中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
16期
108-109
,共2页
罗国辉%曹华蕊%肖军%陈雪融
囉國輝%曹華蕊%肖軍%陳雪融
라국휘%조화예%초군%진설융
肺结核%真菌性肺部感染%降钙素原%鉴别诊断
肺結覈%真菌性肺部感染%降鈣素原%鑒彆診斷
폐결핵%진균성폐부감염%강개소원%감별진단
Pulmonary tuberculosis%Pulmonary fungal infection%Procalcitonin%Differential diagnosis
目的：探讨PCT在肺结核与真菌性肺部感染疾病鉴别中的意义。方法：对50例肺结核患者(结核组)及50例真菌性肺部感染患者(真菌组)进行血清 PCT、全血 CRP、IL-6定量检测(采用免疫荧光定量检测方法)，以 PCT≥0.25ng/ml、CRP≥5mg/L、IL-6≥7pg/ml 为阳性。结果：结核组血清 PCT 水平低于真菌组(P＜0.05)，全血 CRP、IL-6含量，结核组与真菌组比较，差异无统计学意义(P＞0.05)。结核组和真菌组中PCT的阳性率分别为20%和62%，差异有统计学意义(P＜0.01)。结论：血清PCT检测有助于肺结核与真菌性肺部感染的鉴别诊断。
目的：探討PCT在肺結覈與真菌性肺部感染疾病鑒彆中的意義。方法：對50例肺結覈患者(結覈組)及50例真菌性肺部感染患者(真菌組)進行血清 PCT、全血 CRP、IL-6定量檢測(採用免疫熒光定量檢測方法)，以 PCT≥0.25ng/ml、CRP≥5mg/L、IL-6≥7pg/ml 為暘性。結果：結覈組血清 PCT 水平低于真菌組(P＜0.05)，全血 CRP、IL-6含量，結覈組與真菌組比較，差異無統計學意義(P＞0.05)。結覈組和真菌組中PCT的暘性率分彆為20%和62%，差異有統計學意義(P＜0.01)。結論：血清PCT檢測有助于肺結覈與真菌性肺部感染的鑒彆診斷。
목적：탐토PCT재폐결핵여진균성폐부감염질병감별중적의의。방법：대50례폐결핵환자(결핵조)급50례진균성폐부감염환자(진균조)진행혈청 PCT、전혈 CRP、IL-6정량검측(채용면역형광정량검측방법)，이 PCT≥0.25ng/ml、CRP≥5mg/L、IL-6≥7pg/ml 위양성。결과：결핵조혈청 PCT 수평저우진균조(P＜0.05)，전혈 CRP、IL-6함량，결핵조여진균조비교，차이무통계학의의(P＞0.05)。결핵조화진균조중PCT적양성솔분별위20%화62%，차이유통계학의의(P＜0.01)。결론：혈청PCT검측유조우폐결핵여진균성폐부감염적감별진단。
Objective:To explore the significance of PCT in the differential diagnosis of pulmonary tuberculosis and pulmonary fungal infection.Methods:50 cases with pulmonary tuberculosis (tuberculosis group)and 50 cases with pulmonary fungal infection (fungal group)were selected.We measured their serum PCT,blood CRP,IL-6(the testing method of immunofluorescence quantitative).PCT≥0.25ng/ml,CRP≥5mg/L,IL-6≥7pg/ml were positive.Results:The level of serum PCT in tuberculosis group was lower than that of fungal group(P<0.05).There was no significant difference in blood CRP,IL-6 content between two groups(P>0.05).The positive rate of PCT of tuberculosis group and fungal group were 20% and 62% respectively,and the difference was statistically significant(P<0.01).Conclusion:Detection of serum PCT is helpful for pulmonary tuberculosis and pulmonary fungal infection in the differential diagnosis.
