首页|儿童支原体肺炎检测中CRP、IgM、IgG、PCT指标的临床意义分析

儿童支原体肺炎检测中CRP、IgM、IgG、PCT指标的临床意义分析

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目的 探讨在儿童支原体肺炎检测中C反应蛋白(C-reactive Protein,CRP)、免疫球蛋白指标M(Immuno-globulin M,IgM)、免疫球蛋白指标G(IgG)、降钙素原(Procalcitonin,PCT)指标的临床意义.方法 选取2019年11月—2022年4月赣榆区人民医院收治的支原体肺炎患儿120例作为观察组,并在同期体检健康儿童中选取120例作为对照组,均接受CRP、IgM、IgG、PCT等指标检测,根据其检测水平进行分析.结果 观察组患儿的CRP为(15.35±3.08)mg/L、PCT为(0.66±0.11)ng/L,比对照组CRP的(4.08±0.72)mg/L、PCT(0.31±0.06)ng/L高,差异有统计学意义(t=39.031、30.599,P均<0.05);观察组中急性期患儿的CRP、PCT指标水平明显高于恢复期患儿指标水平,差异有统计学意义(P均<0.05);观察组患儿的IgM、IgG、IgE水平较对照组高,IgA水平较对照组低,差异有统计学意义(P均<0.05).结论 支原体肺炎患儿接受免疫球蛋白指标、CRP、PCT指标检测,其指标值可良好地反映患儿病情,IgA水平较低,其他指标均升高,因此对以上指标进行密切监测,为支原体肺炎疾病诊断、治疗提供数据参考.
Clinical Significance of CRP,IgM,IgG and PCT in the Detection of Myco-plasma Pneumonia in Children
Objective To explore the clinical significance of C-reactive protein(CRP),immunoglobulin M(IgM),IgG and procalcitonin(PCT)in the detection of mycoplasma pneumonia in children.Methods 120 children with myco-plasma pneumonia admitted to Ganyu District People's Hospital from November 2019 to April 2022 were selected as the observation group,and 120 healthy children underwent physical examination in the hospital during the same pe-riod were selected as the control group.All children were tested for CRP,IgM,IgG,PCT and other indicators,and were analyzed according to their detection levels.Results The CRP and PCT of observation group were(15.35±3.08)mg/L and(0.66±0.11)ng/L,which were higher than those of control group(4.08±0.72)mg/L and(0.31±0.06)ng/L,and the differences were statistically significant(t=39.031,30.599,both P<0.05).In the observation group,the levels of CRP and PCT in the acute stage were significantly higher than those in the convalescent stage,and the differences were sta-tistically significant(both P<0.05).The levels of IgM,IgG and IgE in observation group were higher than those in con-trol group,and the levels of IgA were lower than those in control group,and the differences were statistically signifi-cant(all P<0.05).Conclusion Children with mycoplasma pneumonia were tested by immunoglobulin index,CRP in-dex and PCT index,and their index values can reflect the children's condition well,IgA level is low,and other indica-tors are increased.Therefore,the above indicators are closely monitored to provide data reference for the diagnosis and treatment of mycoplasma pneumonia.

ChildrenMycoplasma pneumoniaCRPPCTIgMIgG

刘媛媛、马世喜、刘永

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赣榆区人民医院检验科,江苏连云港 222100

赣榆区疾控中心慢传科,江苏连云港 222100

儿童 支原体肺炎 C反应蛋白 降钙素原 免疫球蛋白指标M 免疫球蛋白指标G

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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