[1]叶圣明,刘光亮.PCT联合CPIS对急诊肺部感染的诊断价值[J].医学信息,2021,34(19):169-171.[doi:10.3969/j.issn.1006-1959.2021.19.046]
　YE Sheng-ming,LIU Guang-liang.Clinical Value of PCT Combined with CPIS in the Treatment of Emergency Pulmonary Infection[J].Medical Information,2021,34(19):169-171.[doi:10.3969/j.issn.1006-1959.2021.19.046]
点击复制

PCT联合CPIS对急诊肺部感染的诊断价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年19期
页码:
169-171
栏目:
诊疗技术
出版日期:
2021-10-01

文章信息/Info

Title:
Clinical Value of PCT Combined with CPIS in the Treatment of Emergency Pulmonary Infection
文章编号:
1006-1959（2021）19-0169-03
作者:
叶圣明; 刘光亮
北京市房山区良乡医院急诊科，北京 102401
Author(s):
YE Sheng-ming; LIU Guang-liang
Department of Emergency,Beijing Fangshan District Liangxiang Hospital,Beijing 102401,China
关键词:
血清降钙素; 肺部感染; 炎症因子
Keywords:
Serum calcitonin; Pulmonary infection; Inflammatory factor
分类号:
R563.1
DOI:
10.3969/j.issn.1006-1959.2021.19.046
文献标志码:
A
摘要:
目的 研究血清降钙素（PCT）联合肺部感染评分（CPIS）对急诊肺部感染的价值。方法 选取2018年10月-2019年10月我院急诊接诊的215例肺部感染患者为观察组，另选取同期我院体检的215名健康者为对照组，比较两组PCT、CPIS评分及不同病情与预后患者肺部感染者PCT和CPIS评分，并分析不同指标诊断急诊肺部感染的敏感度、特异度。结果 观察组PCT、CPIS评分均高于对照组，差异有统计学意义（P＜0.05）；肺部感染重症者PCT、CPIS评分均高于非重症者，差异有统计学意义（P＜0.05）；肺部感染死亡者评分均高于生存者，差异有统计学意义（P＜0.05）；PCT联合CPIS评分诊断急诊肺部感染敏感度、特异度均高于PCT、CPIS评分，差异有统计学意义（P＜0.05）。结论 PCT联合CPIS在急诊肺部感染诊断和预后评价中具有重要的临床价值，可为早期诊断、预后判断提供参考依据。
Abstract:
Objective To study the value of serum calcitonin (PCT) combined with pulmonary infection score (CPIS) in emergency pulmonary infection.Methods From October 2018 to October 2019, 215 patients with pulmonary infection who received emergency treatment in our hospital were selected as the observation group, and 215 normals with ventilation in our hospital were selected as the control group. PCT, CPIS scores, PCT and CPIS scores of pulmonary infection patients with different conditions and prognosis were compared between the two groups, and the sensitivity and specificity of different indexes in the diagnosis of emergency pulmonary infection were analyzed.Results The PCT and CPIS scores of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.05). The PCT and CPIS scores of severe patients with pulmonary infection were higher than those of non-severe patients, and the difference was statistically significant (P<0.05). The scores of death patients with pulmonary infection were higher than those of survival patients, and the difference was statistically significant (P<0.05). The sensitivity and specificity of PCT combined with CPIS score in the diagnosis of emergency pulmonary infection were higher than those of PCT and CPIS score, and the difference was statistically significant (P<0.05).Conclusion PCT combined with CPIS has important clinical value in the diagnosis and prognosis evaluation of emergency pulmonary infection, which can provide reference for early diagnosis and prognosis judgment.

参考文献/References:

[1]刘艳丽.PCT、hs-CRP、WBC 及NEUT在肺部感染诊断中的临床价值[J].解剖学研究,2017,39(1):54-57.[2]杨秉融,王瑾.术后早期PTX3及PCT检测对全麻妇科腹腔镜术后肺部感染的预测价值[J].分子诊断与治疗杂志,2019,11(6):491-494,502.[3]徐萍,伍廷平,夏红,等.sTRAIL、PCT、ALB在重症肝病合并感染患者外周血中的表达及临床意义[J].分子诊断与治疗杂志,2020,12(6):746-750.[4]王舜,彭春仙,卢伟力,等.头孢吡肟联合替加环素治疗肝硬化合并肺部感染患者的效果[J].中华医院感染学杂志,2019,29(16):2440-2444.[5]中国医师协会急诊医师分会.中国急诊重症肺炎临床实践专家共识[J].中国急救医学,2016,36(2):97-107.[6]Pazos MA,Pirzai W,Yonker LM,et al.Distinct Cellular Sources of Hepoxilin A3 and Leukotriene B4 Are Used To Coordinate Bacterial Induced Neutrophil Transepithelial Migration[J].J Immunol,2015,194(3):1304-1315.[7]沈锋,吴彦其,王亚辉,等.CPIS评分指导ICU细菌性重症肺炎患者治疗能减少抗菌药物使用持续时间及使用频度[J].中华危重病急救医学,2019,31(5):556-561.[8]陈鹏,庞健健,付慧,等.重症肺炎患者血清氧化应激指标和炎症因子的表达及其与肺部感染评分的关系[J].现代生物医学进展,2019,19(9):1778-1781.[9]盛军,杨新玲.PCT、CRP的变化对肺部感染患者预后转归的临床价值[J].中国医师杂志,2019,21(9):1402-1404.[10]陈凤佳,匡煜坤,陈海红,等.前降钙素原、C-反应蛋白和临床肺部感染评分对呼吸机相关肺炎诊断的意义[J].中山大学学报(医学科学版),2014,35(3):418-423.[11]张磊,俞万钧,周成杰,等.肺部超声评估急性呼吸窘迫综合征患者血管外肺水及预后的临床应用价值[J].中华危重病急救医学,2020,32(5):585-589.[12]郑宇,周光耀,陈朴,等.CPIS联合炎症介质水平在重症肺炎医院感染诊断中的价值与效能评价[J].中华医院感染学杂志,2019,29(19):2910-2915.[13]匡红,刘书蓉,周琳瑶,等.降钙素原在呼吸系统相关疾病中的应用探讨[J].国际检验医学杂志,2015,36(9):1198-1199,1202.[14]Rodriguez AH,Aviles-Jurado FX,Diaz E,et al.Procalcitonin(PCT）levels for ruling out bacterial coinfection in ICU patients with influenza:A CHAID decision tree analysis[J].J Infect,2016,72(2):143-151.[15]林涛,王兆丰,李建兰,等.血清降钙素原水平在老年重症肺部感染患者评价中的意义[J].中国卫生检验杂志,2019,29(13):1605-1607.

