摘要
目的探讨降钙素原(PCT)与C-反应蛋白(CRP)联合检测对急性肾盂肾炎的诊断价值。方法方便选择2017年6月—2019年2月收治的疑似急性肾盂肾炎患者102例为研究对象,以最终诊断结果作为诊断金标准,所有患者均进行PCT与CRP检测,对其诊断结果进行评估。结果102例患者,确诊为急性肾盂肾炎86例(84.31%),其他16例(15.69%),PCT与CRP联合检测诊断阳性88例,其中诊断准确85例,错误3例;阴性14例,诊断准确12例,错误2例,诊断特异度、敏感度分别为85.71%(12/14)、96.59%(85/88)。对临床治愈情况不同分为治愈组57例、未完全治愈组42例、病亡组3例,治愈患者的PCT与CRP水平明显较未完全治愈与死亡患者低,其中死亡患者CRP与PCT水平最高,差异有统计学意义(P<0.05)。结论PCT与CRP联合检测诊断急性肾盂肾炎具有较高特异度与敏感度,对预后也具有一定评估作用,为临床诊疗提供参考依据。
Objective To explore the diagnostic value of combined detection of procalcitonin(PCT)and C-reactive protein(CRP)in acute pyelonephritis.Methods 102 patients with suspected acute pyelonephritis admitted from June 2017 to February 2019 were convenienty selected as the research object.The final diagnosis was used as the gold standard for diagnosis.All patients were tested by PCT and CRP to evaluate their diagnosis.Results Of the 102 patients,86 cases(84.31%)were diagnosed with acute pyelonephritis,and the other 16 cases(15.69%).PCT and CRP combined diagnosis was positive in 88 cases,of which 85 were diagnosed accurately,3 were wrong;14 were negative,and the diagnosis of 12 accurate cases and 2 wrong cases.The specificity and sensitivity of diagnosis were 85.71%(12/14)and 96.59%(85/88),respectively.The clinical cure was divided into 57 cases in the cured group,42 cases in the incompletely cured group,and 3 cases in the death group.The PCT and CRP levels of the cured patients were significantly lower than those of the incompletely cured and died patients.Among them,the CRP and PCT levels of the dead patients were the highest.The difference was statistically significant(P<0.05).Conclusion The combined detection of PCT and CRP in the diagnosis of acute pyelonephritis has high specificity and sensitivity,and also has a certain evaluation effect on the prognosis,providing a reference for clinical diagnosis and treatment.
作者
王淑峰
姚丹林
WANG Shu-feng;YAO Dan-lin(Emergency Department,Beijing Fengtai Hospital,Beijing,100071 China)
出处
《中外医疗》
2020年第20期190-192,共3页
China & Foreign Medical Treatment
关键词
降钙素原
C-反应蛋白
联合检测
急性肾盂肾炎
诊断价值
Procalcitonin
C-reactive protein
Combined detection
Acute pyelonephritis
Diagnostic value
