首页|外周血嗜酸性粒细胞联合中性粒细胞与淋巴细胞比值诊断儿童肺炎支原体感染的临床价值

外周血嗜酸性粒细胞联合中性粒细胞与淋巴细胞比值诊断儿童肺炎支原体感染的临床价值

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目的:探讨外周血嗜酸性粒细胞(EOS)联合中性粒细胞与淋巴细胞比值(NLR)诊断儿童肺炎支原体感染的临床价值.方法:选取 2020 年 8 月—2022 年 8 月泰州妇产医院儿科门诊收治的 144 例疑似肺炎支原体感染患儿为研究对象,检测患儿外周血EOS、NLR水平,根据患儿的酶联免疫吸附试验结果分为未感染组与肺炎支原体感染组.收集患儿的临床资料,以logistic多因素回归分析儿童肺炎支原体感染的危险因素,制作受试者工作特征曲线(ROC),以曲线下面积(AUC)评估外周血EOS、NLR及联合诊断儿童肺炎支原体感染的价值.结果:144 例疑似肺炎支原体感染患儿经酶联免疫吸附试验检查发现,确诊肺炎支原体感染 106 例,作为肺炎支原体感染组,其余 38 例未感染,作为未感染组.两组年龄、性别、身高、体重对比,差异无统计学意义(P>0.05),肺炎支原体感染组NLR、EOS水平高于未感染组,差异有统计学意义(P<0.05).logistic多因素回归分析结果显示,外周血EOS、NLR均为儿童肺炎支原体感染的危险因素(P<0.05).ROC曲线结果显示,外周血EOS、NLR单一及联合诊断儿童肺炎支原体感染的AUC为 0.716、0.703、0.809,联合诊断AUC高于单一诊断.结论:肺炎支原体感染患儿外周血EOS、NLR水平异常,血EOS、NLR水平与儿童肺炎支原体感染密切相关,且两者在诊断儿童肺炎支原体感染中具有重要价值,且联合诊断的价值更高.
Clinical Value of Peripheral Blood Eosinophils Combined with Neutrophil to Lymphocyte Ratio in Diagnosis of Mycoplasma Pneumoniae Infection in Children
Objective:To investigate the clinical value of peripheral blood eosinophils(EOS)combined with neutrophil to lymphocyte ratio(NLR)in the diagnosis of Mycoplasma pneumoniae infection in children.Method:A total of 144 children with suspected Mycoplasma pneumoniae infection admitted to the Pediatric Outpatient Department of Taizhou Obstetrics and Gynecology Hospital from August 2020 to August 2022 were selected as the study objects.EOS and NLR levels in peripheral blood of the children were detected,and the children were divided into uninfected group and Mycoplasma pneumoniae infection group according to the enzyme linked immunosorbent assay results.The clinical data of the children were collected,and the risk factors of Mycoplasma pneumoniae infection in children were analyzed by logistic multivariate regression.The receiver operating characteristic curve(ROC)was prepared,and the area under the curve(AUC)was used to evaluate the value of peripheral blood EOS,NLR and combined diagnosis of Mycoplasma pneumoniae infection in children.Result:In 144 suspected children with Mycoplasma pneumoniae infection,106 cases infected were confirmed as Mycoplasma pneumoniae infection group by enzyme linked immunosorbent assay,and the remaining 38 cases uninfected were confirmed as uninfected group.There were no statistically significant in age,sex,height,weight between the two groups(P>0.05).The levels of NLR and EOS in the Mycoplasma pneumoniae infection group were higher than those in the uninfected group,and the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that both EOS and NLR in peripheral blood were risk factors for Mycoplasma pneumoniae infection in children(P<0.05).ROC curve results showed that the AUC of EOS and NLR in peripheral blood for single and combined diagnosis of Mycoplasma pneumoniae infection in children were 0.716,0.703 and 0.809,and the AUC of combined diagnosis was higher than that of single diagnosis.Conclusion:The levels of EOS and NLR in peripheral blood of children with Mycoplasma pneumoniae infection are abnormal,and the levels of EOS and NLR are closely related to Mycoplasma pneumoniae infection in children,and they are of great value in the diagnosis of Mycoplasma pneumoniae infection in children,and the combined diagnosis of Mycoplasma pneumoniae infection in children is of higher value.

Peripheral blood eosinophilNeutrophil to lymphocyte ratioMycoplasma pneumoniae infection in childrenClinical value

马融、殷国进、潘静

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泰州妇产医院 江苏 泰州 225300

外周血嗜酸性粒细胞 中性粒细胞与淋巴细胞比值 儿童肺炎支原体感染 临床价值

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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