C-反应蛋白水平在小儿急性呼吸道感染的不同病原菌鉴别诊治的临床价值  

Clinical value of C-reaction protein in the diagnosis and treatment of children acute respiratory infection

作　　者：姚毅[1] 邓春晖[1] 张本金[1] 

机构地区：[1]达州市中心医院儿科,四川达州635000

出　　处：《四川医学》2012年第7期1214-1215,共2页Sichuan Medical Journal

摘　　要：目的探讨研究检测血清C-反应蛋白(CRP)水平对于诊治小儿急性呼吸道感染的不同病原菌的临床应用价值。方法选择2010年9月～2011年9月期间我院儿科病房就诊的180例急性呼吸道感染的患儿,根据细菌和血清学检测结果将180例患儿分为细菌感染组(102例)和支原体感染组(78例),同时选择门诊体检的72例健康儿童作为对照组,分别测定三组的CRP水平和白细胞计数。结果细菌感染组患儿血清CRP水平、白细胞计数及异常率均明显高于支原体感染组和对照组,差异有统计学意义(P<0.05);支原体感染组和对照组比较差异无统计学意义(P>0.05)。经过治疗后,细菌感染组CRP水平、白细胞计数及异常率均较治疗前明显降低,差异有统计学意义(P<0.05)。结论检测血清CRP水平有助于对小儿急性呼吸道感染的早期诊断,同时能动态检测治疗的效果。Objective To explore the clinical significance of C-reaction protein（CRP） in the diagnosis and treatment of children acute respiratory infection.Methods Collected 180 cases of acute respiratory infection from September 2010 to September 2011.According to the bacteria and serologic test results,180 cases were divided into bacteria infection group（n=102） and mycoplasma group（n=78）.Collected 72 healthy children as control group.Three groups were determined the CRP level and white blood count.Results Serum CRP level,white blood count and abnormal rates of bacteria infection group were significantly higher than that of mycoplasma group and control group,the difference was statistically significant,with P〈0.05.The difference between mycoplasma group and control group was not statistically significant,with P〈0.05.After treatment,serum CRP level,white blood count and abnormal rates of bacteria infection group were significantly higher than before,with P〈0.05.Conclusion Detection of serum CRP level has very important value of early diagnosis of children acute respiratory infection and dynamic testing the effects of the treatment.

关 键 词：C-反应蛋白 小儿 急性呼吸道感染 白细胞计数 临床价值 

分 类 号：R725.6[医药卫生—儿科]