韩磊 黄茹

【摘 要】目的：探讨红细胞沉降率（ESR）及降钙素原（PCT）检测在常规小儿支气管肺炎诊治中的应用价值。方法：选取我院2019年7月至2021年7月儿科收治的59例支气管肺炎患儿作为研究组，其中轻度肺炎35例，重度肺炎24例，并选取同期42例健康体检者作为对照组，所有受试者均行超敏C反应蛋白（Hs-CRP）、PCT及ESR水平检测，分析其检测结果，并比较研究组患儿治疗前后各检测指标水平及阳性检出率变化。结果：研究组患儿ESR、Hs-CRP、PCT水平均显著高于对照组，且重症肺炎患儿组ESR、Hs-CRP、PCT水平显著高于轻症肺炎组（P<0.05）；治疗后重症与轻症肺炎患儿ESR、Hs-CRP、PCT水平均显著低于治疗前（P<0.05）；治疗后重症与轻症肺炎患儿ESR、Hs-CRP、PCT阳性检出率均显著低于治疗前（P<0.05）。结论：Hs-CRP、PCT及ESR水平检测可有效鉴别诊断小儿支气管肺炎并评估其治疗效果，值得临床推广应用。

【关键词】ESR；PCT；小儿支气管肺炎；阳性检出率

Application analysis of ESR and PCT detection in routine diagnosis and treatment of bronchial pneumonia in children

HAN Lei HUANG Ru

Yinchuan maternal and child Health care Hospital， Yinchuan Ningxia， 750001， China

【Abstract】Objective：To explore the application value of erythrocyte sedimentation rate （ESR） and procalcitonin （PCT） in the diagnosis and treatment of bronchial pneumonia in children. Methods： 59 children with bronchial pneumonia admitted to our hospital from July 2019 to July 2021 were selected as the study group， including 35 cases of mild pneumonia and 24 cases of severe pneumonia， and 42 health examination during the same period were selected as the control group ， All subjects were tested for the levels of Hs-CRP， PCT and ESR， the test results were analyzed， and the levels of the test indicators and the positive detection rate of the children in the study group were compared before and after treatment. Results： The levels of ESR， Hs-CRP， and PCT in the study group were significantly higher than those in the control group， and the levels of ESR， Hs-CRP， and PCT in the children with severe pneumonia were significantly higher than those in the mild pneumonia group（P<0.05）； after treatment， the levels of ESR， Hs-CRP and PCT in children with severe and mild pneumonia were significantly lower than before treatment （P<0.05）； ESR， Hs-CRP， PCT in children with severe and mild pneumonia after treatment， the positive detection rate was significantly lower than before treatment（P<0.05）. Conclusion： The detection of Hs-CRP， PCT and ESR levels can effectively differentially diagnose bronchial pneumonia in children and evaluate its therapeutic effect， and it is worthy of clinical application.

【Key？Words】ESR， PCT， bronchial pneumonia in children， positive detection rate

支氣管肺炎是儿科临床较为常见的一种呼吸系统疾病，多因病毒与细菌感染以及感冒恶化所致，好发于春冬两季及气候突变时，以发热、咳嗽、气喘为主要表现，随着病情进展还可导致呼吸衰竭、心力衰竭等，不利于预后改善[1]。针对小儿支气管肺炎早期确诊并及时给予对症治疗均可痊愈，但多数患儿在发病早期常因缺乏特异性表现而耽误最佳治疗时机，因此在发病早期及时选择有效的诊断方法确诊病情对改善预后具有积极意义[2]。为此本研究选取我院2019年7月至2021年7月儿科收治的59例支气管肺炎患儿作为研究对象，探讨ESR及PCT检测在常规小儿支气管肺炎诊治中的应用价值，现进行如下报道。……