临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2015年
4期
469-470
,共2页
血清降钙素原%悦反应蛋白%感染性疾病
血清降鈣素原%悅反應蛋白%感染性疾病
혈청강개소원%열반응단백%감염성질병
Serum procalcitonin%C-reactive protein%Infectious disease
目的：评估联合检测血清降钙素-(P悦栽)与悦反应蛋白(悦砸P)在感染性疾病中的价值。方法选取2013年10月至2014年10月我院收治的感染性疾病患者200例为研究对象，按照疾病种类分为病毒感染组和细菌感染组，每组各100例。测定并比较两组患者血清中的P悦栽和悦砸P水平。结果细菌感染组的P悦栽和悦砸P水平分别为(4.06±0.67)灶早/蕴、(30.28±6.23)皂早/蕴，均明显高于病毒感染组，差异有统计学意义(P<0.01)。细菌感染组的P悦栽和悦砸P阳性率分别为93.0豫、72.0豫，均显著高于病毒感染组的15.0豫和41.0豫，差异有统计学意义(P<0.01)。悦砸P、P悦栽对细菌感染的诊断敏感性分别为72.0豫和93.0豫，特异度分别为59.0豫和85.0豫。结论血清P悦栽作为感染标志物较悦砸P更敏感、特异度更高，可用于鉴别诊断感染性疾病细菌感染与病毒感染，二者联合检测可提高其敏感性和特异度，能为鉴别诊断细菌感染与病毒感染提供更可靠指标。
目的：評估聯閤檢測血清降鈣素-(P悅栽)與悅反應蛋白(悅砸P)在感染性疾病中的價值。方法選取2013年10月至2014年10月我院收治的感染性疾病患者200例為研究對象，按照疾病種類分為病毒感染組和細菌感染組，每組各100例。測定併比較兩組患者血清中的P悅栽和悅砸P水平。結果細菌感染組的P悅栽和悅砸P水平分彆為(4.06±0.67)竈早/蘊、(30.28±6.23)皂早/蘊，均明顯高于病毒感染組，差異有統計學意義(P<0.01)。細菌感染組的P悅栽和悅砸P暘性率分彆為93.0豫、72.0豫，均顯著高于病毒感染組的15.0豫和41.0豫，差異有統計學意義(P<0.01)。悅砸P、P悅栽對細菌感染的診斷敏感性分彆為72.0豫和93.0豫，特異度分彆為59.0豫和85.0豫。結論血清P悅栽作為感染標誌物較悅砸P更敏感、特異度更高，可用于鑒彆診斷感染性疾病細菌感染與病毒感染，二者聯閤檢測可提高其敏感性和特異度，能為鑒彆診斷細菌感染與病毒感染提供更可靠指標。
목적：평고연합검측혈청강개소-(P열재)여열반응단백(열잡P)재감염성질병중적개치。방법선취2013년10월지2014년10월아원수치적감염성질병환자200례위연구대상，안조질병충류분위병독감염조화세균감염조，매조각100례。측정병비교량조환자혈청중적P열재화열잡P수평。결과세균감염조적P열재화열잡P수평분별위(4.06±0.67)조조/온、(30.28±6.23)조조/온，균명현고우병독감염조，차이유통계학의의(P<0.01)。세균감염조적P열재화열잡P양성솔분별위93.0예、72.0예，균현저고우병독감염조적15.0예화41.0예，차이유통계학의의(P<0.01)。열잡P、P열재대세균감염적진단민감성분별위72.0예화93.0예，특이도분별위59.0예화85.0예。결론혈청P열재작위감염표지물교열잡P경민감、특이도경고，가용우감별진단감염성질병세균감염여병독감염，이자연합검측가제고기민감성화특이도，능위감별진단세균감염여병독감염제공경가고지표。
Objective To evaluate the detection value of serum procalcitonin (PCT) level and C-reactive protein (CRP) level in infectious diseases. Methods 200 patients with infectious diseases admitted to our hospital from October 2013 to October 2014 were selected and divided into bacterial infection group and viral infection group according to the type of disease, with 100 cases in each group. The levels of serum PCT and CRP were compared. Results The PCT and CRP levels of bacterial infection group were (4.06±0.67) ng/L and (30.28±6.23) mg/L respectively, higher than viral infection group, with statistical difference (P<0.01). The positive rate of PCT and CRP of bacterial infection group were 93.0%and 72.0%respectively, higher than 15.0%and 41.0%of viral infection group, with statistical difference (P<0.01). The sensitivity of CRP and PCT were 72.0%and 93.0%respectively, the specificity of CRP and PCT were 59.0%and 85.0%respectively. Conclusions Serum PCT has higher sensitivity and specificity than CRP as infection marker, which can be used for identifying and diagnosing the bacterial infections and viral infections. The combined detection of PCT and CRP can improve the sensitivity and specificity, and can provide a more reliable indicator for identifying and diagnosing the bacterial infections and viral infections.
