血小板压积、血清白细胞、血小板计数水平联合检测对肝硬化合并自发性腹膜炎早期诊断的价值  

The Value of Combined Detection of Plateletcrit,Serum White Blood Cell and Platelet Count Levels in Early Diagnosis of Cirrhosis Complicated with Spontaneous Peritonitis

作　　者：李虤 徐华栋 易清平 胡小雄 LI Yan;XU Huadong;YI Qingping;HU Xiaoxiong(Yichun People's Hospital,Jiangxi Province,Yichun 336000,China;不详)

机构地区：[1]江西省宜春市人民医院,江西宜春336000

出　　处：《中国医学创新》2023年第33期63-66,共4页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(20204728)。

摘　　要：目的:分析血小板压积(PCT)、血清白细胞(WBC)、血小板计数(PLT)水平联合检测对肝硬化患者合并自发性腹膜炎早期诊断的价值。方法:回顾宜春市人民医院肝病科2021年12月—2022年12月收治的82例疑似肝硬化合并自发性腹膜炎患者的临床资料,所有患者入院后均进行PCT、WBC及PLT检测,统计对比三者检测结果,并分析三者单独与联合用于肝硬化合并自发性腹膜炎患者的诊断效能。结果:PCT、WBC、PLT三者单独诊断肝硬化合并自发性腹膜炎的诊断准确率、敏感度、特异度、阳性预测值、阴性预测值比较,差异均无统计学意义(P>0.05)。PCT、WBC、PLT联合诊断肝硬化合并自发性腹膜炎的阳性预测值与三者单一诊断比较,差异均无统计学意义(P>0.05)。PCT、WBC、PLT联合诊断肝硬化合并自发性腹膜炎的诊断准确率、特异度、敏感度、阴性预测值均显著高于单一诊断时,差异均有统计学意义(P<0.05)。结论:PCT、WBC、PLT联合检测时较之三者单一检测时对肝硬化合并自发性腹膜炎患者具有较高早期诊断价值。Objective:To analyze the value of combined detection of plateletcrit(PCT),serum white blood cell(WBC),platelet count(PLT)level in the early diagnosis of cirrhosis complicated with spontaneous peritonitis.Method:The clinical data of 82 patients with suspected cirrhosis complicated with spontaneous peritonitis admitted to the Department of Hepatology of Yichun People's Hospital from December 2021 to December 2022 were reviewed.All patients were tested for PCT,WBC and PLT after admission,and the results of the three tests were statistically compared,and the diagnostic efficacy of the three alone and combined in patients with cirrhosis complicated with spontaneous peritonitis were analyzed.Result:There were no significant differences in the diagnostic accuracy rate,sensitivity,specificity,positive predictive value and negative predictive value of PCT,WBC and PLT alone in the diagnosis of cirrhosis combined with spontaneous peritonitis(P>0.05).The positive predictive value of PCT,WBC and PLT combined diagnosis of cirrhosis combined with spontaneous peritonitis compared with the single diagnosis,the differences were no statistically significant(P>0.05).The diagnostic accuracy rate,specificity,sensitivity and negative predictive value of PCT,WBC and PLT combined diagnosis of cirrhosis combined with spontaneous peritonitis were significantly higher than those of single diagnosis,the differences were statistically significant(P<0.05).Conclusion:The combined detection of PCT,WBC and PLT has higher early diagnostic value for patients with cirrhosis and spontaneous peritonitis compared to the single detection of the three.

关 键 词：血小板压积 血清白细胞 血小板 肝硬化 自发性腹膜炎 

分 类 号：R575.2[医药卫生—消化系统] R572.2[医药卫生—内科学]