儿科检验中CRP和血常规中白细胞计数联合检验的应用效果分析

杨金梅　李赵群

【摘要】 目的：研究分析CRP檢验联合血常规中白细胞计数检验在儿科检验中的应用效果。方法：选择2015年1月-2016年1月在本院进行治疗的儿科感染性疾病患儿64例作为观察组，根据携带病原体的不同将其分为病毒感染组33例和细菌感染组31例，另外选取同一时期来本院体检的健康儿童35例作为健康对照组。研究对象均进行血液样本的采集，然后由本院专业的技术人员对其进行CRP和白细胞计数检测，统计分析各组CRP水平、血常规中白细胞计数水平，统计记录各组患病阳性率及阴性率。结果：三组的CRP水平、白细胞计数水平比较，差异均有统计学意义（P<0.05）；病毒感染组的CRP水平、白细胞计数水平与健康对照组比较，差异均无统计学意义（P>0.05）。细菌感染组的CRP水平、白细胞计数水平均明显高于健康对照组，差异均有统计学意义（P<0.05）。在细菌感染组中，单纯采用CRP检测的阳性率为64.52%，单纯采取白细胞计数检测的阳性率为51.51%，但两者联合检测阳性率90.32%，三种检测方式相比，差异有统计学意义（P<0.05），两者联合检测的阳性率显著高于其他两种检测方式。结论：CRP和血常规中白细胞计数联合检验在临床儿科感染性疾病患者的诊断中有非常重要的价值，能为临床上医生的诊断以及治疗提供有效的依据，值得推广使用。

【关键词】 CRP； 白细胞计数； 联合检验； 儿科感染性疾病； 儿科检验

Analysis the Effect of CRP Combined With Leukocyte Count in Routine Blood Test in Pediatric Examination/YANG Jin-mei，LI Zhao-qun.//Medical Innovation of China，2017，14（27）：130-133

【Abstract】 Objective：To study the application effect of CRP combined with WBC count in routine blood test in pediatric examination.Method：64 cases of pediatric infectious diseases from January 2015 to January 2016 in our hospital were selected as the observation group，according to different pathogens，there were 33 cases of virus infection group and 31 cases of bacterial infection group.In addition，35 healthy children in our hospital during the same period were selected as the healthy control group.All subjects were collected blood samples，and then they were by the technical staff in our hospital for CRP detection and detection of WBC count.The levels of CRP and leukocyte count in routine blood were statistically analyzed，the positive rate and negative rate were recorded in each group.Result：The levels of CRP and WBC count in the three groups were statistically significant（P<0.05）；the levels of CRP and WBC count in the viral infection group were compared with the healthy control group，the differences were not statistically significant（P>0.05）；the levels of CRP and WBC count in the bacterial infection group were significantly higher than those of the healthy control group，the differences were statistically significant（P<0.05）.In the bacterial infection group，the positive rate of CRP detection was 64.52%，simply take the positive rate of WBC count detection was 51.51%，but the positive rate of joint test was 90.32%，three kinds of detection methods were compared，the difference was statistically significant（P<0.05），the positive rate of joint test was significantly higher than those of the other two kinds of detection methods.Conclusion：CRP combined with leukocyte count in routine blood test has very important clinical value in the diagnosis of pediatric infectious disease，to provide an effective basis for clinical diagnosis and treatment of the doctor，it is worth popularizing.endprint

【Key words】 CRP； WBC count； Joint test； Pediatric infectious diseases； Pediatric examination

First-authors address：Baoan District Central Hospital of Shenzhen，Shenzhen 518102，China

doi：10.3969/j.issn.1674-4985.2017.27.037

目前临床儿科中感染性疾病已经逐渐发展为非常常见的一种疾病，国内外发病率均非常高[1]。文献[2]研究显示，由于小儿发育不够完全，其身体免疫系统还不够健全，整体抵抗能力较弱，所以小儿群体非常容易受到外界环境的影响而引发各种细菌及病毒感染。由于小儿表达能力欠缺，且身体反应能力相对较差，所以儿童在患有系列的感染疾病的早期是难以发现的，但是当疾病发展至中期或是中后期后就会对小儿造成较大的威胁，严重影响到其日常生活和身体健康。所以临床上的早期诊断对于小儿感染性疾病的发现和治疗有非常重要的作用及意义[3-4]。……