摘要
目的探讨血清PCT、Hs2CRP和SAA水平对老年慢性阻塞性肺疾病急性加重期(AECOPD)下呼吸道感染的诊断价值。方法选取2013年4月至2018年4月收治的102例老年AECOPD下呼吸道感染患者,将其设为观察组,同期选取102例老年COPD患者,将其设为对照组。比较两组血清PTC、Hs2CRP和SAA水平及阳性检出率。结果治疗前,观察组的血清PCT、Hs2CRP和SAA水平均高于对照组(P<0.05)。治疗后,观察组的血清PCT、Hs2CRP和SAA水平均降低(P<0.05)。观察组血清PCT、Hs2CRP和SAA的阳性检出率无显著差异(P>0.05)。结论应用血清PCT、Hs2CRP和SAA水平诊断老年AECOPD下呼吸道感染的价值比较高,利于疾病的治疗和干预,可避免加重病情、增加治疗难度或影响患者生活质量。
Objective To evaluate the diagnostic value of serum PCT, Hs2CRP and SAA levels in lower respiratory tract infection in elderly patients with acute exacerbation of chronic obstructive pulmonary disease（AECOPD）. Methods A total of 102 elderly patients with AECOPD from April 2013 to April 2018 were selected as observation group, and 102 patients with COPD were selected as control group at the same time. The levels of serum PTC, Hs2CRP, SAA and the positive detection rate were compared between the two groups. Results Before treatment, the serum levels of PCT, Hs2CRP and SAA in the observation group were higher than those in the control group（P〈0.05）. After treatment, the serum levels of PCT, Hs2CRP and SAA in the observation group decreased（P〈0.05）. There were no significant differences in the positive detection rate of serum PCT, Hs2CRP and SAA in the observation group（P〈0.05）. Conclusion The application of serum PCT, Hs2CRP and SAA levels in the diagnosis of lower respiratory tract infection in elderly AECOPD is high, which is conducive to the treatment and intervention of the disease, can avoid aggravating the condition, increasing the difficulty of treatment or affecting the quality of life of patients.
作者
贺然
刘龙
HE Ran, LIU Long(Critical Care Medicine Department, Beijing No.6 Hospital, Beijing 100007, China)
出处
《临床医学研究与实践》
2018年第24期37-38,共2页
Clinical Research and Practice
