国际检验医学杂志
國際檢驗醫學雜誌
국제검험의학잡지
INTERNATIONAL JOURNAL OF LABORATORY MEDICINE
2010年
2期
123-124
,共2页
细菌感染%降钙素%实验室技术和方法
細菌感染%降鈣素%實驗室技術和方法
세균감염%강개소%실험실기술화방법
hacterial infections%calcitonin%Laboratory Techniques and Proeedurea
目的 探讨血清降钙素原(PCT)检测在细菌感染性疾病中的诊断价值及临床意义.方法 对58例感染性疾病患者采用半定量固相免疫测定法测定患者血清PCT水平(PCT水平分别为小于0.5、0.5～2.0、2.0～10和大于10 ng/mL 4个等级),并与C-反应蛋白(CRP)(CRP的水平分别为小于10、大于或等于10 mg/L 2个等级)及中性粒细胞碱性磷酸酶(NAP)(NAP的水平分别为小于80、大于或等于80分/100N.C 2个等级)进行比较,分析各指标在细菌及非细菌感染中的差异.结果 48例细菌感染性疾病患者PCT阳性40例,阳性率83.33%;CRP测定阳性31例,阳性率64.58%,NAP测定阳性29例,阳性率60.42%;同期23例非细菌感染性疾病患者PCT测定阳性3例,阳性率13%,而CRP测定阳性11例,阳性率47.83%,NAP测定阳性10例,阳性率43.48%.细菌感染组PCT、CRP和NAP的阳性率均高于非细菌感染组,其中细菌感染组PCT的阳性率与非细菌感染组PCT的阳性率比较,差异有统计学意义(P＜0.01),细菌感染组CRP和NAP的阳性率与非细菌感染组CRP和NAP的阳性率比较.差异有统计学意义(P＜0.05),而细菌感染组PCT的阳性率与CRP和NAP的阳性率比较,差异有统计学意义(P＜0.05).结论 PCT检测应用于细菌感染性疾病,可作为早期快速鉴别细菌感染的实验室新指标,且血清PCT水平高低可作为是否使用抗菌药物的参考依据.
目的 探討血清降鈣素原(PCT)檢測在細菌感染性疾病中的診斷價值及臨床意義.方法 對58例感染性疾病患者採用半定量固相免疫測定法測定患者血清PCT水平(PCT水平分彆為小于0.5、0.5～2.0、2.0～10和大于10 ng/mL 4箇等級),併與C-反應蛋白(CRP)(CRP的水平分彆為小于10、大于或等于10 mg/L 2箇等級)及中性粒細胞堿性燐痠酶(NAP)(NAP的水平分彆為小于80、大于或等于80分/100N.C 2箇等級)進行比較,分析各指標在細菌及非細菌感染中的差異.結果 48例細菌感染性疾病患者PCT暘性40例,暘性率83.33%;CRP測定暘性31例,暘性率64.58%,NAP測定暘性29例,暘性率60.42%;同期23例非細菌感染性疾病患者PCT測定暘性3例,暘性率13%,而CRP測定暘性11例,暘性率47.83%,NAP測定暘性10例,暘性率43.48%.細菌感染組PCT、CRP和NAP的暘性率均高于非細菌感染組,其中細菌感染組PCT的暘性率與非細菌感染組PCT的暘性率比較,差異有統計學意義(P＜0.01),細菌感染組CRP和NAP的暘性率與非細菌感染組CRP和NAP的暘性率比較.差異有統計學意義(P＜0.05),而細菌感染組PCT的暘性率與CRP和NAP的暘性率比較,差異有統計學意義(P＜0.05).結論 PCT檢測應用于細菌感染性疾病,可作為早期快速鑒彆細菌感染的實驗室新指標,且血清PCT水平高低可作為是否使用抗菌藥物的參攷依據.
목적 탐토혈청강개소원(PCT)검측재세균감염성질병중적진단개치급림상의의.방법 대58례감염성질병환자채용반정량고상면역측정법측정환자혈청PCT수평(PCT수평분별위소우0.5、0.5～2.0、2.0～10화대우10 ng/mL 4개등급),병여C-반응단백(CRP)(CRP적수평분별위소우10、대우혹등우10 mg/L 2개등급)급중성립세포감성린산매(NAP)(NAP적수평분별위소우80、대우혹등우80분/100N.C 2개등급)진행비교,분석각지표재세균급비세균감염중적차이.결과 48례세균감염성질병환자PCT양성40례,양성솔83.33%;CRP측정양성31례,양성솔64.58%,NAP측정양성29례,양성솔60.42%;동기23례비세균감염성질병환자PCT측정양성3례,양성솔13%,이CRP측정양성11례,양성솔47.83%,NAP측정양성10례,양성솔43.48%.세균감염조PCT、CRP화NAP적양성솔균고우비세균감염조,기중세균감염조PCT적양성솔여비세균감염조PCT적양성솔비교,차이유통계학의의(P＜0.01),세균감염조CRP화NAP적양성솔여비세균감염조CRP화NAP적양성솔비교.차이유통계학의의(P＜0.05),이세균감염조PCT적양성솔여CRP화NAP적양성솔비교,차이유통계학의의(P＜0.05).결론 PCT검측응용우세균감염성질병,가작위조기쾌속감별세균감염적실험실신지표,차혈청PCT수평고저가작위시부사용항균약물적삼고의거.
Objective Discusses TT3,FT3,TT4,FT4 and TSH the value which examines in the thyroid gland disease patient；analysis thyroid gland disease patient TT3,FT3,TT4,FT4 and TSH change situation.Methods analyzes my hospital 200 example thyroid gland disease patients,and selects the normal adult 50 examples to take the control group.analytic method to each group of examination thyroid function,and carries on the comparison to the group various targets'examination value.Results primary hyperthyroidism group T3,T4,FT3,FT4 were higher than normally,the hypothyroidism group T3,T4,Fr3,FT4 to be lower than normally.The TSH content primary hyperthyroidism group was lower than normally,the hypothyroidism group to be higher than normally obviously.Compares its difference with the control group to have statistics significance.hyperthyroidism group its diagnosis coincidence rate FT3 was 96%,TSH was 96%,T3 was 92%,FT4 was 90%,T4 was 88%.The hypothyroidism,the diagnosis coincidence rate respectively was：TSH was 100%,FT4 was 93%,T4 was 90%,FT3 was 77%,T3 was 70%.Conclusion FT3,T3,TSH the significance are big in the hyperthyroidism diagnosis；FT4,T4,TSH the significance are big in the hypothyroidism diagnosis.
