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血清降钙素原与C反应蛋白对感染性疾病的诊断价值 被引量:30

Using the Procalcitonin and C-reactive Protein in the Diagnosis of Infectious Diseases
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摘要 目的:探讨血清降钙素原(PCT)与C反应蛋白(CRP)对感染性疾病的诊断价值。方法:回顾性分析我院2012年1月至2012年8月间102例确诊为感染性疾病的患者的临床资料,探讨164例患者血清降钙素原及C反应蛋白的水平及其与感染性疾病之间的联系。以上病例均经我院实验室病原学检查及血清学检查等临床实验确诊。结果:血清降钙素原和C反应蛋白与感染的严重程度相关,感染源及疾病程度不同时,血清降钙素原及C反应蛋白水平不同。细菌性感染组与正常对照组的降钙素原相比差异有统计学意义(P<0.05);细菌感染组与病毒感染组降钙素原相比较时,差异有统计学意义(P<0.05);病毒感染组与正常对照组降钙素原比较无统计学差异(P>0.05)。三组之间的C反应蛋白相比,均有统计学差异(P<0.05)。结论:利用血清降钙素原和C反应蛋白的检测对临床感染进行诊断,可以提高感染性疾病诊断的准确率,且可根据实验结果判断感染性疾病的严重程度,值得临床推广。 Objective: To investigate the serum procalcitonin (PCT) and C-reactive protein (CRP) in the diagnosis of infectious diseases. Method: A retrospective analysis was designed to explore the relation- ship of procalcitonin and C-reactive protein levels and infectious disease. All the cases were confirmed by clinical trials of pathogenic examination in our hospital clinical laboratory. Result: The level of procalcitonin and C-reactive protein in serum is related to the severity of the infection disease. The concentration of pro- calcitonin between bacterial infection group and normal control group was different statistically significant (P 〈0.05) ; the concentration of procalcitonin in the bacterial infection group compared to the original with the viral infection group, the difference was statistically significant ( P 〈0.05 ) ; the concentration of procalcito- nin in the infection group and normal control group was no significant difference ( P〉 0.05 ). C-reactive protein compared among the three groups, were statistically significant ( P 〈0.05 ). Conclusion: Using the serum procalcitonin and C-reactive protein in the detection of clinical infection diagnosis can improve the ac- curacy of the diagnosis in the infectious diseases.
出处 《河北医学》 CAS 2013年第7期1109-1111,共3页 Hebei Medicine
关键词 血清降钙素原 C反应蛋白 感染性疾病 Procalcitonin C-reactive protein Infectious diseases
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