血细胞形态联合血常规在婴幼儿感染疾病诊断中的应用分析  

Application Analysis of Blood Cell Morphology Combined with Blood Routine in Diagnosis of Infectious Diseases of Infants and Young Children

作　　者：劳武斌 蒙浣婷 劳力 LAO Wubin;MENG Huanting;LAO Li(Laboratory Department,Foshan City Fosun Chancheng Hospital,Foshan,Guangdong 528000)

机构地区：[1]佛山复星禅诚医院检验科,广东佛山528000

出　　处：《智慧健康》2024年第6期72-75,80,共5页Smart Healthcare

基　　金：佛山市卫健局2023年立项课题《外周血细胞异常形态对儿童感染性疾病的诊断价值研究》(项目编号:20230235)。

摘　　要：目的 观察血细胞形态联合血常规在婴幼儿感染疾病诊断中的应用效果。方法 选取2023年1—5月本院收治的感染疾病患儿400例作为观察组研究对象,另选取同期健康婴幼儿400例作为对照组研究对象,两组婴幼儿均采用血细胞形态、血常规检测,观察两组血常规指标水平(WBC、NLR、LDR、RDW),并比较单一诊断准确率和联合诊断准确率。结果 观察组患儿的LDR比对照组更低,RDW、WBC、NLR比对照组更高,差异有统计学意义(P<0.05)。观察组患儿的NLR比对照组更低,RDW、WBC、LDR比对照组更高,差异有统计学意义(P<0.05),联合诊断的准确率显著高于单一血常规诊断和血细胞形态诊断,差异有统计学意义(P<0.05)。结论 婴幼儿感染疾病的诊断选择血细胞形态联合血常规检测更有诊断价值,准确率更高,为制定治疗方案提供了更加科学可靠的依据。Objective To observe application effect of blood cell morphology combined with blood routine in diagnosis of infectious diseases in infants and young children.Methods The paper chose 400 infants and young children with infectious diseases admitted to our hospital from January to May 2023 as observation group,and another 400 healthy infants and young children during the same period as control group.Both groups of infants and young children were tested for blood cell morphology and blood routine.Blood routine indicators(WBC,NLR,LDR,RDW)between two groups were observed,accuracy of single diagnosis and combined diagnosis was compared.Results Bacterial infection:LDR of observation group was lower than control group,and RDW,WBC,and NLR was higher than control group,with statistical significance indicating(P<0.05).Viral infection:NLR of observation group was lower than control group,and RDW,WBC,and LDR was higher than control group,with statistical significance(P<0.05).Accuracy of combined diagnosis was significantly higher than single blood routine diagnosis and blood cell morphology diagnosis,with statistical significance(P<0.05).Conclusion Combination of blood cell morphology and blood routine testing has high value and accuracy for diagnosing infectious diseases of infants and young children,and scientific and reliable basis for formulating treatment scheme.

关 键 词：血细胞形态 血常规 婴幼儿 疾病感染 诊断准确率 

分 类 号：R725.1[医药卫生—儿科]