降钙素原、超敏C反应蛋白和心肌酶CK-MB检测在轮状病毒性肠炎患儿中的诊断价值  

The value analysis of procalcitonin,Hardcopy Cable Replacement Profile and cardiac enzyme CK- MB in diagnosis and treatment of rotavirus ente- ritis

作　　者：吴香苓 

机构地区：[1]广东省深圳市龙岗区中心医院儿科,广东深圳518116

出　　处：《中国民族民间医药》2015年第11期90-91,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:探讨降钙素原(PCT)、超敏C反应蛋白(h CRP)以及心肌酶CK-MB检测对轮状病毒肠炎的诊断价值。方法:分别测定102例肠炎患儿及39例正常儿童血清PCT、h CRP和CK-MB水平,其中肠炎儿童根据病原体检测结果分为轮状病毒肠炎组、细菌感染肠炎组;根据脱水情况轮状病毒肠炎组又分为无脱水、轻度脱水和中重度脱水组,比较各组间PCT、h CRP和CK-MB水平。结果:细菌感染肠炎组PCT与h CRP均为阳性;而轮状病毒性肠炎组h CRP和CK-MB均为阳性。细菌感染肠炎组PCT、h CRP阳性率均明显高于轮状病毒肠炎组以及正常对照组;轮状病毒组CK-MB阳性率明显高于细菌感染肠炎组以及正常对照组,差异均有统计学意义(P<0.05)。轮状病毒性肠炎组随着脱水程度加重,CK-MB阳性率随之增高。结论:检测PCT和h CRP水平可用于鉴别诊断轮状病毒肠炎与细菌感染肠炎,并判断病毒性肠炎是否合并细菌感染;CK-MB水平可用于判断轮状病毒是否造成心肌损伤及判断肠炎的严重程度。Objective Study the diagnosis and treatment value of PCT,hCRP and CK-MB on rotavirus enteritis .Methods De-termine PCT,hCRP and CK-MB levels of 102 cases child patient and 39 cases healthy children ,then study their levels among the bacterial dysentery group,rotavirus enteritis group and normal group .At the same time ,study the three criteria among no dehydra-tion ,mild dehydration and severe dehydration group.Results Both PCT and hCRP of the bacterial dysentery had positive value;CK-MB and hCRP of rotavirus enteritis had positive value.The positive rate of hCRP and PCT of bacterial group were significantly higher than that in the other two groups （P＆lt;0.05 ）;positive rate of CK-MB in rotavirus group was significantly higher than that in bacterial group and normal group （P＆lt;0.05 ）.CK-MB of different degree of dehydration of rotavirus enteritis increased with the degree of de-hydration .Conclusion PCT and hCRP can be used to distinguish the rotavirus enteritis with bacterial dysentery group,and determine whether the rotavirus enteritis complicated with bacterial infection.CK-MB can be used to determine whether the rotavirus enteritis leading to myocardial injury and judging the degree of injury.

关 键 词：降钙素原 超敏C反应蛋白 心肌酶CK—MB 轮状病毒性肠炎 诊断价值 

分 类 号：R373.25[医药卫生—病原生物学]