摘要
目的:探讨PCT、hs-CRP和WBC在新生儿蜂窝组织炎中的早期诊疗价值。方法:以60例急性蜂窝组织炎患儿为病例组,30例选择切开引流治疗,30例选择针刺引流治疗,以同期60例健康新生儿作为对照组,检测记录各组PCT、hsCRP和WBC三项指标,同时观察各组的临床疗效。结果:切开引流总有效率93.3%,针刺引流总有效率86.7%,两组疗效无统计学差异(P>0.05);病例组治疗前PCT、hs-CRP和WBC分别为(4.8±2.4)g/L、(11.8±5.6)mg/L和(16.8±5.2)×109/L,对照组PCT、hs-CRP和WBC分别为(0.6±0.3)g/L、(0.8±0.2)mg/L和(10.2±1.8)×109/L,组间比较差异具有统计学意义(P<0.05),病例组治疗后PCT、hs-CRP和WBC明显低于治疗前(P<0.05)。结论:PCT、hs-CRP和WBC是新生儿蜂窝组织炎早期诊断的有效指标,针刺引流术疗效明显,可作为蜂窝组织炎新的治疗途径。
Objective： To explore the values of procalcitonin （ PCT）, high - sensitive C - reactive protein （ hs - CRP） and white blood cell （ WBC ） count in early diagnosis and treatment of neonatal cellulitis. Methods： Sixty children with acute eellulitis were selected as case group, including 30 children treated with incision and drainage and 30 children treated with acupuncture and drainage. Sixty healthy neonates were selected as control group during the same period. The values of PCT, hs - CRP and WBC count were recorded, and clinical curative effects were observed. Results： The total effective rates of incision and drainage group and acupuncture and drainage group were 93.3% and 86. 7% , respectively, there was no statistically significant difference between the two groups （P 〉 0. 05 ） . Before treatment, PCT, hs-CRPandWBC count in case group were （4.8 ±2.4） g/L, （11.8 ±5.6） mg/L and （16.8±5.2） × 10^9/L, respectively; PCT, hs - CRP and WBC count in control group were （0. 6 ±0. 3 ） g/L, （0. 8 ± 0. 2） mg/L and （ 10. 2 ± 1.8） × 10^9/L, respectively, there were statistically significant differences between the two groups （ P 〈 0.05 ）, PCT, hs - CRP and WBC count after treatment in ease group were statistically significantly lower than those before treatment （P 〈 0.05 ） . Conclusion： PCT, hs - CRP and WBC count are effective indicators in early diagnosis of neonatal cellulitis, the curative effects of acupuncture and drainage are significant, which can be used as new treatment methods for cellulitis.
出处
《中国妇幼保健》
CAS
北大核心
2014年第33期5421-5423,共3页
Maternal and Child Health Care of China
基金
河北省卫生厅科研基金项目〔20110237〕
