首页|ROC曲线评价外周血炎症因子在儿童呼吸道感染中的预测价值

ROC曲线评价外周血炎症因子在儿童呼吸道感染中的预测价值

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目的 研究血清降钙素原(PCT)、淀粉样蛋白A(SAA)及白细胞介素 6(IL-6)检测对不同病原感染所致儿童呼吸道感染的评价作用.方法 选取2023 年1 月至2023 年5 月武汉市中医医院儿科收治的160 例呼吸道感染患儿纳入研究,根据感染类型将患儿分为组细菌感染组和病毒感染组,每组80 例;另选同期健康体检者50 例为对照组.检测并比较3 组儿童外周血PCT、SAA及IL-6 水平,以受试者工作特征(ROC)曲线分析上述各项指标在儿童呼吸道感染中的诊断效能.结果 细菌感染组和病毒感染组PCT、SAA及IL-6 水平均高于对照组,且细菌感染组高于病毒感染组,差异有统计学意义(P<0.05).细菌感染组和病毒感染组PCT、SAA及IL-6 阳性率均高于对照组,且细菌感染组高于病毒感染组,差异有统计学意义(P<0.05).ROC曲线分析结果显示,与病毒性感染患儿比较,细菌性感染患儿的PCT、SAA及IL-6 检测诊断曲线下面积、敏感度以及特异度均更高.结论 PCT、SAA及IL-6 检测应用于差异性病原感染所致儿童上呼吸道感染的诊断价值较高.
ROC Curve to Evaluate the Predictive Value of Peripheral Blood Inflam-matory Factors in Children with Respiratory Tract Infection
Objective To investigate the role of serum procalcitonin(PCT),amyloid A(SAA)and interleukin-6(IL-6)detection respiratory tract infection in children caused by different pathogens.Methods One hundred and sixty chil-dren with respiratory tract infection who were admitted to the Department of Pediatrics of Wuhan Hospital of Traditional Chi-nese Medicine from January 2023 to May 2023 were selected for the study.According to the type of infection,the patients were divided into a bacterial infection group and a viral infection group,with eighty cases in each group,and 50 healthy sub-jects were selected as the control group.The levels of PCT,SAA,and IL-6 in peripheral blood of the three groups were detec-ted and compared.Receiver Operating Characteristic(ROC)curve was used to analyze the diagnostic efficacy of the above in-dexes on respiratory tract infection in children.Results Compared with the control group,PCT,SAA and IL-6 levels in the bacterial and viral groups were higher than those in the control group,and the bacterial group was higher than the viral group,the differences were statistically significant(P<0.05).The positive rates of PCT,SAA and IL-6 in the bacterial and viral groups were higher than those in the control group,and the bacterial group showed higher rates than the viral group,with sta-tistical significance(P<0.05).ROC curve analysis revealed compared with virus-infected children,children with bacterial infection had higher areas under the diagnostic curves for PCT,SAA,and IL-6,as well as higher sensitivity and specificity.Conclusion The detection of PCT,SAA and IL-6 has significant value in diagnosing children with upper respiratory tract in-fection caused by different pathogens.

ProcalcitoninSerum amyloid AInterleukin-6Respiratory tract infections in children

刘星、李红、祝金波、吴迪、禹红

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武汉 430014,武汉市中医医院检验科

降钙素原 淀粉样蛋白A 白细胞介素6 儿童呼吸道感染

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(7)