CAJ | 학술논문

目的：探讨血清腺苷脱氨酶（ADA）和 C 反应蛋白（CRP）联合检测在肺结核诊断中的临床价值，为肺结核的临床治疗提供依据。方法回顾性分析2012年1月至2013年12月收治的107例肺结核患者，并以同期100例健康者作为对照，分别于治疗前和治疗后检测并比较分析 ADA 和 CRP 水平。结果血清 ADA 和 CRP 肺结核组治疗前高于治疗后（P ＜0．05），肺结核组治疗前高于健康对照组（P ＜0．05），血清 ADA 和 CRP 联合检测可以提高肺结核诊断的敏感度和准确度。结论血清 ADA 和 CRP 联合检测在肺结核诊断中具有重要的临床价值，值得临床推广。
목적：탐토혈청선감탈안매（ADA）화 C 반응단백（CRP）연합검측재폐결핵진단중적림상개치，위폐결핵적림상치료제공의거。방법회고성분석2012년1월지2013년12월수치적107례폐결핵환자，병이동기100례건강자작위대조，분별우치료전화치료후검측병비교분석 ADA 화 CRP 수평。결과혈청 ADA 화 CRP 폐결핵조치료전고우치료후（P ＜0．05），폐결핵조치료전고우건강대조조（P ＜0．05），혈청 ADA 화 CRP 연합검측가이제고폐결핵진단적민감도화준학도。결론혈청 ADA 화 CRP 연합검측재폐결핵진단중구유중요적림상개치，치득림상추엄。
Objective To study the clinical value of serum adenosine deaminase(ADA)and C reactive protein (CRP)in the diagnosis of pulmonary tuberculosis,so as to provide basis for clinical treatment of pulmonary tubercu-losis.Methods Retrospective analysis of the 107 cases of patients with pulmonary tuberculosis,which collected from January 2012 and December 2013,100 cases healthy persons as control group.Compare of ADA and CRP before and after treatment.Results Before the treatment,the levels of ADA CRP in pulmonary tuberculosis patients were high-er then the control group(P <0.05),also higher than after treatmen(P <0.05).The combined detection of serum ADA and CRP could improve the sensitivity and accuracy in diagnosis of pulmonary tuberculosis.Conclusion The combined detection of serum ADA and CRP has important clinical value in the diagnosis of pulmonary tuberculosis,it is worthy of clinical promotion.