CAJ | 학술논문

目的：探讨老年性尿路感染( UTI)患者血清降钙素原水平的变化及其临床意义。方法回顾性分析确诊老年性尿路感染患者72例的临床资料,通过测定血清中降钙素原( PCT)的浓度,并与白细胞、肌酐水平做对比,研究PCT在诊断尿路感染中的临床意义。结果共有48例非阻塞型UTI和24例阻塞型UTI,所有阻塞型尿路感染患者的降钙素原、白血细胞和肌酐水平与非阻塞型UTI患者间存在显著差异(P<0.05)。结论 PCT有可能是诊断老年性阻塞性UTI敏感且可靠的指标。
목적：탐토노년성뇨로감염( UTI)환자혈청강개소원수평적변화급기림상의의。방법회고성분석학진노년성뇨로감염환자72례적림상자료,통과측정혈청중강개소원( PCT)적농도,병여백세포、기항수평주대비,연구PCT재진단뇨로감염중적림상의의。결과공유48례비조새형UTI화24례조새형UTI,소유조새형뇨로감염환자적강개소원、백혈세포화기항수평여비조새형UTI환자간존재현저차이(P<0.05)。결론 PCT유가능시진단노년성조새성UTI민감차가고적지표。
Objective This study was carried out to determine the clinic value of serum PCT in elderly patients with uri-nary tract infection (UTI). Methods 72 patients diagnosed with UTI in Intensive Care Unit were retrospectively analyzed,and their serum procalcitonin concentration,white cell count and creatinine were detected to investigate their role in diagnosis of UTI. Results There were 48 patients with nonobstructed UTI and 24 with obstructed UTI. There were significant differences in procal-citonin,white blood cells,and creatinine levels between patients with nonobstructed and obstructed UTI (P<0. 05). Conclu-sion we found that procalcitonin was a useful marker to diagnosis of obstructed UTI in elderly patients.