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PCT对老年肺炎早期诊断及疗效观察的临床价值

Clinical value of procalcitonin for therapeutic effect observation and early diagnosis in eldly patients with pneumonia
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摘要 目的探讨降钙素原对老年肺炎的诊断及疗效观察的临床价值。方法选择老年患者86例,分为肺炎组和非肺炎组。所有患者治疗前、后抽静脉血查WBC、降钙素原、血培养,查痰培养、行胸片或胸部CT检查。结果肺炎组患者降钙素原水平升高,与对照组比较差异有统计学意义,而白细胞水平比较差异无统计学意义。肺炎组血清PCT阳性率较痰培养、血培养高,差异有统计学意义(P<0.05)。结论降钙素原测定有利于老年肺炎的早期诊断、临床疗效判定。 Objective To explore the clinical value of Procalcitonin(PCT) for early diagnosis and therapeutic effect observation of elderly patients with pneumonia. Methods A total of 86 elderly patients were divided into 2 groups (pneumonia group and non- pneumonia group).The white blood cells contents,serum procalcitonin levels,blood culture,sputum culture were determined as well as the chest X-ray or CT was examined. Results The procalcitonin levels in pneumonia group were significantly higher than those in control group,while white blood cell levels were not significant difference between two groups. The significant different of the positive rate of PCT,blood cultures,sputum culture was observed in pneumonia group. Conclusion Serum procalcitonin is valuable for early diagnosis and therapeutic efficacy in elderly patients with pneumonia.
作者 毛琴
出处 《中国医药科学》 2013年第4期199-200,共2页 China Medicine And Pharmacy
关键词 降钙素原 老年肺炎 诊断 Procalcitonin Elderly pneumonia Diagnosis
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