白细胞计数、C反应蛋白及血清降钙素原联合检测诊断细菌性感染的效果评价  

Efficacy evaluation of combined detection of white blood cell count,C-reactive protein and serum procalcitonin in diagnosis of bacterial infection

作　　者：江俏 庞路勤 李伟征[1] 肖伟泉[1] 唐汉物 JIANG Qiao;PANG Luqin;LI Weizheng;XIAO Weiquan;TANG Hanwu(Department of Clinical Laboratory,Central People's Hospital of Zhanjiang,Zhanjiang,Guangdong 524046,China;Department of Gynecology,Central People's Hospital of Zhanjiang,Zhanjiang,Guangdong 524046,China)

机构地区：[1]湛江中心人民医院检验科,广东湛江524046 [2]湛江中心人民医院妇科,广东湛江524046

出　　处：《中国医学工程》2019年第7期62-64,共3页China Medical Engineering

摘　　要：目的研究白细胞计数(WBC)、C反应蛋白(CRP)联合血清降钙素原(PCT)检测对于细菌性感染患者的作用与效果。方法选出该院2016年3月至2018年8月28例非细菌感染患者,将其作为A组,另选出在此基础之上的51例细菌感染患者,将其作为B组。在B组中,选出32例革兰阳性细菌感染患者,将其作为阳性组,另选出在此基础之上的19例革兰阴性细菌感染患者,将其作为阴性组。对所有患者就CRP、WBC、PCT开展检测,观察比较其结果。结果A组患者的CRP、WBC、PCT对比B组患者来说更低(P<0.05);阳性组患者的PCT、CRP对比阴性组患者来说更低(P<0.05),且阳性组患者的WBC对比阴性组患者差异无统计学意义(P>0.05);B组患者在运用抗生素后,其CRP、WBC、PCT对比治疗以前来说更低(P<0.05)。结论对细菌性感染患者来说,运用WBC、CRP联合PCT检测,可以尽早明确诊断病症,同时,还可以提升诊断最后的正确性、灵敏度,辅助患者尽早运用科学的治疗方式,保障其预后,可推广。【Objective】To study the effects of white blood cell count(WBC),C-reactive protein(CRP)combined with serum procalcitonin(PCT)on patients with bacterial infection.【Methods】The data of twenty-eight patients with non-bacterial infections from March 2016 to August 2018 in our hospital were selected as group A.Fifty-one patients with bacterial infections were selected as the group B.In group B,32 patients with Gram-positive bacterial infection were selected as the positive group,and 19 patients with Gram-negative bacterial infection on this basis were selected as the negative group.All patients were tested for CRP,WBC and PCT,and the results were compared after study.【Results】The CRP,WBC and PCT in group A were significantly lower than those in group B(P<0.05).The PCT and CRP in the positive group patients were lower than those in the negative group(P<0.05),and the WBC in positive group versus negative group had no statistical difference(P>0.05).After using antibiotics,CRP,WBC and PCT in group B patients were lower than those before treatment(P<0.05).【Conclusion】For patients with bacterial infections,the use of WBC,CRP and PCT detection could clearly diagnose the disease as soon as possible.At the same time,it could improve the final correctness and sensitivity of the diagnosis,and assist patients to apply scientific treatment methods as early as possible to ensure their prognosis.

关 键 词：C反应蛋白 检测结果 白细胞计数 效果 降钙素原 细菌性感染 

分 类 号：R378[医药卫生—病原生物学]