老年医学与保健2017，Vol.23Issue(3)：172-174,3.
降钙素原、C-反应蛋白和红细胞沉降率联合检测在诊断老年细菌性肺炎中的临床意义
Clinical Significance of Combined Detection of PCT, CRP and ESR in the Diagnosis of Bacterial Pneumonia in Elderly Patients
高倩 1刘铸 2王真1
作者信息
- 1. 首都医科大学附属北京世纪坛医院急诊科,北京100038
- 2. 清华大学第一附属医院北京华信医院急诊科,北京100016
- 折叠
摘要
Abstract
Objective To explore the clinical significance of combined detection of procalcitonin (PCT),C-reactive protein (CRP) and erythrocyte sedimentation (ESR) in diagnosing bacterial pneumonia of the elderly.Methods 86 senile patients with bacterial pneumonia were collected to constitute observation group while 88 senile patients with non-bacterial infection were selected to constitute control group;the levels of serum PCT,CRP and ESR of the elderly in the 2 groups at admission were recorded respectively and statistical analysis and comparison were made.Results The levels of serum PCT,CRP and ESR of the elderly in observation group were significant higher than those of the elderly in control group (P＜0.05);the comparison with CT scanning indicated that serum PCT,CRP and ESR were of high sensitivity and specificity to pneumonia and the combined detection of the 3 made the sensitivity to pneumonia increase even higher.Conclusions Serum PCT,CRP and ESR are sensitive indexes in diagnozing bacterial pneumonia in elderly patients,and the combined detection may raise the specificity,which is of clinical significance for accurate diagnosis.关键词
老年/细菌性肺炎/降钙素原/C-反应蛋白/红细胞沉降率Key words
elderly/bacterial pneumonia/procalcitonin (PCT)/C-reactive protein (CRP)/erythrocyte sedimentation (ESR)引用本文复制引用
高倩,刘铸,王真..降钙素原、C-反应蛋白和红细胞沉降率联合检测在诊断老年细菌性肺炎中的临床意义[J].老年医学与保健,2017,23(3):172-174,3.
