摘要
目的:探究C反应蛋白(CRP)、降钙素原(PCT)、肺炎支原体(MP)联合检测在肺炎患儿诊疗中的应用效果。方法:选取2018年4月-2019年2月于廉江康福医院接受治疗的肺炎患儿58例作为观察组,选取同期在本院进行体检的健康儿童58例作为对照组。分别抽取两组空腹静脉血,检测血清CRP、PCT及MP水平,并分析血清CRP、PCT及MP在肺炎患儿中的诊断效能。结果:与对照组相比,观察组CRP和PCT水平均较高,差异有统计学意义(P<0.05);与联合检测相比,单项指标的CRP、PCT和MP阳性检出率均较低,差异有统计学意义(P<0.05);与单项检测相比,CRP、PCT和MP的联合检测准确度、灵敏度、特异度均较高。结论:血清CRP、PCT和MP三项联合检测,有助于肺炎诊断准确度、灵敏度及特异度的提升,有效减少漏诊及降低误诊率,对肺炎早期诊治判断、临床治疗、预后评估具有重要意义。
Objective:To explore the effect of combined detection of C-reactive protein(CRP),procalcitonin(PCT)and Mycoplasma pneumoniae(MP)in the diagnosis and treatment of children with pneumonia.Methods:58 children with pneumonia who were treated in the hospital from April,2018 to February,2019 were selected as observation group,and 58 healthy children who underwent physical examination in the hospital during the same period were selected as control group.The levels of CRP,PCT and MP in serum were detected,and the diagnostic efficacy of CRP,PCT and MP in children with pneumonia was analyzed.Results:Compared with the control group,the levels of CRP and PCT in the observation group were higher,and the difference was statistically significant(P<0.05).Compared with the combined detection,the positive detection rates of CRP,PCT and MP in the single index were lower(P<0.05).Compared with the single detection,the combined detection accuracy,sensitivity and speeificity of CRP,PCT and MP were higher.Conclusion:The combined detection of serum CRP,PCT and MP is helpful to improve the accuracy,sensitivity and speeificity of pneumonia diagnosis,effectively reduce missed diagnosis and misdiagnosis rate,and is of great significance to early diagnosis and treatment,clinical treatment and prognosis evaluation of pneumonia.
作者
吕尔
LV Er(Department of Laboratory Medicine,Kangfu Hospital,Lianjiang,Zhanjiang,Guangdong,524400,China)
出处
《黑龙江医学》
2021年第1期60-61,64,共3页
Heilongjiang Medical Journal
关键词
肺炎
肺炎支原体
C反应蛋白
降钙素原
Pneumonia
Mycoplasma pneumoniae
C-reactive protein
Procalcitonin
