The Value of Routine Blood Parameters in the Differential Diagnosis of Infectious Mononucleosis and Acute Suppurative Tonsillitis in Children
Objective To explore the value of routine blood parameters in the differential diagnosis of infectious mononucleosis(IM)and acute suppurative tonsillitis(AST)in children.Methods 38 children with IM admitted to the Affiliated Children's Hospital of Zhengzhou University were selected as the experimental group,and another 38 children with AST were selected as the control group.The selection time was from January 2021 to January 2022.The routine blood parameters of the two groups were compared,mainly including inflammatory serum factor indicators[white blood cells(WBC),neutrophil/lymphocyte ratio(NLR),monocyte/lymphocyte ratio(MLR),platelet/lymphocyte ratio(PLR)],serum lymphocyte parameters[lymphocyte complexity(L-X),lymphocyte fluorescence intensity(L-Y),lymphocyte size(LZ)]and serum neutrophil parameters[neutrophil complexity(N-X),neutrophil fluorescence intensity(N-Y),neutrophil size(N-Z)].Results There was no statistical significance in the comparison of WBC detection levels between the two groups(P＞0.05),and the NLR,MLR,and PLR detection levels of the experimental group were lower than those of the control group,and the difference was statistically significant(P＜0.05);there was no statistical significance in the comparison of L-X detection levels between the two groups(P＞0.05),and the L-Y and LZ detection levels of the experimental group were higher than those of the control group,and the difference was statistically significant(P＜0.05);there was no statistical significance in the comparison of N-Z detection levels between the two groups(P＞0.05),and the N-X and N-Y detection levels of the experimental group were lower than those of the control group,and the difference was statistically significant(P＜0.05).Conclusion Clinically,NLR,MLR,PLR,L-Y,LZ,N-X,and N-Y can be used to assist in the differential diagnosis of IM and AST,which is worth applying.
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