摘要
目的探讨血清降钙素原(PCT)和C-反应蛋白(CRP)试验在普外科手术感染的鉴别诊断价值。方法对736例普外科手术患者,应用免疫比浊法测定血清中PCT和CRP水平。结果感染组PCT(14.45±6.6)μg/L、CRP(36.2±8.3)mg/L,未感染组PCT(2.14±1.9)μg/L、CRP(29.7±8.6)mg/L,感染组与未感染组CRP水平差异无统计学意义,但均明显高于参考值;而PCT水平感染组明显高于未感染组,差异有统计学意义(P<0.01)。结论联合检测血清中PCT和CRP水平可以帮助临床医师对普外科手术部位切口感染及早做出诊断,合理使用抗菌药物有重要的临床价值。
OBJECTIVE To study the diagnostic valuation of procalcitonin（PCT） and C-reactive protein（CRP） tests in general surgery′s infections.METHODS By immunoturbidimetry,the levels of PCT and CRP in the serum of 736 patients in general surgery were measured.RESULTS The PCT and CRP levels of infected group were（14.45±6.6） μg/L and（36.2±8.3） mg/L respectively,and those of normal group were（2.14±1.9） μg/L and（29.7±8.6） mg/L respectively.There were no statistical significance in the levels of PCT and CRP in both infected and normal group.Nevertheless,both of the results were higher than reference value.Absolutely,the level of PCT was higher in the infected group than that in the normal group,presenting significant difference（P0.01）.CONCLUSION Joint detection of PCT and CRP that is really helpful for surgeons′ diagnose of infection of incisional wound in general surgery as soon as possible.Simultaneously,using antibiotics reasonably also shows clinical significance.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第15期3181-3182,共2页
Chinese Journal of Nosocomiology
