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血清降钙素原CRP与WBC在颅脑手术患者发热中的诊断价值分析

李滨 陈建 谭勇 宋建铭

河北医学2017,Vol.23Issue(3):369-371,3.
河北医学2017,Vol.23Issue(3):369-371,3.DOI:10.3969/j.issn.1006-6233.2017.03.006

血清降钙素原CRP与WBC在颅脑手术患者发热中的诊断价值分析

The Effects of WBC CRP and WBC on Diagnosing Brain Surgery Patients with Fever

李滨 1陈建 1谭勇 1宋建铭1

作者信息

  • 1. 重庆市黔江中心医院重症医学科,重庆 409000
  • 折叠

摘要

Abstract

Objective:To discuss the effects of WBC, CRP and WBC on diagnosing brain surgery patients with fever.Methods:98 brain surgery patients with fever who accepted treatment in our hospital from Aug.2014 to Aug.2015 were included in this study and divided into two groups according to the infection degree.46 patients were in the infection group and 52 cases in non-infection group.On the other hand, 50 patients accepted brain surgery patients without fever were selected as control group.Results:The CRP, WBC level of infection group and non-infection grouop were significantly higer than those of the control group(P<0.05).There was no significant different between the control group and non-infectin group of the PCT level(P>0.05) whereas the PCT level of infection group was significant higher than the other two group(P<0.05).The sensitivity and specificity of PCT were significantly higher than CPR and WBR (P<0.05), and the area under ROC curve was close to 1.Conclusion:PCT has the better diagnosing effect comparing to CRP and WBC, especially when patients with fever, which could be the main index of the clinical diagnosis.

关键词

颅脑手术/血清降钙素/C反应蛋白/白细胞/诊断

Key words

Brain surgery/PCT/CRP/WBC/Diagnosis

引用本文复制引用

李滨,陈建,谭勇,宋建铭..血清降钙素原CRP与WBC在颅脑手术患者发热中的诊断价值分析[J].河北医学,2017,23(3):369-371,3.

基金项目

重庆市卫生和计划生育委员会科研项目,(编号:2012-7-1325) (编号:2012-7-1325)

河北医学

OACSTPCD

1006-6233

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