type of pediatric pneumonia. Therefore, after other factors are excluded to induce abnormal increase of serum C reactive protein level, C reactive protein can be used as a clinical diagnostic method for children with pneumonia.