摘要
目的 :探讨 C-反应蛋白 (CRP)在小儿急性上呼吸道感染诊断和治疗中的临床价值。方法 :选择 30 0例儿科的急性上呼吸道感染患儿 ,采集指端微量血用免疫比浊方法进行 C-反应蛋白检测 ,同时做血常规检查 ,将 C-反应蛋白结果与 WBC计数比较。结果 :C-反应蛋白 <8mg/ L 者 2 72例 (90 .7% ) ,C-反应蛋白 >8mg/ L 者 2 8例 (9.3% ) ,其中 C-反应蛋白为 8～ 16 mg/ L 者 5例 (1.7% ) ,C-反应蛋白 >16～ 10 0 mg/ L 者 16例 (5 .3% ) ,C-反应蛋白 >10 0 mg/ L 者 7例(2 .3% )。WBC计数 <10× 10 9/者 2 5 5例 (85 .0 % )。C-反应蛋白 <8mg/ L 2 72例中 ,WBC<10× 10 9/ L 2 4 6例 (90 .4 % ) ,WBC>10× 10 9/ L 2 6例 (9.6 % ) ;C-反应蛋白 >8mg/ L 2 8例中 ,WBC>10× 10 9/ L 19例 (6 7.9% ) ,WBC<10× 10 9/ L 9例 (32 .1% ) ,两者间差异有显著性意义 (P<0 .0 1)。 2 8例 C-反应蛋白增高经抗生素治疗后恢复正常。结论
Objective To explore the clinical value of C-reactive protein(CRP) test in the diagnosis and treatment of children with acute upper respiratory infection (AURI).Methods Three hundred cases of AURI were measured with the immune comparison method.The result of CRP was compared with the number of WBC.Results In the 300 cases, CRP was <8 mg/L(90.7%)in 272 cases, >mg/L(9.3%) in 28 cases, 8～16 mg/L(1.7%) in 5 cases,16～100 mg/L(5.3%) in 16 cases,>100 mg/L(2.3%) in 7 cases.The WBC number of 255 cases was <10×10 9/L(85.0%).CRP of 26 cases was <8 mg/L and the WBC number was >×10 9/L(9.6%).CRP of 9 cases was >8 mg/L and the WBC number <10×10 9/L(32.1%) (P<0.01).In 28 cases of CRP>mg/L,CRP was lower after treated with antibiotics.Conclusion CRP test is valuable in the the diagnosis of bacteria or the virus infection and the evaluation of the curative effect of the antibiotics among patients with AURI.
出处
《实用诊断与治疗杂志》
2004年第5期383-384,共2页
Journal of Practical Diagnosis and Therapy
关键词
C-反应蛋白
上呼吸道感染
儿童
抗生素
C-reactive protein
acute upper respiratory infection
children
antibiotics
