小儿肺炎hs-CRP、ESR及WBC表达水平与联合检测的意义OA

Objective To explore the significance of high sensitivity C-reactive protein(hs-CRP),erythrocyte sedimentation rate(ESR)and white blood cell count(WBC)expression levels and combined detection in children with pneumonia.Methods 90 children with pneumonia were selected as observation group,and another 90 healthy children with physical examination at the same time were selected as control group.The hs-CRP,ESR and WBC expression levels of two groups were detected,the positive and negative expressions of indicators were counted,and the diagnostic efficacy of single and combined detection for children with pneumonia was compared.Results The CRP,ESR and WBC levels of the observation group were higher than those of the control group(P<0.05).κ test results showed that the single detection results of hs-CRP,ESR and WBC were generally consistent with the clinical diagnosis results(κ = 0.742,0.727,0.713,P<0.05);The combined detection results have high consistency with the clinical diagnosis results(κ = 0.903,P<0.05).The sensitivity,specificity and accuracy of combined detection of hs-CRP,ESR and WBC in the diagnosis of children with pneumonia were higher than those of single detection(P<0.05).Conclusions During the onset of children with pneumonia,hs-CRP,ESR and WBC showed a significant upward trend.Combined detection of hs-CRP,ESR,and WBC can improve the diagnostic accuracy of children with pneumonia.