摘要
目的探讨WBC、CRP和PCT在急诊发热患者诊治中的应用效果。方法选用2015年11月~2017年11月中山市人民医院救治的119例急诊发热患者为研究对象,给予患者实施WBC、CRP和PCT检测和病因学检查,依据诊断结果中是否感染细菌分为对照组和观察组,对照组32例为非细菌感染患者,观察组87例为细菌感染患者,对比两组WBC、CRP、PCT诊断情况。结果观察组的WBC、CRP、PCT水平高于对照组,血液WBC、CRP、PCT的指标中,敏感度、特异度等进行比较,三种联合检测的敏感度和准确度最高。结论 WBC、CRP和PCT在急诊发热患者诊治中的应用效果显著,细菌感染发热患者WBC、CRP和PCT水平明显提升,PCT的特异性更优,CRP敏感度更优,联合检测的应用价值最高。
Objective To investigate the effect of WBC CRP and PCT in the diagnosis and treatment of emergency fever.Methods 119 patients with emergency fever treated in Zhongshan people's Hospital from November 2015 to November 2017 were selected as the study subjects.The patients were given WBC CRP and PCT detection and etiology examination.According to the diagnostic results,the patients were divided into control group and observation group.32 patients in control group were non-bacterial infection patients and 87 patients in observation group were bacterial infection patients,the diagnosis of two groups of WBC,CRP and PCT was compared.Results The levels of WBC,CRP and PCT in the observation group were higher than those in the control group.The sensitivity and specificity of blood WBC,CRP and PCT were compared,and the sensitivity and accuracy of the three combined tests were the highest.Conclusion WBC,CRP and PCT have significant effect in the diagnosis and treatment of fever patients.The levels of WBC,CRP and PCT in patients with bacterial infection and fever are significantly improved,PCT has better specificity,CRP sensitivity is better,and the value of combined detection is the highest.
作者
张洁
ZHANG Jie(Department of Emergency,Zhongshan People's Hospital,Guangzhou 528403,Guangdong,China)
出处
《医学信息》
2018年第7期157-158,共2页
Journal of Medical Information
