摘要
目的研究降钙素原(PCT)和C反应蛋白(CRP)对社区获得性肺炎(CAP)患者的病情和预后的评估作用。方法 135例CAP患者,入院后给予PCT、CRP等检查,并给予肺炎严重指数(PSI)评分。根据肺炎严重程度和预后分成重症CAP组与非重症CAP组、病死组与生存组,分别比较重症CAP组与非重症CAP组、病死组与生存组PCT、CRP和PSI的区别;分析PCT、CRP与PSI的相关性。结果重症CAP组PCT、CRP和PSI评分均高于非重症CAP组,病死组PCT、CRP和PSI评分均大于存活组(P<0.05);PCT、CRP与PSI评分呈正相关(r=0.65,0.68,P<0.05)。结论 PCT和CRP对CAP患者的预后和病情有评估作用,高水平的PCT和CRP提示预后不佳。
Objective To study evaluation iunction of C-reactive protero （CliP） and procalcltonin （PCT） in patients with community acqUired pneumonia（CAP）. Methods One hundred and thirty-five CAP patients were selected in Beijing Hui Nationality Hospital. PCT, CRP and pneumonia severity index （PSI） score were examined after admission, the difference of CRP, PCT and PSI score were compared between the death group and the survival group, the severe pneumonia and non-severe pneumonia group; the correlation among content of CRP, PCT and PSI score was analyzed. Results The CRP, PCT levels and PSI scores of death group were greater than that in survival group （ P 〈 0.05 ） ; the level of PCT, CRP and PSI scores of severe pneumonia group were greater than that in non-severe pneumonia group;correla-tion analysis showed that PCT, CRP levels had positive correlation with PSI score （ r = 0.65,0.68, P 〈 0.05）. Conclusion The PCT and CRP levels have certain prognostic evaluation function for patients with CAP;high levels of PCT and CRP suggest a poor prognosis.
出处
《医学综述》
2013年第12期2286-2287,共2页
Medical Recapitulate
关键词
降钙素原
C反应蛋白
社区获得性肺炎
预后
Procalcitonin
C-reactive protein
Community acquired pneumonia
Prognosis
