血常规、降钙素原、血沉、超敏C反应蛋白及血清淀粉样蛋白在布氏杆菌病临床诊断中应用价值的研究
Study on the Application Value of Routine Blood Count, Procalcitonin, Erythrocyte Sedimentation Rate, Hypersensitive C-Reactive Protein and Serum Amyloid in the Clinical Diagnosis of Brucellosis
摘要: 目的:分析探讨血常规、降钙素原、血沉、超敏C反应蛋白(CRP)及血清淀粉样蛋白(SAA)在布氏杆菌病诊断过程中的应用价值。方法:收集我院2021年1月~2023年12月确诊为布病患者(血培养阳性) 42例的临床病例的血常规、降钙素原、血沉、超敏C反应蛋白(CRP)及血清淀粉样蛋白(SAA)等检验指标。用电阻抗法检测血常规,化学发光法专用试剂盒检测血浆PCT,放射免疫比浊法检测超敏C反应蛋白(CRP)和血清淀粉样蛋白(SAA),倾斜管法检测血沉。结果:布病患者的白细胞、红细胞、血小板、降钙素原水平基本正常,淋巴细胞比率、血沉、CRP、SAA有增加的趋势,中性粒细胞比率有降低的趋势。
Abstract: Objective: To analyze the application value of routine blood test, procalcitonin, ESR, hypersensitive C-reactive protein (CRP) and serum amyloid (SAA) in the diagnosis of brucellosis. Methods: The blood routine, procalcitonin, erythrocyte sedimentation rate, hypersensitive C-reactive protein (CRP) and serum amyloid (SAA) of 42 clinical patients diagnosed with brucellosis (positive blood culture) in our hospital from January 2021 to December 2023 were collected. Routine blood tests were performed by electrical impedance method, plasma PCT was detected by a special kit for chemiluminescence method, hypersensitive C-reactive protein (CRP) and serum amyloid (SAA) were detected by radioimmunoturbidimetry, and ESR was detected by tilt tube method. Results: The levels of white blood cells, red blood cells, platelets, and procalcitonin were basically normal, and the lymphocyte ratio, erythrocyte sedimentation rate, CRP, and SAA increased, and the neu-trophil ratio decreased.
文章引用:刘园, 冯立君, 刘丽, 王小娜. 血常规、降钙素原、血沉、超敏C反应蛋白及血清淀粉样蛋白在布氏杆菌病临床诊断中应用价值的研究[J]. 临床医学进展, 2024, 14(2): 3942-3946. https://doi.org/10.12677/ACM.2024.142549

参考文献

[1] Njeru, J., Wareth, G., Melzer, F., et al. (2016) Systematic Review of Brucellosis in Kenya: Disease Frequency in Hu-mans and Animals and Risk Factors for Human Infection. BMC Public Health, 16, Article Number: 853. [Google Scholar] [CrossRef] [PubMed]
[2] Musallam, I., Abo-Shehada, M.N., Hegazy, Y.M., Holt, H.R. and Guitian, F.J. (2016) Systematic Review of Brucellosis in the Middle East: Disease Frequency in Ruminants and Humans and Risk Factors for Human Infection. Epidemiology & Infection, 144, 671-685. [Google Scholar] [CrossRef
[3] Lai, S.J., Chen, Q.L. and Li, Z.J. (2021) Human Brucellosis: An Ongoing Global Health Challenge. CCDC Weekly, 3, 120-123.
[4] 孟成艳, 金嘉琳, 阮裴怡, 等. 上海地区散发布氏杆菌感染的细菌学及分子鉴定[J]. 微生物与感染, 2006, 1(1): 32-34.
[5] 崔恩博, 鲍春梅, 郭桐生, 等. 布氏菌病的流行趋势及诊断[J]. 传染病信息, 2010, 23(1): 20-22.
[6] Álvarez-Ojeda, M.G., Saldãna-Fuentes, C., Ballesteros-Elizondo, M.R., et al. (2015) Comparison of the Tests Polymerase Chain Reaction, Serology, and Blood Culture with Respect to Sensitivity and Specificity for Detection of Brucella spp in Human Samples People with Positive and Negative Serology. Gaceta Médica de México, 151, 579-585.
[7] 杨新明, 张磊, 刘肃, 等. 脊柱疾病[M]. 北京: 科学技术文献出版社, 2011: 271-275.
[8] 任今敬, 王洁. 血常规异常的布氏杆菌病19例分析[J]. 临床医学, 2010, 30(8): 111-112.
[9] Paranavitana, C., Zelazowska, E., Dasilva, L., et al. (2010) Th17 Cytokines in Recall Responses against Fancisella tularensis in Humans. Journal of Interferon & Cytokine Research, 7, 471-476. [Google Scholar] [CrossRef] [PubMed]
[10] 翟雪. 急性布氏杆菌病治疗过程中血清白介素17、内毒素、超敏C反应蛋白及降钙素原的变化[D]: [硕士学位论文]. 银川: 宁夏医科大学, 2017.