CAJ | 학술논문

目的探讨血清降钙素原在老年肺炎患者中的临床价值.方法选择60例老年肺炎患者为治疗组,按CURB-65评分系统分成低危组20例,中危组20例,高危组20例.非感染性支气管疾病患者20例为对照组.分别在治疗前予以检测C-反应蛋白及血清降钙素原,进行比较.结果老年肺炎治疗组与对照组相比,C-反应蛋白,降钙素原均明显高于对照组,其中高危组及中危组降钙素原升高明显高于低危组.结论降钙素原对于老年肺炎的诊断及病情危重程度的判断较C-反应蛋白敏感有效.
목적 탐토혈청강개소원재노년폐염환자중적림상개치.방법 선택60례노년폐염환자위치료조,안CURB-65평분계통분성저위조20례,중위조20례,고위조20례.비감염성지기관질병환자20례위대조조.분별재치료전여이검측C-반응단백급혈청강개소원,진행비교.결과 노년폐염치료조여대조조상비,C-반응단백,강개소원균명현고우대조조,기중고위조급중위조강개소원승고명현고우저위조.결론 강개소원대우노년폐염적진단급병정위중정도적판단교C-반응단백민감유효.
Objective To evaluate the value of serum procalcitonin to the diagnosis and therapy of pneumonia in the elderly patients.Methods 60 elderly patients with pneumonia were divided into low-risk group (n =20),medium-risk group (n =20) and high-risk group (n =20) according to CURB-65 criteria.And another 20 patients with non-infective bronchial disease were as controls (control group).Results Serum pneumonia and C reactive protein levels were higher in pneumonia patients than the control group,and the procalcitonin levels in the patients with medium-risk group and high-risk group were higher than the low-risk group.Conclusions Serum pneumonia plays an important role in the diagnosis and prognosis assessment of pneumonia in the elderly patients.The sensitivity of procalcitonin is better than that of C-reactive protein.