白细胞联合C反应蛋白检测在小儿支气管哮喘合并感染中的应用价值探讨

目的对小儿支气管哮喘合并感染患者进行WBC及CRP的检测,分析其应用价值。方法选择在我院住院治疗的支气管哮喘患者90例作为实验组,分单纯哮喘组、哮喘合并细菌感染组、哮喘合并肺炎支原体组,对照组取健康查体者。检测其血清CRP、WBC水平,并进行比较分析。结果哮喘合并细菌感染者WBC、CRP均明显高于对照组、单纯哮喘组、哮喘合并肺炎支原体组,差异有统计学意义(P0.05);哮喘合并肺炎支原体组与单纯哮喘组、对照组比较,WBC、CRP水平升高,差异有统计学意义(P0.05);单纯哮喘组与对照组比较,WBC无明显改变(P0.05),CRP水平升高(P0.05);三组哮喘患者血清CRP及WBC均较治疗前明显下降,差异有统计学意义(P0.05);哮喘合并细菌感染组治疗后仍高于哮喘合并肺炎支原体组及单纯哮喘组,且高于正常值,差异有统计学意义(P0.05)。结论对小儿支气管哮喘合并感染者联合检测WBC与CRP,有助于鉴别感染种类,及时判断预后,值得临床广泛推广应用。

Application value of WBC joint CRP detection in children with bronchial asthma complicated with infection

Objective To analyze the application value of WBC joint CRP detection in children with bron-chial asthma complicated with infection. Methods 90 bronchial asthma patients were selected as the experimental group, and they were divided into the asthma group ( the group A) , the asthma complicated with bacterial infection group ( the group B) and the asthma complicated with mycoplasma pneumoniae group ( the group C) . Their levels of blood serum CRP and WBC were detected and compared with the control group. Results The levels of WBC and CRP were the highest in the group B, followed by the group C, the group A and the control group ( P<0. 005 ) . There was no significant difference in WBC between the group A and the control group (P>0. 05). After the treat-ment, the levels of serum CRP and WBC decreased obviously in the experimental group (P<0. 05), and they were still higher in the group B than in the rest groups ( P<0. 05 ) . Conclusion The combined detection of CRP and WBC can help clinical identification of pediatric asthma whether complicates with infection.