首页|hs-C反应蛋白、WBC联合粪便常规检测对小儿肠炎的诊断价值分析

hs-C反应蛋白、WBC联合粪便常规检测对小儿肠炎的诊断价值分析

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目的:分析hs-C反应蛋白(hs-CRP)、白细胞(WBC)联合粪便常规检测对小儿肠炎的诊断价值.方法:选取我院 2022 年 6 月~2023 年 6 月肠炎儿童 60 例,根据肠炎类型分为细菌感染组(37 例)、病毒感染组(23 例),比较两组基线资料、hs-CRP、WBC水平及粪便常规,以病原微生物培养结果为金标准,分析三项指标以及联合检查肠炎类型的一致性和诊断效能.结果:细菌感染组hs-CRP、WBC、粪便常规阳性水平高于病毒感染组,临床症状中发热情况更多(P<0.05);三者联合诊断Kappa值为0.859,与金标准对照一致性高,且高于hs-CRP、WBC及粪便常规诊断结果(Kappa=0.690、0.590、0.633),三者联合诊断敏感度、特异度、准确率为 94.59%,91.30%,93.33%,其中敏感度高于WBC、粪便常规诊断,准确率高于WBC诊断(P<0.05).结论:细菌和病毒感染引起肠炎时,hs-CRP和WBC水平以及粪便常规检测存在显著差异,联合三项指标检测具有较高的诊断价值.
Diagnostic value of high-sensitivity C-reactive protein and white blood cell count combined with routine stool testing for enteritis in children
Objective:To analyze the diagnostic value of high-sensitivity C reactive protein(hs-CRP),white blood cell count(WBC)combined with routine stool testing for enteritis in children.Methods:Sixty children with enteritis admitted to the hospital from June 2022 to June 2023 were selected,and divided into the bacterial infection group(37 cases)and the viral infection group(23 cases)according to the type of enteritis.Baseline data,hs-CRP levels,WBC,and stool routine were compared between the two groups.The results of pathogenic microorganism culture were used as the gold standard to analyze the consistency and diagnostic efficacy of hs-CRP,WBC,stool routine,and their combination for the type of enteritis.Results:The level of hs-CRP,WBC,and positive rate of stool routine in the bacterial infection group were higher than those in the viral infection group,and fever was more common in clinical symptoms(P<0.05).Kappa value of joint diagnosis using the three was 0.859,indicating high consistency with the gold standard.Meanwhile,the value was higher than those of hs-CRP,WBC,and stool routine(Kappa values=0.690,0.590,0.633).The sensitivity,specificity,and accuracy of joint diagnosis using the three were 94.59%,91.30%,and 93.33%,respectively.The sensitivity was higher than that of WBC and stool routine,and the accuracy was higher than that of WBC(P<0.05).Conclusion:In children with enteritis caused by bacterial and viral infections,there are significant differences in hs-CRP level and WBC.The combination of hs-CRP,WBC and stool routine has high diagnostic value.

High-sensitivity C reactive proteinWBCStool routineEnteritis in children

王静

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开封市儿童医院检验科,河南 开封 475000

hs-C反应蛋白 WBC 粪便常规 小儿肠炎

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(10)