唾液C反应蛋白:儿童急性尾炎的非侵入性替代方案
Klaudio Pjer Milunović1, Lada Stanišić2, Tomislav Barić1
1Department of Pediatric Surgery, University Hospital of Split, 21000 Split, Croatia.
Molecules (Basel, Switzerland)
|August 28, 2025
概括
唾液C反应蛋白 (CRP) 显示为诊断儿童急性尾炎的非侵入性生物标志物. 它的诊断性能与血液测试相当,可能减少侵入性手术的需要.
科学领域:
- 儿童医学
- 生物标志物发现
- 诊断的准确性
背景情况:
- 急性尾炎是儿童常见的手术紧急情况.
- 目前的诊断方法可能涉及诸如血液检测之类的侵袭性手术.
- 早期和准确的诊断需要非侵入性生物标志物.
研究的目的:
- 评估唾液C反应蛋白 (CRP) 作为儿童急性尾炎的非侵入性生物标志物.
- 将唾液CRP水平与血清CRP水平进行比较以确定诊断潜力.
- 评估唾液和血清CRP之间的诊断性能和一致性.
主要方法:
- 在确诊尾炎的儿科患者和对照组中测量了唾液和血清CRP水平.
- 使用接收器操作特征 (ROC) 分析来评估诊断性能.
- 使用斯皮尔曼相关性和布兰德- 阿尔特曼分析评估了唾液和血清CRP之间的一致性.
主要成果:
- 与对照组相比,尾炎患者的唾液CRP水平显著升高 (中位数为35. 7对1.1 mg/ l).
- 唾液CRP显示出优异的分辨能力 (AUC=0. 97),与血清CRP (AUC=0. 98) 相比.
- 在唾液和血清CRP水平之间观察到强烈的相关性 (斯皮尔曼 ρ = 0. 963) 和良好的一致性.
结论:
- 唾液CRP是一种有前途的非侵入性生物标志物,用于诊断儿童的急性尾炎.
- 它的诊断性能与血清CRP可比,表明可能减少侵入性血液采样.
- 这种方法可以简化儿童紧急情况的早期评估.
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