许海明

【摘 要】目的：在诊断小儿发热疾病中探讨PCT（降钙素原）、CRP（C反应蛋白）及ESR（红细胞沉降率）检验的效果。方法：本研究纳入的分析对象均为我院2020年8月至2021年8月在我院接受治疗的患者及健康检查儿童，其中有80例发热疾病患儿，将其纳入研究组，另外选取我院该时间段中健康体检的健康儿童80例纳入参照组。对所有的儿童均实施PCT（采用免疫荧光法）、CRP（采用免疫荧光法）及ESR（魏氏血沉法）进行检验，统计所有儿童的测试结果，并比较阳性检出情况。结果：两组研究对象的PCT、CRP及ESR检验指标相比，研究组比参照组高（P<0.05），差异有统计学意义。研究组检测阳性比例高于参照组（P<0.05），差异显著有统计学意义。结论：在发热疾病儿童的诊断中，进行PCT、CRP及ESR三个指标的检验，可为临床诊断提供参考，具有较高的准确性。

【关键词】儿童发热疾病；PCT；CRP；ESR；检验效果

PCT， CRP and ESR test the effect of diagnosis of fever disease in children

XU Haiming

Hengshui City Eighth People’s Hospital Inspection Department， Hengshui Hebei 053000， China

【Abstract】Objective：To investigate the effect of PCT（procalcitonin）， CRP （C reactive protein） and ESR（erythrocyte sedimentation rate） test in the diagnosis of pediatric fever disease.Methods： The analysis subjects included in this study were all patients treated in our hospital and children with health examination from August 2020 to August 2021， including 80 children with fever disease， who were included in the study group. In addition， 80 healthy children who underwent health examination in our hospital were selected into the reference group.All children were tested by PCT（by immunofluorescence）， CRP（by immunofluorescence） and ESR（Wei’s blood sedimentation method）. The test results of all children were counted and the positive tests were compared.Results： Compared with the PCT， CRP and ESR test indicators of the two groups， the study group were higher than the reference group（P<0.05），statistically significant.There was a statistically significant difference in the higher proportion of positive tests in the study group than that in the reference group（P<0.05）.Conclusion：In the diagnosis of children with febrile disease， three tests of PCT， CRP and ESR can provide reference for clinical diagnosis with high accuracy.

【Key？Words】Fever disease in children； PCT；CRP；ESR； Test effect

在小儿疾病中发热为常见症状，然而小儿发热疾病的类型不同，需要临床中对其进行判断，从而采取有效措施进行早期治疗，导致小儿发热疾病发生的主要原因包括细菌感染、病毒感染及其引起的相关疾病[1]。就感染而言，主要是病原微生物所致，除了上述两种感染外，还包括支原体感染[2]。以往临床中对细菌感染的判断常采用外周血白细胞计数检查进行分析，然而儿童接受抗生素治疗时，如果存在滥用现象，加之患儿受到环境因素的影响以及生理特征，如果采用上述方法进行诊断，难以确定患儿的疾病类型，且有较高的漏诊率和误诊率[3]。……