C-反应蛋白与白细胞检测在妇科感染性疾病鉴别诊断中的评价

发布时间：2018-07-22 11:43

【摘要】：目的分析并探讨C-反应蛋白(CRP)和白细胞(WBC)检测对妇科感染性疾病的鉴别诊断价值目的,为临床治疗提供参考依据。方法选取2011年6月-2013年6月医院诊治的112例妇科感染性疾病患者的临床资料进行回顾性分析,作为疾病组,对全部患者进行CRP和WBC检测;同期选取健康人员30名作为对照组进行比较,统计单一CRP检测、单一WBC检测及CRP与WBC两者联合诊断的确诊和检出阳性率,采用SPSS 18.0软件进行统计分析。结果 112例妇科感染性疾病患者的CRP及WBC均值相对于健康对照组均有不同程度的升高;CRP检测总阳性率为91.96%,远高于WBC检测总阳性率73.21%,差异有统计学意义(P0.05);CRP对卵巢炎、月经性阴道炎、真菌性阴道炎、附件炎的检测阳性率均高于WBC,差异有统计学意义(P0.05)。结论 CRP检测和WBC计数联合诊断准确率高,具有重要的临床实用价值,可以作为常规诊疗手段协助临床初筛,指导早期对症治疗,值得临床推广。
[Abstract]:Objective to study the value of C-reactive protein (CRP) and white blood cell (WBC) in differential diagnosis of gynecological infectious diseases. Methods the clinical data of 112 patients with gynecological infectious diseases from June 2011 to June 2013 were analyzed retrospectively. CRP and WBC were detected in all patients. In the same period, 30 healthy persons were selected as the control group. The positive rates of single CRP, single WBC and combined diagnosis of CRP and WBC were analyzed by SPSS 18.0 software. Results the total positive rate of CRP and WBC in 112 patients with gynecological infectious diseases was 91.96, much higher than that in WBC 73.21. The difference was statistically significant (P0.05). The positive rates of menstrual vaginitis, fungal vaginitis and appendages were higher than those of WBCs (P0.05). Conclusion CRP detection combined with WBC count has high diagnostic accuracy and has important clinical practical value. It can be used as a routine method to assist clinical screening and guide early symptomatic treatment, which is worthy of clinical promotion.
【作者单位】：天津市滨海新区汉沽医院妇产科;
【基金】：天津市科技厅基金资助项目(20130728-62)
【分类号】：R711

【参考文献】