Clin Lab. 2023 Aug 1;69(8). doi: 10.7754/Clin.Lab.2022.220737.
The purpose of this study was to investigate the diagnostic value of combined detection of PCT, IL-6, CRP, and WBC in neonatal sepsis. The study selected 50 neonatal sepsis patients treated in Pucheng County Hospital from April 2018 to June 2020 as the patient group, and 50 healthy newborns as the control group. Before treatment, white blood cell count (WBC) was performed on all neonates, and serum PCT, IL-6, and CRP levels were detected by ELISA. After treatment, serum levels of these four biomarkers in the effective/non-effective groups were observed. The results noted higher levels of these four biomarkers in the patient group rather than the control group before treatment, and in the effective group rather than the non-effective group after treatment. ROC analysis found that the area under curve (AUC), specificity and sensitivity of the combined detection were better than those of the single detection. In short, combined detection of these four biomarkers has a high diagnostic value for neonatal sepsis.
本研究旨在探讨 PCT、IL-6、CRP 和 WBC 联合检测在新生儿败血症中的诊断价值。研究选取 2018 年 4 月至 2020 年 6 月在蒲城县医院治疗的 50 例新生儿败血症患者作为患者组,选择同期 50 例健康新生儿作为对照组。所有新生儿均在治疗前进行白细胞计数(WBC),采用 ELISA 法检测血清 PCT、IL-6 和 CRP 水平。治疗后观察有效/无效两组患儿这 4 项生物标志物的血清水平。结果显示,治疗前患者组这 4 项标志物水平均高于对照组,治疗后有效组高于无效组。ROC 分析发现,联合检测的曲线下面积(AUC)、特异度和敏感度均优于单项检测。综上所述,联合检测这 4 项标志物对新生儿败血症具有较高的诊断价值。