CAJ | 학술논문

目的：探讨降钙素原（PC T ）对感染性疾病的诊断价值。方法选取细菌性感染患者103例，病毒性感染患者77例，非感染性疾病患者60例。在患者入院后进行 PCT、C反应蛋白（CRP）及白细胞（WBC）检测。对检测结果进行统计学分析。结果细菌感染组患者PCT水平分布以大于0．5 ng／mL为主，病毒感染患者PCT水平分布以小于或等于0．5 ng／mL为主。病毒感染组不同PCT水平分布比例与细菌感染组比较差异有统计学意义（P＜0．05）。细菌感染组PCT、CRP、WBC水平高于病毒感染组和非感染组（P＜0．05），病毒感染组WBC水平与非感染组比较差异无统计学意义（P＞0．05）。细菌感染组 PCT、CRP、WBC阳性率均高于病毒感染组和非感染组（P＜0．05）。结论 PCT对感染性疾病的诊断灵敏度和特异度较高，对感染性疾病的诊断有重要临床意义。
목적：탐토강개소원（PC T ）대감염성질병적진단개치。방법선취세균성감염환자103례，병독성감염환자77례，비감염성질병환자60례。재환자입원후진행 PCT、C반응단백（CRP）급백세포（WBC）검측。대검측결과진행통계학분석。결과세균감염조환자PCT수평분포이대우0．5 ng／mL위주，병독감염환자PCT수평분포이소우혹등우0．5 ng／mL위주。병독감염조불동PCT수평분포비례여세균감염조비교차이유통계학의의（P＜0．05）。세균감염조PCT、CRP、WBC수평고우병독감염조화비감염조（P＜0．05），병독감염조WBC수평여비감염조비교차이무통계학의의（P＞0．05）。세균감염조 PCT、CRP、WBC양성솔균고우병독감염조화비감염조（P＜0．05）。결론 PCT대감염성질병적진단령민도화특이도교고，대감염성질병적진단유중요림상의의。
Objective To evaluate the diagnostic value of procalcitionin (PCT ) in infectious diseases .Methods Levels of PCT , C reaction protein (CRP) and white blood cells (WBC) were detected and compared among 103 cases of bacterial infection ,77 ca‐ses of viral infections and 60 cases of non‐infected patients .Results PCT level of most bacterial infection patients was higher than 0 .5 ng/mL ,and that of viral infection patients was less or equal to 0 .5 ng/mL .Proportion of bacterial infection patients with differ‐ent PCT level was different with that of viral infection patients (P<0 .05) .PCT ,CRP and WBC levels in bacterial infection patients were higher than viral infection patients and non‐infected patients (P<0 .05) .Positive rates of PCT ,CRP and WBC in bacterial in‐fection patients were higher than viral infection patients and non‐infected patients (P<0 .05) .Conclusion PCT might be with high diagnostic sensitivity and specificity to infectious diseases ,with important diagnostic value .