未成熟粒细胞旗标对败血症患者的早期诊断价值  

Early diagnosis significance of immature granulocyte flag in patients with sepsis

作　　者：王乐见 史春娟[2] 李飞[1] 章希文 

机构地区：[1]台州市中心医院检验科,浙江台州318000 [2]台州市中心医院影像中心,浙江台州318000

出　　处：《检验医学》2015年第3期238-239,共2页Laboratory Medicine

摘　　要：目的探讨未成熟粒细胞(IG)对败血症患者的早期诊断价值。方法回顾分析185例疑似败血症患者,对其血培养及IG报警旗标结果进行统计分析。结果在185例样本中,血培养阳性134例,其中IG≤0.50%7例,IG≤3.00%32例,IG≤4.00%65例,IG>4.00%30例;血培养阴性51例,其中IG≤0.50%26例,IG≤3.00%17例,IG≤4.00%5例,IG>4.00%3例。在血培养阳性结果中,IG>3.00%组与其它组比较,差异均有统计学意义(P<0.05),在血培养阴性结果中,IG≤3.00%组与其它组比较,差异均有统计学意义(P<0.05)。结论 IG结果 >3.00%可作为败血症患者早期辅助诊断指标,对于提示败血症特异性好。Objective To investigate the early diagnosis significance of immature granulocyte（IG） in patients with sepsis.Methods A total of 185 in patients with suspected sepsis in our hospital between January 2008 and June 2013 were enrolled.Their relative data were analyzed retrospectively.The blood culture and peripheral blood IG warning flag results were analyzed statistically.Results Among the 185 cases,there were 134 cases of blood culture positive.There were IG ≤0.50%（7 cases）,IG ≤3.00%（32 cases）,IG ≤4.00%（65 cases） and IG〉 4.00%（30 cases）.Blood culture negative had 51 cases in the 185 cases,and IG ≤0.50%（26 cases）,IG ≤3.00%（17 cases）,IG ≤4.00%（5 cases） and IG〉 4.00%（3 cases）.It was significant between IG 3.00% group and the other groups（P〈0.05）,when the results of blood culture was positive.It was significant between IG ≤3.00% group and the other groups（P〈0.05）,when the results of blood culture was negative.Conclusions The results of IG〉 3.00% can be used as a early auxiliary diagnosis index for patients with sepsis.It has specificity in the diagnosis of sepsis.

关 键 词：未成熟粒细胞 败血症 血培养 

分 类 号：R446.11[医药卫生—诊断学]