摘要
目的:探析联合应用降钙素原(PCT)、中性粒细胞百分比(NEU%)、前白蛋白(PA)在儿童细菌性肠炎诊断中的临床价值。方法:选取2016年5月-2019年8月疑似细菌性肠炎患儿176作为对象,测定所有患者PCT水平、NEU%、PA水平,分析儿童细菌性肠炎PCT、NEU%、PA单独检测及联合检测的诊断效能。结果:细菌性肠炎患儿的PA低于非细菌性肠炎患儿,PCT水平、NEU%高于非细菌性肠炎患儿(P<0.05);PCT、NEU%、PA联合检测诊断的灵敏度90.77%、阳性预测值96.72%、阴性预测值94.78%,均优于PCT、NEU%、PA单一诊断,差异均有统计学意义(P<0.05)。结论:PCT、NEU%、PA联合检测能够提高儿童细菌性肠炎诊断效能,能为早期识别肠炎感染类型及治疗方案提供可靠依据。
Objective:To explore the clinical value of combined application of procalcitonin(PCT),neutrophil percentage(NEU%)and prealbumin(PA)in the diagnosis of children bacterial enteritis.Method:A total of 176 children with suspected bacterial enteritis from May 2016 to August 2019 were selected as the subjects.The levels of PCT,NEU%and PA were measured in all patients,and the diagnostic efficacy of PCT,NEU%and PA were analyzed.Result:PA of children with bacterial enteritis was lower than that of children with non bacterial enteritis,PCT level and NEU%were higher than those of children with non bacterial enteritis(P<0.05).The sensitivity,positive predictive value and negative predictive value of combined detection of PCT,NEU%and PA were 90.77%,96.72%and 94.78%,respectively,which were better than those of single PCT,NEU%and PA(P<0.05).Conclusion:The combined detection of PCT,NEU%and PA can improve the diagnostic efficiency of bacterial enteritis in children,and provide reliable basis for early identification of enteritis infection types and treatment plans.
作者
张伟锋
郭影霞
卢灵莉
ZHANG Weifeng;GUO Yingxia;LU Lingli(Qingyuan Maternal and Child Health Hospital,Qingyuan 511500,China)
出处
《中外医学研究》
2021年第6期69-71,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
