血清降钙素原在儿童发热性疾病中的应用价值分析

目的 探讨降钙素原对儿童发热性疾病早期诊断及鉴别诊断的应用价值。方法 选取2015年7月~2016年3月我院收治的发热患儿270例，其中细菌感染组80例，非细菌感染组130例，对照组（非发热性疾病患儿）60例，入院前1 d已全部行WBC+CRP检测，入院当天全部行PCT检测，对比三组检测结果。结果 细菌感染组外周血WBC+CRP水平高于对照组，差异有统计学意义（P＜0.05）。细菌感染组PCT水平均高于非细菌感染组及对照组，差异均有统计学意义（P＜0.05）。结论 血清PCT可作为早期诊断细菌感染的可靠指标，对儿童发热性疾病的鉴别诊断及抗生素的使用具有重要意义。

Analysis of the Value of Serum Procalcitonin in Children with Febrile Diseases

Abstract:Objective To evaluate the value of procalcitonin(PCT)in early diagnosis and differential diagnosis of febrile diseases in children.Methods 270 children with fever were selected from July 2015 to March 2016 in our hospital.There were 80 cases of bacterial infection group,130 cases of non-bacterial infection group and 60 cases of control group(non-febrile disease).All of them were examined by WBC+CRP 1 d before admission.On the day of admission,all patients were examined with PCT,and the results of three groups were compared.Results The level of WBC+CRP in the peripheral blood of the bacterial infection group was higher than that of the control group,and the difference was statistically significant(P<0.05).The level of PCT in the bacterial infection group was higher than that of the non bacterial infection group and the control group,and the difference was statistically significant(P<0.05).Conclusion Serum PCT can be used as a reliable index for early diagnosis of bacterial infection,and it is of great significance in the differential diagnosis of febrile diseases in children and the use of antibiotics.