[1]丁 媛.PCT及CPR鉴别社区获得性肺炎和肺结核诊断的价值[J].医学信息,2020,33(03):173-174.[doi:10.3969/j.issn.1006-1959.2020.03.058]
　DING Yuan.Value of PCT and CPR in the Diagnosis of Community-acquired Pneumonia and Tuberculosis[J].Medical Information,2020,33(03):173-174.[doi:10.3969/j.issn.1006-1959.2020.03.058]
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PCT及CPR鉴别社区获得性肺炎和肺结核诊断的价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年03期
页码:
173-174
栏目:
诊疗技术
出版日期:
2020-02-01

文章信息/Info

Title:
Value of PCT and CPR in the Diagnosis of Community-acquired Pneumonia and Tuberculosis
文章编号:
1006-1959（2020）03-0173-02
作者:
丁 媛
（黑龙江省佳木斯市肿瘤<结核>医院检验科，黑龙江 佳木斯 154007）
Author(s):
DING Yuan
(Department of Clinical Laboratory,Tumor Hospital of Jiamusi City,Jiamusi154007,Heilongjiang,China)
关键词:
血清降钙素原; C反应蛋白; 社区获得性肺炎; 肺结核
Keywords:
Serum procalcitonin; C-reactive protein; Community-acquired pneumonia; Tuberculosis
分类号:
R563.1；R521
DOI:
10.3969/j.issn.1006-1959.2020.03.058
文献标志码:
A
摘要:
目的 研究在社区获得性肺炎和肺结核诊断中血清降钙素原（PCT）及C反应蛋白（CPR）的应用价值。方法 选取2018年6月~2019年6月在我院诊治的50例社区获得性肺炎患者设为肺炎组，46例肺结核患者设为肺结核组。比较两组白细胞计数（WBC）、红细胞沉降率（ESR）、CRP、PCT、肺结核组痰涂片病原学检测水平。结果 两组ESR、WBC水平比较，差异无统计学意义（P＞0.05）；肺炎组PCT、CRP水平均高于肺结核组，差异有统计学意义（P＜0.05）；肺结核组中痰涂片阳性20例（43.47%），阴性26例（56.52%），痰涂片阳性患者血清PCT、CRP水平与痰涂片阴性患者比较，差异无统计学意义（P＞0.05），而痰涂片阳性患者ESR、WBC水平高于阴性患者，差异有统计学意义（P＜0.05）。结论 社区获得性肺炎患者PCT、CRP水平高于肺结核患者，对临床鉴别肺结核和社区性获得性肺炎有一定参考价值，但PCT和CRP水平对肺结核痰涂片阴性和阳性患者无诊断价值。
Abstract:
Objective To study the application value of serum procalcitonin (PCT) and C-reactive protein (CPR) in the diagnosis of community-acquired pneumonia and tuberculosis.Methods 50 patients with community-acquired pneumonia diagnosed and treated in our hospital from June 2018 to June 2019 were included in the pneumonia group, and 46 patients with tuberculosis were included in the tuberculosis group. The levels of white blood cell count (WBC), red blood cell sedimentation rate (ESR), CRP, PCT, and sputum smear in the pulmonary tuberculosis group were compared between the two groups.Results There was no significant difference in ESR and WBC levels between the two groups (P>0.05). The levels of PCT and CRP in the pneumonia group were higher than those in the tuberculosis group,the differences were statistically significant(P<0.05). The sputum smear was positive in the tuberculosis group 20 patients (43.47%) and negative 26 patients(56.52%) had no significant difference in serum PCT and CRP levels in patients with sputum smear positive(P>0.05).The levels of ESR and WBC were higher than those of negative patients,the difference was statistically significant(P<0.05).Conclusion The levels of PCT and CRP in patients with community-acquired pneumonia are higher than those with tuberculosis, which has certain reference value for clinical identification of tuberculosis and community-acquired pneumonia, but PCT and CRP levels have no diagnostic value for patients with negative and positive sputum smears.

参考文献/References:

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更新日期/Last Update: 2020-02-01