重庆医学2016，Vol.45Issue(21)：2926-2928,2932,4.DOI:10.3969/j.issn.1671-8348.2016.21.014
血清神经特异性烯醇化酶与C反应蛋白对手足口病并发脑炎患儿的早期诊断价值
Early diagnosis value of serum neuron-specific enolase and CRP in hand-foot-mouth disease complicating encephalitis
摘要
Abstract
Objective To analyze the change of serum levels of neuron‐specific enolase (NSE) and C reactive protein (CRP) and their early diagnostic value in hand‐foot‐mouth disease (HFMD) complicating encephalitis .Methods One hundred and twenty cases of HFMD and 50 healthy children(healthy control group) served as the research subjects and the HFMD cases were divided into the common HFMD group (n=70) and HFMD complicating encephalitis group (n=50) according to the clinical manifesta‐tions .The enterovirus 71 (EV71) in throat swab was detected by quantitative PCR .The NSE and CRP levels were detected by en‐zyme linked immunosorbent assay (ELISA) ,and white blood cell (WBC) count was measured by hematology analyzer .The NSE and CRP levels were compared and their diagnostic values were analyzed .Results The serum NSE and CRP levels in the HFMD complicating encephalitis group were higher than those in the HFMD common group and control group ,the differences were statis‐tically significant (P< 0 .05) ,and which in the EV71 positive group were significantly higher than those in the EV71 negative group ,the differences were statistically significant (P<0 .05) ,but WBC count had no statistically significant difference (P>0 .05) . The serum NSE level was positively correlated with the CRP level (r=0 .43 ,P<0 .01) .The area under ROC curves (AUC) and 95% CI of NSE and CRP were 0 .893(95% CI:0 .833 -0 .952) and 0 .867(95% CI:0 .799 -0 .934) ,the optimal operating points (OOP) were 11 .6 ng/mL and 14 .15 mg/L respectively ,the sensitivity and specificity of NSE and CRP for diagnosing HFMD com‐plicating encephalitis were 80 .0% ,86 .00% and 81 .4% ,78 .6% respectively ,while which of their combined detection were 88 .0%and 85 .7% ,AUC and 95% CI was 0 .927(95% CI:0 .845-0 .969) .Conclusion The NSE and CRP levels in children patients with early HFMD complicating encephalitis are significantly increased ,especially which in the patients with EV71 positive is more signif‐icant .The combined detection of serum NSE and CRP levels can be used as the early sensitive indicators for diagnosing HFMD complicating encephalitis .关键词
手足口病/C反应蛋白/肠道病毒71型/神经元特异性烯醇化酶Key words
hand-foot-mouth disease/C reactive protein/enterovirus 71/neuron-specific enolase分类
临床医学引用本文复制引用
熊燚,王健,魏笛,冯亚..血清神经特异性烯醇化酶与C反应蛋白对手足口病并发脑炎患儿的早期诊断价值[J].重庆医学,2016,45(21):2926-2928,2932,4.基金项目
遵义市科学技术基金项目［遵义市科合社字（2013）37号］；贵州省卫生厅科学技术基金项目（gzwkj2013-1-060）。 （）
