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儿童甲型、乙型流行性感冒临床特征及外周血早期预警指标

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目的 分析儿童甲型、乙型流行性感冒(简称流感)的临床特征及外周血特点,尤其是中性粒细胞、淋巴细胞比值的意义,以期提高对儿童流感的认识水平,为儿童流感的早期诊断提供参考依据.方法 选取发热和(或)上呼吸道感染症状的患儿428例,根据流感病毒抗原结果分为甲型流感病毒阳性(甲流组)172例、乙型流感病毒阳性(乙流组)132例及对照组124例,回顾性总结分析其流行病学特征、临床表现、外周血常规检查结果.结果 3组间外周血白细胞水平比较差异无统计学意义(P>0.05);甲流组和乙流组的外周血中性粒细胞、淋巴细胞、中性粒细胞与淋巴细胞比值(neutrophil-to-lymphocyte ratio,NLR)及C反应蛋白(C-reactive protein,CRP)水平分别与对照组比较,差异有统计学意义(P<0.05).但在甲流组和乙流组中性粒细胞、淋巴细胞、NLR、CRP比较差异无统计学意义(P>0.05).结论 外周血常规中性粒细胞比例、淋巴细胞比例、CRP及NLR可为流感患儿早期诊断提供参考依据.
Clinical characteristics and early warning indicators of influenza A and influenza B in children
Objective To analyze the clinical characteristics and peripheral blood characteristics of influenza A and B(hereinafter referred to as influenza)in children,especially the significance of neutrop hil-to-lymphocyte ratio(NLR),in order to improve the understanding level of influenza in children and provide reference for early diagnosis of influenza in children.Methods A total of 428 children with fever and/or upper respiratory tract infection were selected.According to the results of influenza virus antigen,they were divided into influenza A virus(IAV)positive group(IAV group,n=172),influenza B virus(IBV)positive group(IBV group,n=132)and control group(n=124).The epidemiological characteristics,clinical manifestations and routine examination results of peripheral blood were reviewed and analyzed.Results There were no significant differences in while blood cell(WBC)levels among the three groups(P>0.05).The levels of neutrophils,lymphocytes,NLR and C-reactive protein(CRP)in peripheral blood of IAV group and IBV group were significantly different from those of control group,respectively(P<0.05).However,there was no significant difference in neutrophils,lymphocytes,NLR,and CRP between IAV group and IBV group(P>0.05).Conclusion The proportion of neutrophils,lymphocytes,CRP and NLR in peripheral blood routine can provide reference for early diagnosis of influenza in children.

influenza,humandisease characteristicschild

张雯、魏博涛、马翠安、张同强

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天津市儿童医院,天津大学儿童医院感染科,天津市儿童出生缺陷防治重点实验室,天津 300134

流感,人 疾病特征 儿童

2025

河北医科大学学报
河北医科大学

河北医科大学学报

影响因子:0.678
ISSN:1007-3205
年,卷(期):2025.46(1)