广西医科大学学报2017，Vol.34Issue(8)：1138-1141,4.DOI:10.16190/j.cnki.45-1211/r.2017.08.005
WBC、PCT、CRP、IL-6联合检测对长期卧床老年肺部感染患者病情评估的价值
The value of WBC, PCT, CRP and IL-6 levels in severity evaluation of pulmonary infection in elderly patients
倪刚 1李娜 1李桂芳 1李亚楠 1潘亚超 1谢娟1
作者信息
- 1. 安徽省合肥市滨湖医院老年科,合肥 230000
- 折叠
摘要
Abstract
Objective:To investigate the value of white blood cell (WBC) count and the levels of procalcitonin (PCT),C-reactive protein (CRP) and interleukin-6 (IL-6) in the evaluation of the disease severity in elderly patients with pulmonary infection.Methods:56 elderly patients with pulmonary infection in our hospital from September 2015 to September 2016 were selected and divide into common infection group (29 cases) and severe infection group (27 cases) according to the severity of infection.They were also divided into groups with better outcome (43 cases) or death group (13 cases) in accordance with the prognosis of disease.21 elderly non-infection patients were also selected as a control group.The WBC count and PCT,CRP and IL-6 levels were detected,and the value of them for evaluation of disease severity was analyzed.Results:The WBC count and PCT,CRP and IL-6 levels in the common and severe infection group were higher than those in the control group,and were highest in the severe infection group (P＜0.05).The WBC count and PCT,CRP and IL-6 levels of patients in prognosis dead group were higher than those with better outcome.The combination detection of WBC,PCT,CRP and IL-6 has much higher sensitivity and specificity,compared with single tests each (P＜0.05).PCT and IL-6 detection showed the highest and lowest sensitivity and specificity,respectively.Conclusion:WBC,PCT,CRP,and IL-6 were benefit for the diagnosis of pulmonary infected in elderly patients.The combination detection was valuable for assessing the severity of the disease.关键词
肺部感染/白细胞/降钙素原/C反应蛋白/白介素-6/联合检测/老年患者Key words
pulmonary infection/WBC/PCT/CRP/IL-6/combination detection/elderly patients分类
医药卫生引用本文复制引用
倪刚,李娜,李桂芳,李亚楠,潘亚超,谢娟..WBC、PCT、CRP、IL-6联合检测对长期卧床老年肺部感染患者病情评估的价值[J].广西医科大学学报,2017,34(8):1138-1141,4.
