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目的探讨白细胞计数(WBC)、中性粒细胞百分率(NEUT%)、全程C-反应蛋白(全程CRP)和降钙素原(PCT)在小儿细菌性肺炎诊断和治疗中的价值。方法随机选取2014年1月1日-2015年1月1日本院儿科住院的62例小儿细菌性肺炎患者和47例非细菌性肺炎患者,并选取同期的50例健康体检的小儿作为对照组,测定各组水平并进行回顾性分析。结果 62例小儿细菌性肺炎组WBC、NEUT%、全程CRP和PCT水平均高于非细菌性肺炎组和对照组,差异有统计学意义(P<0.05);且在治疗前后WBC、NEUT%、全程CRP和PCT水平变化差异有统计学意义(P<0.05)。结论小儿细菌性肺炎患者WBC、NEUT%、全程CRP和PCT水平增高,其联合检测可作为小儿细菌性肺炎的临床重要参考指标进行诊断和治疗。
Objective To investigate the value of white blood cell count (WBC), neutrophil percentage (NEUT%), whole C-reactive protein (CRP) and procalcitonin (PCT) in the diagnosis and treatment of bacterial pneumonia in children. Methods A total of 62 pediatric bacterial pneumonia patients and 47 non-bacterial pneumonia patients admitted to our hospital from January 1, 2014 to January 1, 2015 were enrolled in this study. Fifty healthy children at the same period were selected as the control group, The levels of each group were determined and analyzed retrospectively. Results The levels of WBC, NEUT%, whole-body CRP and PCT in 62 pediatric bacterial pneumonia groups were significantly higher than those in non-bacterial pneumonia group and control group (P <0.05). Before and after WBC, NEUT% The changes of CRP and PCT levels were statistically significant (P <0.05). Conclusion The levels of WBC, NEUT%, whole-body CRP and PCT in children with bacterial pneumonia increase. The combined detection can be used as an important clinical reference for diagnosis and treatment of bacterial pneumonia in children.