李亞利,楊媛媛,鄭美琴
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梅毒性眼病患者C-反應蛋白和血沉與白細胞聯合檢測的價值
李亞利,楊媛媛,鄭美琴
Department of Laboratory, the Eye Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China
?METHODS: Dates of CRP, ESR, WBC, TPPA and RPR of 51 ophthalmopathy patients caused by syphilis and 50 normal control from Jan. 2012 to Dec. 2015 in eye hospital were recruited and analyzed statistically.
?RESULTS: The positive rates of CRP, ESR and WBC of oculopathy patients were 16%, 18% and 39%, respectively, which were higher than those in the control group. In patients group, the positive rate of ESR was higher than CRP and WBC. There were no obvious relationships between RPR titers and positive ratios of CRP, WBC and ESR.
?CONCLUSION: The blood level of CRP, WBC and ESR may have certain help in estimating and monitoring condition of patients with ocular syphilis.
目的:探討以眼病為主要表現的梅毒患者C-反應蛋白(C-reactive protein,CRP)、 血沉(erythrocyte sedimentation rate,ESR)和白細胞(white blood cell,WBC)聯合檢測的價值。
方法:對2012-01/2015-12本院以眼部癥狀首診的51例梅毒患者和50例正常對照者的快速血漿反應素環狀卡片試驗(RPR)及梅毒螺旋體血清凝集試驗(TPPA)、CRP、ESR及WBC檢測結果進行回顧性分析。
結果:梅毒性眼病患者CRP、WBC及ESR的陽性率分別為16%、18%和39%,明顯高于正常對照組;ESR陽性率分別與CRP、WBC相比較,差異有統計學意義(P<0.05);CRP、WBC及ESR陽性率與RPR滴度無明顯相關性。
結論:聯合檢測CRP、WBC和ESR,能更好地反映以眼病為主要癥狀的梅毒患者的感染情況,對病情評估及監測具有一定的輔助性作用。
梅毒性眼??;C-反應蛋白;血沉;白細胞
引用:李亞利,楊媛媛,鄭美琴.梅毒性眼病患者C-反應蛋白和血沉與白細胞聯合檢測的價值.國際眼科雜志2016;16(11):2169-2170
梅毒是由蒼白螺旋體引起的一種常見的慢性系統性傳染疾病,可侵犯人體全身各器官,臨床表現復雜多樣,各期梅毒患者都可有眼部損害,其表現往往不盡相同,可累及角膜、鞏膜、葡萄膜、視網膜和視神經等部位,缺乏特異性,易引起漏診及誤診[1]。近年來,梅毒的發病率在逐年增加,梅毒眼病發病隨之也逐漸升高[2]。本次研究主要是針對2012-01/2015-12來我院就診的以眼部損害為首發癥狀的梅毒患者,C-反應蛋白(C-reactive protein,CRP)、 血沉(erythrocyte sedimentation rate,ESR)和白細胞(white blood cell,WBC)聯合檢測結果進行回顧性分析,以期輔助判斷梅毒性相關眼病的病情,具體報告如下。
1.1對象選擇2012-01/2015-12以眼部癥狀為主要表現就診于我院,經臨床和梅毒血清學檢查確診的51例梅毒性眼病患者和50例正常對照者為研究對象?!?br>