首页|外周血前白蛋白、hs-CRP、SAA、IL-6联合检测在小儿上呼吸道感染中的应用价值

外周血前白蛋白、hs-CRP、SAA、IL-6联合检测在小儿上呼吸道感染中的应用价值

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目的:分析外周血前白蛋白(PAB)、超敏C反应蛋白(hs-CRP)、血清淀粉样蛋白A(SAA)、白细胞介素-6(IL-6)联合检测在小儿上呼吸道感染中的应用价值.方法:选取 2023 年 3-9 月于赣南医学院第二附属医院就诊的 100 例上呼吸道感染患儿作为研究对象.所有研究对象均检测外周血PAB、hs-CRP、SAA、IL-6,并根据小儿危重病例评分(PCIS)将患儿分为重度感染组、中度感染组和轻度感染组,比较各组外周血PAB、hs-CRP、SAA、IL-6 水平,分析外周血PAB、hs-CRP、SAA、IL-6 对小儿重度上呼吸道感染的诊断价值.结果:重度感染组外周血hs-CRP、SAA及IL-6 水平均高于轻度感染组和中度感染组,PAB低于轻度感染组和中度感染组,中度感染组SAA、IL-6 均高于轻度感染组(P<0.05);Pearson或Spearman相关性分析显示,在上呼吸道感染患儿中,PAB与PCIS评分呈显著负相关(P<0.05),hs-CRP、SAA及IL-6 与PCIS评分均呈显著正相关(P<0.05);ROC曲线显示,PAB、hs-CRP、SAA、IL-6 及联合诊断小儿上呼吸道重度感染的曲线下面积分别为 0.654、0.740、0.928、0.783、0.962.结论:上呼吸道感染患儿PAB水平降低,hs-CRP、SAA、IL-6 水平均升高,对重度上呼吸道感染具有较高诊断价值.
Application Value of Combined Detection of Peripheral Blood Prealbumin,hs-CRP,SAA and IL-6 in Children with Upper Respiratory Tract Infection
Objective:To analyze the application value of combined detection of peripheral blood prealbumin(PAB),hypersensitive C reactive protein(hs-CRP),serum amyloid A(SAA)and leukocyte-6(IL-6)in children with upper respiratory tract infection.Method:A total of 100 children with upper respiratory tract infection treated in the Second Affiliated Hospital of Gannan Medical University from March to September 2023 were selected as the study objects.Peripheral blood PAB,hs-CRP,SAA and IL-6 were detected in all subjects,and the children were divided into severe infection group,moderate infection group and mild infection group according to pediatric clinical illness score(PCIS).The levels of PAB,hs-CRP,SAA and IL-6 in peripheral blood of all groups were compared,and the diagnostic value of PAB,hs-CRP,SAA and IL-6 in children with severe upper respiratory tract infection were analyzed.Result:The levels of hs-CRP,SAA and IL-6 in peripheral blood of severe infection group were higher than those of mild infection group and moderate infection group,PAB was lower than that in mild infection group and moderate infection group,SAA and IL-6 in moderate infection group were higher than those in mild infection group(P<0.05).Pearson or Spearman correlation analysis showed that in children with upper respiratory tract infection,PAB was significant negatively correlated with PCIS score(P<0.05),while hs-CRP,SAA and IL-6 were significant positively correlated with PCIS score(P<0.05).ROC curve showed that the areas under the curve of PAB,hs-CRP,SAA,IL-6 and their combined diagnosis of severe upper respiratory tract infection in children were 0.654,0.740,0.928,0.783 and 0.962,respectively.Conclusion:Children with upper respiratory tract infections have decreased PAB levels and increased hs-CRP,SAA,and IL-6 levels,which have high diagnostic value for severe upper respiratory tract infections.

Upper respiratory tract infectionPrealbuminHypersensitive C reactive proteinSerum amyloid AInterleukin-6

邝春玲、何六六、黄梨华、游晓燕、徐奕胜

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赣南医学院第二附属医院检验科 江西 赣州 341600

赣南医学院第二附属医院输血科 江西 赣州 341600

上呼吸道感染 前白蛋白 超敏C反应蛋白 血清淀粉样蛋白A 白细胞介素-6

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(21)