C反应蛋白、白细胞计数、中性粒细胞百分比与阑尾炎临床病理体征的关系分析

摘要

Objective To analyze the relation between the C-reactive protein (CRP),white blood cell count and neu-trophilic granulocyte percentage and the clinical pathological signs of appendicitis. Methods Seventy-eight patients with appendicitis admitted to our hospital were selected as the study subjects and the patients’ CRP,white blood cell count and neutrophilic granulocyte percentage were detected respectively.Meanwhile,the patients were divided into groups according to the patients’ clinical pathological signs.The patients’ indicator levels under different illness condi-tions,pathogenic bacteria types and pathological patterns were analyzed comparatively. Results Regarding to the illness conditions of appendicitis,the acute appendicitis group had higher CRP,white blood cell count and neutrophilic granu-locyte percentage than the chronic appendicitis group (P<0.05).Regarding to the pathogenic bacteria type,the escherichia coli group,the pseudomonas aeruginosa group and the klebsiella pneumonia group did not have statistically significant differences in CRP,white blood cell count and neutrophilic granulocyte percentage (P>0.05).Regarding to the pathologi-cal pattern,the gangrenous appendicitis group had higher CRP,white blood cell count and neutrophilic granulocyte per-centage than the suppurative appendicitis group,which was higher than the simple appendicitis (P<0.05). Conclusion C-reactive protein,white blood cell count and neutrophilic granulocyte percentage have certain relation to the illness conditions and pathological types of appendicitis,the detection of which can provide reference to the diagnosis and treatment of appendicitis.%目的：分析C反应蛋白(CRP)、白细胞计数、中性粒细胞百分比与阑尾炎临床病理体征的关系。方法以本院收治的78例阑尾炎患者为研究对象，分别对患者的CRP、白细胞计数、中性粒细胞百分比进行检测。根据患者的临床病理体征进行分组，对比分析不同病情、病原菌类型及病理类型下患者各指标的水平。结果在阑尾炎病情上，急性阑尾炎组患者的CRP、白细胞计数、中性粒细胞百分比均高于慢性阑尾炎组(P<0.05)；在病原菌类型上，大肠埃希菌组、铜绿假单胞菌组、肺炎克雷伯菌组患者的CRP、白细胞计数、中性粒细胞百分比比较，差异无统计学意义(P>0.05)；在病理类型上，坏疽性阑尾炎组患者的CRP、白细胞计数、中性粒细胞百分比>化脓性阑尾炎组>单纯性阑尾炎组(P<0.05)。结论 CRP、白细胞计数、中性粒细胞百分比与阑尾炎病情及病理类型有一定的关系，通过其检测可为阑尾炎的诊治提供参考依据。