摘要
目的探讨CT平扫联合血清高敏C反应蛋白(CRP)、红细胞沉降率(ESR)水平检测对小儿支气管肺炎的诊断价值。方法选取我院2016年1月至2018年1月收治的确诊为小儿支气管肺炎的患儿82例纳入观察组,同时选取82例体检正常患儿纳入对照组,两组患儿均接受CT平扫及血清CRP、ESR水平检测,分别对两种检查方法的灵敏度、特异度以及诊断准确性进行计算,并与两种检查方法联合使用进行对比,分析两种检查方法联合使用对小儿支气管肺炎的诊断价值。结果观察组血清CRP、ESR水平与对照组比较,均高于对照组,数据差异均具有统计学意义(P<0.005)。CT平扫对小儿支气管肺炎检查具有明显的影像特征。CT平扫联合血清CRP、ESR水平检测对小儿支气管肺炎的灵敏度、特异性及准确性均高于单独CT平扫检查及单独血清CRP、ESR水平检测,数据差异具有统计学意义(P<0.05)。结论 CT平扫对小儿支气管肺炎病变情况显示清楚,其特有的影像征象联合血清CRP、ESR水平检测有效提高了对小儿支气管肺炎诊断的特异度、灵敏度以及准确性;从而帮助临床对小儿支气管肺炎进行诊断,及时制定方案实施治疗。
Objective To explore the diagnostic value of CT plain scan combined with serum high-sensitivity C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)in children with bronchopneumonia.Methods 82 children with bronchopneumonia diagnosed in our hospital from January 2016 to January 2018 were enrolled in the observation group,and 82 children with normal physical examination were enrolled in the control group.Two groups of children received CT scan and serum CRP and ESR detection.The sensitivity,specificity and diagnostic accuracy of the two methods were calculated,and compared with the combined use of the two methods.The diagnostic value of the combined use of the two methods for bronchopneumonia in children was analyzed.Results The levels of serum CRP and ESR in the observation group were higher than those in the control group(P<0.005).CT plain scan has obvious imaging features in children with bronchopneumonia.The sensitivity,specificity and accuracy of CT plain scan combined with serum CRP and ESR detection in children with bronchial pneumonia were higher than those of CT plain scan alone and serum CRP and ESR detection alone,with statistical significance(P<0.05).Conclusion CT plain scan can clearly show the pathological changes of bronchial pneumonia in children,and its unique imaging signs combined with serum CRP and ESR detection can effectively improve the specificity,sensitivity and accuracy of diagnosis of bronchial pneumonia in children,thus helping clinical diagnosis of bronchial pneumonia in children,and timely formulation of treatment programs.
作者
杨小菊
杨小兰
YANG Xiao-ju;YANG Xiao-lan(Department of Pediatrics,Tongjiang People's Hospital,Tongjiang 636700,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2019年第8期76-78,99,共4页
Chinese Journal of CT and MRI
基金
四川省教育厅重点项目(15ZA0205)
