摘要
目的观察小儿急性阑尾炎应用尿常规检验与C-反应蛋白(CRP)诊断的价值及意义。方法选取2018年2月至2019年8月于本院接受治疗的急性阑尾炎患儿244例为研究对象,根据临床检查方式不同分为常规组(尿常规检验)和CRP组(CRP检验),各122例。比较两组准确率、检测时间、不同类型阑尾炎的阴性率与阳性率、家属及患儿的检查满意率。结果CRP组诊断小儿急性阑尾炎准确率为95.90%,显著高于常规组的80.33%,检验时间显著长于常规组(P<0.05);CRP组单纯急性阑尾炎阳性率为95.89%,显著高于常规组的78.08%(P<0.05);CRP组其他类型阳性率高于常规组,但差异无统计学意义;CRP组满意率为90.16%,显著高于常规组的75.41%(P<0.05)。结论两种诊断方法价值均较高,但CRP诊断准确率显著高于尿常规,由于CRP诊断所需时间较长,临床可根据患儿实际情况进行选择。
Objective To observe the value and significance of routine urine tests and C-reactive protein(CRP)diagnosis in children with acute appendicitis.Methods 122 children with acute appendicitis who were treated in our hospital from February 2018 to August 2019 were selected as the research subjects,and they were divided into conventional group(routine urine tests)and CRP group(CRP diagnosis)according to different clinical examination methods,with 122 cases in each group.The accuracy rate,test time,negative rate and positive rate of different types of appendicitis,and the satisfaction rate of family members and children were compared between the two groups.Results The accuracy rate of diagnosing pediatric acute appendicitis in the CRP group was 95.90%,which was significantly higher than 80.33%in the conventional group,and the examination time in the CRP group was significantly longer than that in the conventional group(P<0.05).The positive rate of simple acute appendicitis in the CRP group was 95.89%,which was significantly higher than 78.08%in the conventional group(P<0.05);the positive rate of other types in the CRP group was higher than that in the conventional group,but there was no significant difference;the satisfaction rate was 90.16%in the CRP group,which was significantly higher than that in the conventional group(P<0.05).Conclusion Both diagnostic methods have good value,but the accuracy rate of CRP diagnosis is significantly higher than that of urinary routine.Due to the long time required for the diagnosis of CRP,clinical choices can be made according to the actual situation of children.
作者
李天雨
LI Tianyu(Department of Surgical,Anshan Women and Children Hospital,Anshan,Liaoning,114000,China)
出处
《当代医学》
2021年第21期54-56,共3页
Contemporary Medicine
关键词
尿常规
CRP
小儿急性阑尾炎
临床价值
Urine routine
CRP
Pediatric acute appendicitis
Clinical value
