国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2009年
24期
1481-1483
,共3页
刘珊珊%刘雪白%李翠萍%周秀梅
劉珊珊%劉雪白%李翠萍%週秀梅
류산산%류설백%리취평%주수매
C-反应蛋白%血沉%老年%肺部感染
C-反應蛋白%血沉%老年%肺部感染
C-반응단백%혈침%노년%폐부감염
C-reactive protein%Erythrocyte sedimentation rate%Old patients%Pulmonary infection
目的 探讨C-反应蛋白(C-reactive protein,CRP)与血沉(erythrocyte sedimentation rate,ESR)在老年肺部感染中的临床应用价值.方法 老年肺部感染500例,所有病例均在人院的第1天、第3天、第5天、第7天、第14天清晨采静脉血测定CRP、ESR和白细胞计数(WBC).同时对患者入院当天进行临床肺部感染评分(clinical pulmonary infection score,CPIS).结果①经有效治疗后各数值较治疗前均明显下降(P<0.01);②血清CRP较ESR下降迅速(P<0.01);③CRP阳性率明显高于ESR和wBc(P<0.01);④经两参数的相关性分析.CRP、ESR与CPIS均相关,相关程度CRP>ESR.结论 血清CRP与ESR均为临床老年肺部感染诊断和治疗评价的有效指标.CRP有助于老年肺部感染的早期识别及感染严重程度的判定,并且能够迅速准确地反映抗生素的疗效,是明显优于ESR、WBC等的有效炎症指标.
目的 探討C-反應蛋白(C-reactive protein,CRP)與血沉(erythrocyte sedimentation rate,ESR)在老年肺部感染中的臨床應用價值.方法 老年肺部感染500例,所有病例均在人院的第1天、第3天、第5天、第7天、第14天清晨採靜脈血測定CRP、ESR和白細胞計數(WBC).同時對患者入院噹天進行臨床肺部感染評分(clinical pulmonary infection score,CPIS).結果①經有效治療後各數值較治療前均明顯下降(P<0.01);②血清CRP較ESR下降迅速(P<0.01);③CRP暘性率明顯高于ESR和wBc(P<0.01);④經兩參數的相關性分析.CRP、ESR與CPIS均相關,相關程度CRP>ESR.結論 血清CRP與ESR均為臨床老年肺部感染診斷和治療評價的有效指標.CRP有助于老年肺部感染的早期識彆及感染嚴重程度的判定,併且能夠迅速準確地反映抗生素的療效,是明顯優于ESR、WBC等的有效炎癥指標.
목적 탐토C-반응단백(C-reactive protein,CRP)여혈침(erythrocyte sedimentation rate,ESR)재노년폐부감염중적림상응용개치.방법 노년폐부감염500례,소유병례균재인원적제1천、제3천、제5천、제7천、제14천청신채정맥혈측정CRP、ESR화백세포계수(WBC).동시대환자입원당천진행림상폐부감염평분(clinical pulmonary infection score,CPIS).결과①경유효치료후각수치교치료전균명현하강(P<0.01);②혈청CRP교ESR하강신속(P<0.01);③CRP양성솔명현고우ESR화wBc(P<0.01);④경량삼수적상관성분석.CRP、ESR여CPIS균상관,상관정도CRP>ESR.결론 혈청CRP여ESR균위림상노년폐부감염진단화치료평개적유효지표.CRP유조우노년폐부감염적조기식별급감염엄중정도적판정,병차능구신속준학지반영항생소적료효,시명현우우ESR、WBC등적유효염증지표.
Objective To investigate the clinical application value of C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)in old pulmonary infection patients.Methods 500 old pulmonary infection patients were investigated in the study.CRP，ESR and white blood count(WBC)were measured on the 1St，3rd，5th，7th，14th day's morning.And clinical pulmonary infection score(CPIS)was measured on the 1st day of hospital entrance.Results①After therapy，all indexes descended obviously(P<0.01).②CRP descended more rapidly than ESR(P<0.01).③The positive-rate of CRP was significantly higher than that of ESR and WBC(P<0.01).④CRP add ESR were correlated with CPIS，and the correlativity sequence was CRP>ESR.Conclusions Both CRP and ESR can be used to value the diagnosis and therapy in old pulmonary infection patients.CRP is helpful to identify the early infection and judge the severity of infection.And it can also reflect the therapeutic effect rapidly.CRP is a good index that has an obvious advantage than ESR and WBC.
