肠道门诊急性腹泻患者检验指标与治疗的临床分析  

Clinical analysis of examination indicators and treatment for acute diarrhea patients in intestinal outpatinets

作　　者：李英[1] 方琳[1] 王学民[1] 王秋义 Li Ying;Fang Lin;Wang Xuemin;Wang Qiuyi(Department of Internal Medicine,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津市天津医院内科,天津300211

出　　处：《实用检验医师杂志》2023年第3期225-228,共4页Chinese Journal of Clinical Pathologist

摘　　要：目的分析在肠道门诊就诊的急性腹泻患者血常规、粪常规检验结果与治疗方案的关系,为急性腹泻的临床诊疗提供参考依据。方法选择2023年5—9月天津医院肠道门诊收治的486例急性腹泻患者作为研究对象,采集其静脉血和粪便样本进行白细胞计数(WBC)、中性粒细胞比例(NEU%)、淋巴细胞比例(LYM%)及血细胞比容(HCT)等血常规检验和粪常规检验,分析检验结果与治疗方案的关系。结果486例急性腹泻患者的粪便样本中检出细菌性痢疾56例,感染性腹泻66例,普通腹泻364例。血常规检验结果可见,细菌性和感染性腹泻患者的WBC、NEU%、LYM%、HCT异常者占比均明显高于普通腹泻患者[WBC>10×10^(9)/L:80.32%(98/122)比28.85%(105/364),NEU%>75.00%:86.06%(105/122)比26.65%(97/364),LYM%<20.00%:46.72%(57/122)比4.40%(16/364),HCT>49.00%:9.02%(11/122)比1.92%(7/364),均P<0.05]。进行粪常规检验结果可见,普通腹泻患者发生水样便的比例明显高于细菌性和感染性腹泻患者[91.21%(332/364)比13.11%(16/112),P<0.05],而发生黏液便的比例明显低于细菌性和感染性腹泻患者[1.92%(11/364)比72.95%(89/112),P<0.05]。细菌性和感染性腹泻患者的抗菌药物处方率明显高于普通腹泻患者[74.59%(91/122)比3.57%(13/364),P<0.05]。结论常规检验对急性腹泻的诊疗有一定参考价值,但应进行更准确、全面的临床检测,以便为临床诊疗提供更精准的参考依据,联合中成药治疗对绝大多数普通腹泻患者和部分感染性腹泻患者有相当高的应用价值。Objective To analyze the relationship between blood and fecal routine test results and treatment plans of acute diarrhea patients in intestinal outpatient department,and provide reference basis for the clinical diagnosis and treatment of acute diarrhea.Methods The 486 patients with acute diarrhea admitted to the intestinal clinic of Tianjin Hospital from May to September 2023 were selected as research objects.Venous blood and fecal samples were collected for blood and fecal routine tests,including white blood cell count(WBC),neutrophil ratio(NEU%),lymphocyte ratio(LYM%)and hematocrit(HCT).The relationship between the test results and treatment plan was analyzed.Results In fecal samples of 486 patients with acute diarrhea,56 cases of bacterial dysentery,66 cases of infectious diarrhea and 364 cases of ordinary diarrhea were detected.In the blood routine test results,the proportions of WBC,NEU%,LYM%and HCT abnormalities in patients with bacterial and infectious diarrhea were higher than those in patients with ordinary diarrhea[WBC>10×10^(9)/L:80.32%(98/122)vs.28.85%(105/364),NEU%>75.00%:86.06%(105/122)vs.26.65%(97/364),LYM%<20.00%:46.72%(57/122)vs.4.40%(16/364),HCT>49.00%:9.02%(11/122)vs.1.92%(7/364),all P<0.05].The results of routine fecal test showed that the proportion of watery stools in patients with ordinary diarrhea was higher than that in patients with bacterial and infectious diarrhea[91.21%(332/364)vs.13.11%(16/112),P<0.05],while the proportion of mucous stools was lower than that in patients with bacterial and infectious diarrhea[1.92%(11/364)vs.72.95%(89/112),P<0.05].The prescription rate of antibacterial drugs in patients with bacterial and infectious diarrhea was higher than that in patients with ordinary diarrhea[74.59%(91/122)vs.3.57%(13/364),P<0.05].Conclusions Routine tests have certain reference value for the diagnosis and treatment of acute diarrhea,but more accurate and comprehensive tests should be carried out to provide more accurate reference.The combination of traditional Chinese patent me

关 键 词：血常规检验 粪常规检验 常规用药 急性腹泻 相关性 

分 类 号：R574.62[医药卫生—消化系统]