小儿支气管肺炎支原体感染的血小板、白细胞数、尿蛋白检验及支原体联合检测的诊断效能分析  

Analysis of the Diagnostic Efficacy of Platelet,White Blood Cell Counts,Urine Protein Tests,and Mycoplasma Combination Tests in Pediatric Mycoplasma Bronchopneumonia Infections

作　　者：谈鸥 崔昊 许凤姣 TAN Ou;CUI Hao;XU Fengjiao(Department of Laboratory,Yixing Hospital of Traditional Chinese Medicine,Yixing,Jiangsu Province,214200 China)

机构地区：[1]宜兴市中医医院检验科,江苏宜兴214200

出　　处：《系统医学》2024年第2期173-177,共5页Systems Medicine

摘　　要：目的探讨小儿支气管肺炎支原体感染的血小板、白细胞数、尿蛋白检验及支原体联合检测的诊断效能。方法随机选取2022年3月—2023年3月于宜兴市中医医院就诊的150例支气管肺炎患儿作为研究对象,根据支气管肺炎患儿是否合并支原体感染分为两组,其中对照组75例,为非支原体感染患儿;观察组75例,为支原体感染患儿。对两组患儿血小板、白细胞、尿蛋白水平以及免疫球蛋白A(Immunoglobulin A,IgA)、免疫球蛋白G(Immunoglobulin G,IgG)水平进行联合检验,分析其诊断效能。结果观察组患儿血小板为(387.69±40.25)×10^(9)/L,白细胞为(6.82±3.24)×10^(9)/L,尿蛋白为(140.59±20.57)mg/24 h,均显著高于对照组,差异有统计学意义(t=8.562、2.118、2.981,P均<0.05)。观察组患儿的IgA、IgG水平低于对照组,差异有统计学意义(P均<0.05)。以支气管肺炎为状态变量,以PCT、WBC、尿蛋白、IgA、IgG水平为检验变量,绘制ROC曲线分析,结果显示在联合指标检测中,5项指标联合的AUC值最高。结论对支气管肺炎支原体感染患儿进行血小板、白细胞、尿蛋白水平以及支原体联合检测尤为重要,可有效对患儿病情进行监测,是临床中切实有效的检测指标。Objective To explore the diagnostic efficacy of platelet,white blood cell count,urine protein test and my⁃coplasma combined test in pediatric mycoplasma bronchopneumonia infection.Methods 150 cases of children with pediatric bronchopneumonia diagnosed in Yixing Hospital of Traditional Chinese Medicine from March 2022 to March 2023 were randomly selected for the study,and the children with bronchopneumonia were divided into 2 groups ac⁃cording to whether they were combined with mycoplasma infection.The control group contained 75 children with nonmycoplasma infections,and the observation group contained 75 children with mycoplasma infections.Platelet,white blood cell,urinary protein level,immunoglobulin A(IgA)and immunoglobulin G(IgG)levels were tested jointly to ana⁃lyze the diagnostic efficacy of the two groups.Results The platelets were(387.69±40.25)×10^(9)/L,the white blood cells were(6.82±3.24)×10^(9)/L,and the urinary proteins were(140.59±20.57)mg/24 h of the children in the observation group,which were significantly higher than those of the control group,and the differences were statistically significant(t=8.562,2.118,2.981,all P<0.05).The IgA level and IgG level of children in the observation group was lower than those of the control group,and the differences were statistically significant(both P<0.05).With bronchopneumonia as the state variable,and PCT,WBC,urinary protein,IgA,and IgG levels as the test variables,ROC curve analysis was plotted,and the AUC value of the five indicators combined was the highest in the joint indicator test.Conclusion The combined detection of platelets,white blood cells,urinary protein level and mycoplasma in children with pediatric my⁃coplasma bronchopneumonia infection is especially important,which can effectively monitor the condition of the chil⁃dren,and it is a practical and effective detection index in the clinic.

关 键 词：小儿支气管肺炎 支原体感染 血小板数目 白细胞数目 尿蛋白检验 

分 类 号：R101[医药卫生—公共卫生与预防医学]