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尿常规检验与C-反应蛋白诊断小儿急性阑尾炎的价值比较 被引量:31

A value analysis of urine-routine text and C- reactive protein for diagnosis of acute appendicitis in children
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摘要 目的:探究比较尿常规检验与C-反应蛋白诊断小儿急性阑尾炎的价值。方法:本研究选取2013年11月-2014年11月期间来我院治疗的疑似急性阑尾炎的小儿患者120例,平均分为对照组、观察组和实验组,其中对照组采用尿常规检验诊断方法,观察组采用C-反应蛋白诊断方法,实验组采用尿常规检验联合C-反应蛋白诊断方法,之后经过手术病理检测确诊,比较三组在不同诊断方法下的准确率和误诊率。结果:实验组检测方法下确诊为急性阑尾炎共29例,经手术查证,诊断准确率为96.67%,明显高于对照组和观察组患儿的诊断准确率(P<0.05);实验组急性阑尾炎的误诊例数为1例,误诊率为3.33%,明显低于对照组和观察组患儿的误诊率(P<0.05);以上差异均具有统计学意义。结论:临床上采用尿常规检验联合C-反应蛋白诊断小儿急性阑尾炎,能够有效提高诊断的准确率,降低误诊概率,具有一定的诊断价值,对于急性阑尾炎的确诊以及治疗具有重要的意义,值得临床推广应用。 Objective: To investigate and compare values of urine-routine text and C- reactive protein for diagnosis of acute appendicitis in children. Methods: 120 patients were divided into the control group, the observation group and the experiment group. The control group was diagnosed by urine-routine text; the observation group was diagnosed by C- reactive protein; the experiment group was diagnosed by urine-routine text and C- reactive protein. Then they were diagnosed by pathological examination. Accuracy and misdiagnosis in three groups were compared. Results: 29 cases in the experiment group were diagnosed, with 96.67% accuracy, higher than that in the other groups(P〈0.05). 1 case in the experiment group was misdiagnosed, with 3.33% misdiagnosis, lower than that in the other groups(P〈0.05). Conclusion: Urine-routine text and C- reactive protein for diagnosis of acute appendicitis in children could improve accuracy, and was worthy of promotion.
机构地区 确山县人民医院
出处 《中医临床研究》 2016年第2期122-123,共2页 Clinical Journal Of Chinese Medicine
关键词 尿常规检验 C-反应蛋白 小儿急性阑尾炎 临床应用 Urine-routine text C-reactive protein Acute appendicitis in children Clinical application
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