白细胞计数联合异型淋巴细胞检测在婴幼儿感染性疾病诊断中的意义

发布时间：2018-03-14 16:42

本文选题：感染　切入点：白细胞计数　出处：《中国全科医学》2017年S2期 　论文类型：期刊论文

【摘要】：目的探讨白细胞计数(WBC)联合异型淋巴细胞检测在婴幼儿感染性疾病诊断中的意义。方法选取2014年6月—2016年6月郑州市儿童医院确诊为感染性疾病的80例患儿及同期来本院进行检查的40例健康婴幼儿为研究对象。依据感染性疾病分型分为细菌感染组40例与病毒感染组40例,同时以40例健康婴幼儿作为对照组。检测3组婴幼儿的WBC与异型淋巴细胞水平,观察比较结果。结果细菌感染组与病毒感染组、对照组比较,WBC、C反应蛋白(CRP)水平均升高,差异有统计学意义(P0.05);病毒感染组与细菌感染组、对照组比较,异型淋巴细胞水平升高,差异有统计学意义(P0.05)。细菌感染组婴幼儿的WBC、CRP阳性率高于病毒感染组,差异有统计学意义(P0.01);细菌感染组婴幼儿的异型淋巴细胞阳性率低于病毒感染组,差异有统计学意义(P0.01)。同组比较,细菌感染组婴幼儿WBC、CRP阳性率高于异型淋巴细胞阳性率,差异有统计学意义(P0.01);病毒感染组婴幼儿异型淋巴细胞阳性率高于WBC、CRP阳性率,差异有统计学意义(P0.01)。结论临床上采用WBC对于细菌感染性疾病有较好的诊断价值,而异型淋巴细胞检测对于病毒感染性疾病有较高的诊断价值,两者结合检测对于婴幼儿感染性疾病临床诊断有重要意义,值得在临床中进行推广和应用。
[Abstract]:Objective to investigate the white blood cell count (WBC) combined detection of heterolymphocyte in diagnosis of diseases of the significance of infection infants. Methods 40 cases of healthy infants from June 2014 to June 2016 in Zhengzhou children's hospital diagnosed as infectious diseases and 80 cases over the same period in our hospital were examined as the research object. On the basis of classification for bacterial infection group of 40 cases with viral infection group, 40 cases of infectious diseases, and 40 healthy infants as control group. 3 groups were detected in infants WBC and atypical lymphocyte levels were observed and compared. Results the results of bacterial infection group and virus infection group, control group, WBC, C reactive protein (CRP) levels were elevated. The difference was statistically significant (P0.05); virus infection group and bacterial infection group, control group, elevated levels of heterotypic lymphocytes, the difference was statistically significant (P0.05). The bacterial infection group of infant WBC, the positive rate of CRP Higher than the virus infection group, the difference was statistically significant (P0.01); the positive rate of bacterial infection group, atypical lymphocytes in infants below the virus infection group, the difference was statistically significant (P0.01). In the same group, the bacterial infection group with WBC, CRP positive rate was higher than the abnormal cells positive rate, the difference was statistically significant (P0.01); virus infection groups of heterotypic lymphocytes positive rate was higher than WBC, CRP positive rate, the difference was statistically significant (P0.01). Conclusion the clinical use of WBC for bacterial infectious diseases have better diagnostic value, and the value of abnormal lymphocyte detection in the diagnosis of diseases with a high virus infection detection has important significance for clinical diagnosis of infectious diseases in combination of the two, and is worth popularizing in clinical application.

【作者单位】：郑州儿童医院;
【分类号】：R725.1

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