贵州医科大学学报

2016, v.41;No.194(11) 1347-1349

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肺炎支原体感染及细菌感染患儿部分血常规指标及C反应蛋白水平
Research on Infantile Pneumonia Mycoplasma Infection and Bacterial Infection of the Blood Routine and the Changes of C-Reactive Protein

古丽比亚·卡合曼;林磊;
Gulibiya·Kaheman;LIN Lei;Department of Pediatrics,People's Hospital of Xinjiang Uyhur Autonomous Region;

摘要(Abstract):

目的:比较肺炎支原体感染或细菌感染患儿的血常规及C反应蛋白(CRP)的变化规律。方法:肺炎支原体感染(支原体感染组)与细菌感染(细菌感染组)患儿各80例,80例正常儿童作为对照组,检测入院或体检时3组儿童血红蛋白(Hb)含量、白细胞(WBC)和红细胞(RBC)及血小板(PLT)计数,中性粒细胞、淋巴细胞及单核细胞分类;采用酶联免疫法(ELISA)法测定3组儿童血清中C反应蛋白(CRP)水平。结果:3组儿童RBC及PLT计数比较,差异无统计学意义(P>0.05);与对照组比较,细菌感染组和支原体感染组WBC计数、中性粒细胞和单核细胞分类及血清CRP水平升高,淋巴细胞分类降低,而Hb含量仅支原体感染组降低,单核细胞分类仅支原体感染组升高,差异有统计学意义(P<0.05);与细菌感染组比较,支原体感染组患儿WBC计数、Hb含量及CRP水平降低,而单核细胞分类升高,差异有统计学意义(P<0.05)。结论:临床可根据WBC计数、单核细胞分类、Hb含量及CRP水平辅助鉴别诊断儿童肺炎支原体感染及细菌感染。
Objective: To compare pediatric pneumonia mycoplasma infection and bacterial infection of the blood routine and the change pattern of c-reactive protein. Methods: 160 children with mycoplasma pneumoniae infection and bacterial infection in equal numbers,compared to 80 normal. Testing blood cells,central neutrophils,lymphocytes and mononuclear cell count,and compare three groups of children with red blood cells,hemoglobin. ELISA was adopted to test the C-reactive protein level of three groups. Results: Comparing RBC and PLT counting,difference was not statistically significant(P > 0. 05); children with mycoplasma pneumoniae infection of anaemia,the decrement of platelet and leukocyte loss were significantly higher than the control group and bacterial infection group(P <0. 05); the patient's white blood cell count and mononuclear cell count is significantly higher than bacterial infection group(P < 0. 05),the center granulocyte and lymphocyte count showed no significant difference(P > 0. 05); in children with mycoplasma infection group of hemoglobin concentration was lower than that in group a bacterial infection(P < 0. 05) in platelet,concentration of c-reactive protein and red blood cells,there was no statistically significant difference(P > 0. 05). Conclusion: children with mycoplasma pneumoniae infection and children with bacterial infection could be distinguished by WBC counting,Hb content and CRP level.

关键词(KeyWords): 儿童;肺炎;细菌感染;C反应蛋白;血常规
child;pneumoniae;bacterial infections;c-reactive protein;routine blood

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作者(Author): 古丽比亚·卡合曼;林磊;
Gulibiya·Kaheman;LIN Lei;Department of Pediatrics,People's Hospital of Xinjiang Uyhur Autonomous Region;

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DOI: 10.19367/j.cnki.1000-2707.2016.11.026

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