C反应蛋白在COPD急性感染监测中的临床价值  

The Clinical Value of C Reaction Protein in Monitoring Acute Infection of Chronic Obstructive Pulmonary Disease

作　　者：高茜 杜黎明[2] 

机构地区：[1]黄石市新下陆有色职工医院呼吸内科 [2]黄石市中心医院呼吸内科,黄石435000

出　　处：《中国医药导刊》2013年第2期225-226,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:观察C反应蛋白(CRP)在慢性阻塞性肺疾病(COPD)急性感染监测中的临床价值。方法:分别检测42例慢性阻塞性肺疾病患者急性期及治疗缓解期的CRP,血沉、白细胞计数和中性分类等指标,同时选择40例健康体检者作为对照组。结果:CRP阳性率明显高于血沉、白细胞总数及中性粒细胞分类的阳性率(P<0.05);COPD急性期CRP较对照组明显升高(P<0.05),治疗缓解期CRP明显下降,与对照组CRP比较无明显差异性(P>0.05)。结论:CRP是一种慢性阻塞性肺疾病患者急性感染的敏感性指标,可早期发现、早期诊断COPD,并且可准确评估感染严重程度和治疗疗效。Objective：To observe the clinical value of C reactive protein（CRP） in monitoring acute infection of chronic obstructive pulmonary disease（COPD）.Methods：The CRP,erythrocyte sedimentation rate,white blood cell count and neutral classification index in acute stage and remission stage of 42 patients with chronic obstructive pulmonary disease were examined,and 40 healthy cases were selected as the control group.Results：The positive rate of CRP was significantly higher than that of the erythrocyte sedimentation rate,total WBC and neutrophil classification（P0.05）.The CRP level in the acute stage of COPD was significantly higher than that of control group（P0.05）.The CRP level in remission stage decreased significantly,and there was no significant difference compared with the CRP level of control group（P0.05）.Conclusion：CRP was a sensitivity index in monitoring acute infection of chronic obstructive pulmonary disease（COPD）.It could detect and diagnosis of early the COPD,and assess the severity of infection and treatment efficacy accurately.

关 键 词：慢性阻塞性肺疾病 C反应蛋白 监测 

分 类 号：R563.9[医药卫生—呼吸系统]