摘要
目的:研究分析慢性阻塞性肺疾病(COPD)患者检测血气分析指标及炎症指标的临床意义。方法:本次研究选取吉安市中心人民医院2023年1月—2024年4月收治的102例COPD患者作为观察组,并选取该时间段内于本院行体检的健康者94例作为对照组。两组均进行血气分析指标和炎症指标检测。结果:观察组动脉血二氧化碳分压(PaCO_(2))高于对照组,动脉血氧饱和度(SaO_(2))、pH值和动脉血氧分压(PaO_(2))均低于对照组,差异均有统计学意义(P<0.05);观察组C反应蛋白(CRP)、红细胞沉降率(ESR)、中性粒细胞(N)和白细胞计数(WBC)均高于对照组,差异均有统计学意义(P<0.05);缓解期患者的pH值、SaO_(2)、PaO_(2)均高于急性加重期患者,PaCO_(2)低于急性加重期患者,差异均有统计学意义(P<0.05);缓解期患者的CRP、ESR、N、WBC均低于急性加重期患者,差异均有统计学意义(P<0.05)。结论:血气分析指标及炎症指标能够有效辅助诊断鉴别COPD分期。
Objective:To study and analyze the clinical significance of blood gas analysis indexes and inflammation indexes in patients with chronic obstructive pulmonary disease(COPD).Method:In this study,102 patients with COPD admitted to Ji’an Central People's Hospital from January 2023 to April 2024 were selected as the observation group,and 94 healthy people who underwent physical examination in our hospital during this period were selected as the control group.Blood gas analysis indexes and inflammation indexes were detected in both groups.Result:The arterial partial pressure of carbon dioxide(PaCO_(2))in observation group was higher than that in control group,and the arterial oxygen saturation(SaO_(2)),pH value and arterial partial pressure of oxygen(PaO_(2))in observation group were lower than those in control group,the differences were statistically significant(P<0.05).C reactive protein(CRP),erythrocyte sedimentation rate(ESR),neutrophil(N)and white blood cell count(WBC)in observation group were higher than those in control group,the differences were statistically significant(P<0.05).The pH value,SaO_(2)and PaO_(2)of patients in remittent stage were higher than those of patients in acute exacerbation,and the PaCO_(2)was lower than that in acute exacerbation,the differences were statistically significant(P<0.05).The CRP,ESR,N and WBC of patients in remittent stage were lower than those of patients in acute exacerbation,the differences were statistically significant(P<0.05).Conclusion:Blood gas analysis indexes and inflammation indexes can effectively assist the diagnosis and differentiation of COPD stage.
作者
周洁
丁益群
ZHOU Jie;DING Yiqun(Department of Laboratory,Ji’an Central People's Hospital,Ji’an 343000,China;不详)
出处
《中国医学创新》
CAS
2024年第30期142-145,共4页
Medical Innovation of China
关键词
慢性阻塞性肺疾病
血气分析指标
炎症指标
Chronic obstructive pulmonary disease
Blood gas analysis indexes
Inflammation indexes
