C反应蛋白和白细胞计数在细菌感染快速诊断中的价值  

Study on the Clinical Value of C-reactive Protein and White Blood Count in Rapid Diagnosis of Bacterial Infection

作　　者：贾志凌[1] 杨永昌[1] 张淑艳[1] 

机构地区：[1]北京军区总医院检验科,北京100700

出　　处：《医学综述》2015年第9期1676-1677,共2页Medical Recapitulate

摘　　要：目的探讨C反应蛋白（CRP）、白细胞（WBC）计数在细菌感染中的临床诊断价值。方法收集2012年2~10月北京军区总医院已确诊的50例细菌感染病患者作为细菌感染组,34例体格检查健康者作为健康对照组,检测两组受试者CRP值和WBC计数,并对检测结果进行分析。结果细菌感染患者的CRP值、WBC计数具有相同的升高趋势,且细菌感染组的CRP值和WBC计数均显著高于健康对照组（均P〈0.01）;CRP值阳性率与WBC计数阳性率差异有统计学意义（P〈0.05）。结论 WBC计数操作简便,成本低廉,CRP的测定结果敏感性较高,两种指标在细菌感染快速诊断中均具有较高的临床应用价值。Objective To explore the clinical value of C-reactive protein （CRP） and white blood count （WBC） in the diagnosis of bacterial infection. Methods A total of 50 cases of bacterial infection admitted in General Hospital of Chinese PLA Beijing command from Feb. to Oct. 2012 were selected as the bacterial infection group,and another 34 cases underwent physical examination in the hospital during the same perod were selected as the healthy control group. CRP value and WBC of the two groups were analyzed. Results In the bacterial infection group ,CRP and WBC had similar trend of rise. And the values of CRP and WBC of bacterial infection group were significantly higher than those of healthy control group（ P 〈 0. 01 ） ,and differ- ence of the positive rates between CRP and WBC was statistically significant （ P 〈 0. 05 ）. Conclusion Obtaining WBC is easy to operate with low cost, while CRP has high sensitivity, both of the two indicators have superior clinical application value in early diagnosis of bacterial infection.

关 键 词：细菌感染 C反应蛋白 白细胞计数 

分 类 号：R446.1[医药卫生—诊断学] R446.6[医药卫生—临床医学]