摘要
目的分析小儿感染性肺炎诊断中运用血清降钙素原检测的效果。方法选取2020年1月1日至2022年12月31日清远市清城区人民医院收治的80例小儿感染性肺炎患儿纳入肺炎组,其中包括支原体感染患儿27例,病毒感染患儿27例,细菌感染患儿26例。选取同期年龄和性别匹配的30例健康儿童作为对照组。对比肺炎组和对照组的血清降钙素原水平,以及不同感染类型肺炎患儿的血清降钙素原水平。结果肺炎组患儿的血清降钙素原水平高于对照组[(5.75±1.21)μg/L vs.(0.26±0.05)μg/L,P<0.001]。细菌感染性肺炎患儿的血清降钙素原水平高于支原体感染、病毒感染,支原体感染性肺炎患儿的血清降钙素原水平高于病毒感染,差异具有统计学意义(均P<0.05)。以血清降钙素原>0.5μg/L为阳性标准,感染性肺炎患儿的血清降钙素原诊断检出率为97.50%(78/80)。结论在小儿感染性肺炎诊断中采用血清降钙素原检测,可以获得较高的诊断准确率,为患儿的对症治疗提供有效参考依据。
Objective To analyze the effect of using serum procalcitonin test in the diagnosis of pediatric infectious pneumonia.Methods Eighty cases of pediatric infectious pneumonia admitted to The People's Hospital of Qingcheng District Qingyuan from January 1,2020 to December 31,2022 were selected to be included in the pneumonia group,including 27 cases of mycoplasma infection,27 cases of viral infection,and 26 cases of bacterial infection.Thirty age and gender matched healthy children of the same period were selected as the control group.The serum procalcitonin levels of the pneumonia group and the control group were compared,as well as the serum procalcitonin levels of the children with pneumonia of different infection types.Results The serum procalcitonin levels of children in the pneumonia group were higher than those in the control group(5.75±1.21μg/L vs.0.26±0.05μg/L,P<0.001).Serum procalcitonin levels were higher in children with bacterial infectious pneumonia than in Mycoplasma infections and viral infections,and in children with Mycoplasma infectious pneumonia than in viral infections,and the differences were statistically significant(all P<0.05).With serum procalcitonin>0.5μg/L as the positive criterion,the diagnostic detection rate of serum procalcitonin in children with infectious pneumonia was 97.50%(78/80).Conclusions The use of serum procalcitonin in the diagnosis of pediatric infectious pneumonia can obtain a high diagnostic accuracy and provide an effective reference for the symptomatic treatment of children.
作者
黎国英
LI Guoying(The People's Hospital of Qingcheng District Qingyuan,Qingyuan 511500,China)
出处
《中国医药指南》
2023年第31期109-111,共3页
Guide of China Medicine
关键词
小儿感染性肺炎
血清降钙素原
诊断
Pediatric infectious pneumonia
Serum procalcitonin
Diagnosis
