血清 C-反应蛋白(CRP)和前白蛋白(PA)变化在新生儿感染性疾病的应用价值

Value of serum CRP and PA levels in diagnosis and treatment of neonatal infections

  • 摘要: 目的:探讨血清 C 反应蛋白(CRP)和前白蛋白(PA)在新生儿感染中的变化特点,评估两种感染相关蛋白在新生儿感染性疾病检测及疗效中的应用价值。方法收集92例足月新生患儿进行临床观察,其中45例细菌感染患儿作为感染组,47例非感染性疾病新生儿作为非感染组,测各组血 CRP 和前白蛋白在感染性疾病不同阶段的变化情况,以判断病情发展及抗感染治疗的效果。结果细菌感染组血清 CRP 明显高于非感染组,PA 则明显低于非感染组,均有显著性差异(P <0.05);感染组患儿随着治疗持续进行,血清 CRP 亦持续明显降低,PA 明显升高,感染组治疗前与治疗后第3天、出院前比较,其差异均有统计学意义(P <0.05),而出院前检测结果与对照组无显著性差异(P >0.05)。结论血清 CRP 及 PA 的动态变化不仅可以作为诊断新生儿细菌感染的灵敏指标,还可用来观察和评估感染性疾病治疗的疗效,具有快捷、可靠、敏感、价廉等优点。

     

    Abstract: Objective To investigate value of serum levels of c-reactive protein (CRP)and prealbumin (PA)in diagnosis and treatment of neonatal infections.Methods 92 children with neonatal infections were divided into group A (infection group)and group B (infection group). Blood CRP and PA levels at different stages of infectious diseases were detected in order to determine the illness and anti-infection treatment.Results The serum CRP in bacterial infection group was obviously higher than that of infection group,and PA was significantly lower than the infection group(P <0.05).With continuing of treatment,children in infection group had a reduction in serum CRP and increasing in PA.Before treatment and 3 days after treatment,there were signifi-cant differences in infection group(P <0.05),and there was no significant difference of testing re-sults of 7 days after treatment between two groups(P >0.05).Conclusion The dynamic changes of the serum levels of CRP and PA not only can be used as a sensitive index of the diagnosis of neonatal bacterial infections,but also can be used to observe and evaluate the efficacy of treatment for infectious diseases.

     

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