中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
9期
36-38
,共3页
肺炎%细菌性肺炎%降钙素原%C-反应蛋白%白细胞计数
肺炎%細菌性肺炎%降鈣素原%C-反應蛋白%白細胞計數
폐염%세균성폐염%강개소원%C-반응단백%백세포계수
Pneumonia%Bacterial pneumonia%Procalcitonin%C-reactive protein%Leukocyte count
目的 研究降钙素原(PCT)与C-反应蛋白(CRP)在细菌性肺炎诊断中的临床运用价值.方法 根据实验室诊断结果将210例肺炎患者分为病毒组、细菌组和支原体组,每组70例,并根据CURB评分将细菌组再分为低危组、中危组和高危组.比较各组的PCT、CRP、白细胞计数(WBC)、中性粒细胞比例(NEUT).结果 细菌组的CRP、PCT、WBC、NEUT分别为(62.57±16.55) mmol/L、(9.25±5.17) μg/L、(13.59±3.04)×109/L、0.87±0.14,明显高于支原体组和病毒组(P＜0.05).低危组的CRP、PCT、WBC分别为(22.37±4.55) mmol/L、(3.19±0.99) μg/L、(10.22±2.14)×109/L,显著低于中危组和高危组(P＜0.05).结论 通过测量降钙素原、C-反应蛋白水平和白细胞计数可以较为准确地诊断细菌性肺炎,并反应疾病严重程度,值得在临床中推广使用.
目的 研究降鈣素原(PCT)與C-反應蛋白(CRP)在細菌性肺炎診斷中的臨床運用價值.方法 根據實驗室診斷結果將210例肺炎患者分為病毒組、細菌組和支原體組,每組70例,併根據CURB評分將細菌組再分為低危組、中危組和高危組.比較各組的PCT、CRP、白細胞計數(WBC)、中性粒細胞比例(NEUT).結果 細菌組的CRP、PCT、WBC、NEUT分彆為(62.57±16.55) mmol/L、(9.25±5.17) μg/L、(13.59±3.04)×109/L、0.87±0.14,明顯高于支原體組和病毒組(P＜0.05).低危組的CRP、PCT、WBC分彆為(22.37±4.55) mmol/L、(3.19±0.99) μg/L、(10.22±2.14)×109/L,顯著低于中危組和高危組(P＜0.05).結論 通過測量降鈣素原、C-反應蛋白水平和白細胞計數可以較為準確地診斷細菌性肺炎,併反應疾病嚴重程度,值得在臨床中推廣使用.
목적 연구강개소원(PCT)여C-반응단백(CRP)재세균성폐염진단중적림상운용개치.방법 근거실험실진단결과장210례폐염환자분위병독조、세균조화지원체조,매조70례,병근거CURB평분장세균조재분위저위조、중위조화고위조.비교각조적PCT、CRP、백세포계수(WBC)、중성립세포비례(NEUT).결과 세균조적CRP、PCT、WBC、NEUT분별위(62.57±16.55) mmol/L、(9.25±5.17) μg/L、(13.59±3.04)×109/L、0.87±0.14,명현고우지원체조화병독조(P＜0.05).저위조적CRP、PCT、WBC분별위(22.37±4.55) mmol/L、(3.19±0.99) μg/L、(10.22±2.14)×109/L,현저저우중위조화고위조(P＜0.05).결론 통과측량강개소원、C-반응단백수평화백세포계수가이교위준학지진단세균성폐염,병반응질병엄중정도,치득재림상중추엄사용.
Objective To study the clinical value of procalcitonin(PCT) and C-reactive protein (CRP) on the diagnosis of bacterial pneumonia.Methods According to laboratory diagnostic results,210 cases of pneumonia were divided into three groups,viral group,bacteria and mycoplasma group,with 70 cases in each group.And in accordance with CURB score,the bacteria group was sub-divided into low-risk group,risk group and high-risk group.The levels of PCT,CRP,WBC (white blood cell count),NEUT(proportion of neutrophils) were compared.Results In bacterial group,the levels of CRP,PCT,WBC,NEUT were (62.57 ±16.55) mmol/L,(9.25 ± 5.17) μg/L,(13.59 ±3.04) × 109/L,0.87 ± 0.14,which were significantly higher than those in the mycoplasma group and viral group (P ＜ 0.05).In low-risk group,the levels of CRP,PCT,WBC were (22.37 ±4.55) mmol/L,(3.19 ± 0.99) μg/L,(10.22 ± 2.14) × 109/L,which were significantly lower than those in the risk group and high-risk groups(P ＜ 0.05).Conclusions By measuring the levels of procalcitonin,C-reactive protein and white blood cell count,bacterial pneumonia can be more accurately diagnosed,and it can reflect the severity of disease,so it is worthy promoting in clinic.