相似文献/References:

[1]赵志国.有创-无创序贯通气疗法治疗慢性阻塞性肺疾病 引发的严重呼吸衰竭的临床研究[J].医学信息,2018,31(11):110.[doi:10.3969/j.issn.1006-1959.2018.11.034]
　ZHAO Zhi-guo.Clinical Study of Invasive Non-invasive Sequential Ventilation in Treatment of Severe Respiratory Failure Caused by Chronic Obstructive Pulmonary Disease[J].Medical Information,2018,31(19):110.[doi:10.3969/j.issn.1006-1959.2018.11.034]
[2]丁保锋.胃肠道恶性肿瘤患者术后肺部感染临床分析[J].医学信息,2018,31(11):183.[doi:10.3969/j.issn.1006-1959.2018.11.061]
　DING Bao-feng.Clinical Analysis of Postoperative Pulmonary Infection in Patients with Malignant Gastrointestinal Cancer[J].Medical Information,2018,31(19):183.[doi:10.3969/j.issn.1006-1959.2018.11.061]
[3]钟红燕.盐酸氨溴索治疗慢阻肺合并肺部感染的临床效果[J].医学信息,2019,32(12):154.[doi:10.3969/j.issn.1006-1959.2019.12.051]
　ZHONG Hong-yan.Clinical Effect of Ambroxol Hydrochloride in the Treatment of Chronic Obstructive Pulmonary Disease with Pulmonary Infection[J].Medical Information,2019,32(19):154.[doi:10.3969/j.issn.1006-1959.2019.12.051]
[4]罗 飞,曾丽芬,欧阳青丹,等.先天性肺未发育1例并文献复习[J].医学信息,2020,33(15):191.[doi:10.3969/j.issn.1006-1959.2020.15.063]
[5]杨昌妮,李 宇,李晓芳,等.老年社区获得性肺炎诊治报道1例并文献复习[J].医学信息,2020,33(17):188.[doi:10.3969/j.issn.1006-1959.2020.17.059]
[6]钟丽球,蒙光义,黎艺毅,等.急性心肌梗死住院患者并发肺部感染的危险因素研究[J].医学信息,2020,33(21):69.[doi:10.3969/j.issn.1006-1959.2020.21.020]
　ZHONG Li-qiu,MENG Guang-yi,LI Yi-yi,et al.Study on Risk Factors of Pulmonary Infection in Hospitalized Patients with Acute Myocardial Infarction[J].Medical Information,2020,33(19):69.[doi:10.3969/j.issn.1006-1959.2020.21.020]
[7]汪 艳,李晨辉,刘盛国,等.肺泡灌洗液高通量测序在肺部感染的诊断价值[J].医学信息,2020,33(23):160.[doi:10.3969/j.issn.1006-1959.2020.23.047]
　WANG Yan,LI Chen-hui,LIU Sheng-guo,et al.Diagnostic Value of High-throughput Sequencing of Alveolar Lavage Fluid in Pulmonary Infection[J].Medical Information,2020,33(19):160.[doi:10.3969/j.issn.1006-1959.2020.23.047]
[8]封永顺.急性脑出血患者术后行早期气管切开对肺部感染及再出血的影响[J].医学信息,2021,34(01):132.[doi:10.3969/j.issn.1006-1959.2021.01.035]
　FENG Yong-shun.Effect of Early Tracheotomy on Lung Infection and Rebleeding in Patients with Acute Cerebral Hemorrhage[J].Medical Information,2021,34(19):132.[doi:10.3969/j.issn.1006-1959.2021.01.035]
[9]贾 静.综合护理对肺纤维化合并肺部感染及呼吸衰竭患者临床疗效及肺功能的影响[J].医学信息,2021,34(08):189.[doi:10.3969/j.issn.1006-1959.2021.08.053]
　JIA Jing.The Effect of Comprehensive Nursing Care on the Clinical Efficacy and Lung Function of Patients with Pulmonary Fibrosis Combined with Pulmonary Infection and Respiratory Failure[J].Medical Information,2021,34(19):189.[doi:10.3969/j.issn.1006-1959.2021.08.053]
[10]高 山.盐酸氨溴索治疗老年慢阻肺合并肺部感染临床效果[J].医学信息,2021,34(11):158.[doi:10.3969/j.issn.1006-1959.2021.11.044]
　GAO Shan.Clinical Effect of Ambroxol Hydrochloride in the Treatment of Elderly Patients with Chronic Obstructive Pulmonary Disease and Pulmonary Infection[J].Medical Information,2021,34(19):158.[doi:10.3969/j.issn.1006-1959.2021.11.044]

更新日期/Last Update: 1900-01-01