PCT和CPIS对老年CAP预后的评估价值  

Application of procalcitonin and clinical pulmonary infection score for evaluating the prognosis of elderly patients with community acquired pneumonia

作　　者：韩立红[1] 祝坤[2] 

机构地区：[1]首都医科大学宣武医院外科门诊,北京100053 [2]首都医科大学宣武医院急诊科,北京100053

出　　处：《临床肺科杂志》2014年第4期673-675,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的研究降钙素原(PCT)和临床肺部感染评分(CPIS)对老年社区获得性肺炎(CAP)患者病情和预后的评估价值。方法收集我院急诊科236例老年CAP患者,于入院后给予PCT、WBC检查和CPIS评分。分别比较重症与非重症CAP、死亡组和存活组PCT、WBC和CPIS的区别;研究PCT与CPIS的相关性。结果重症肺炎患者PCT和CPIS均大于非重症患者,死亡组PCT和CPIS均大于存活组(P<0.05),WBC在2组之间比较无显著性差异(P>0.05);PCT与CPIS呈正相关(r=0.63,P<0.05)。结论 PCT和CPIS对老年CAP患者的病情和预后具有一定的评估作用,PCT和CPIS升高提示病情严重,预后差。Objective To study the assessment value of procalcitonin （PCT） and clinical pulmonary infection score （CPIS） in elderly patients with community acquired pneumonia （CAP）. Methods 236 elderly patients with CAP were selected in this study, and their PCT and CPIS were obtained after admission. The difference of PCT, WBC and CPIS were compared between the severe and non-severe CAP groups and the death group and the survival group. The correlation between PCT and CPIS was studied. Results The PCT and CPIS in the severe CAP group were higher than those in the non-severe groups, and they were higher in the death group than in the survival group（P〈0.05）. There was no significant difference in WBC between the two groups （P〉0.05）. PCT was positively correlated with CPIS （r=0.63, P〈0.05）. Conclusion PCT and CPIS were useful clinical indicators to evaluate the prognosis of elderly patients with CAP. The higher CPIS is, the poorer prognosis is.

关 键 词：降钙素原 临床肺部感染评分 社区获得性肺炎 预后 

分 类 号：R563.1[医药卫生—呼吸系统]