老年性尿路感染患者血清降钙素原水平的变化及其临床意义  

Clinic Value of Procalcitonin in Elderly Patients with Urinary Tract Infection

作　　者：言彩红[1] 罗志刚[2] 李方[1] 黄治家[1] 

机构地区：[1]南华大学附属第二医院重症医学科,湖南衡阳421001 [2]南华大学附属第二医院泌尿外科

出　　处：《中南医学科学杂志》2015年第1期70-72,共3页Medical Science Journal of Central South China

摘　　要：目的探讨老年性尿路感染(UTI)患者血清降钙素原水平的变化及其临床意义。方法回顾性分析确诊老年性尿路感染患者72例的临床资料,通过测定血清中降钙素原(PCT)的浓度,并与白细胞、肌酐水平做对比,研究PCT在诊断尿路感染中的临床意义。结果共有48例非阻塞型UTI和24例阻塞型UTI,所有阻塞型尿路感染患者的降钙素原、白血细胞和肌酐水平与非阻塞型UTI患者间存在显著差异(P<0.05)。结论 PCT有可能是诊断老年性阻塞性UTI敏感且可靠的指标。Objective This study was carried out to determine the clinic value of serum PCT in elderly patients with urinary tract infection（ UTI）. Methods 72 patients diagnosed with UTI in Intensive Care Unit were retrospectively analyzed,and their serum procalcitonin concentration,white cell count and creatinine were detected to investigate their role in diagnosis of UTI.Results There were 48 patients with nonobstructed UTI and 24 with obstructed UTI. There were significant differences in procalcitonin,white blood cells,and creatinine levels between patients with nonobstructed and obstructed UTI（ P〈 0. 05）. Conclusion we found that procalcitonin was a useful marker to diagnosis of obstructed UTI in elderly patients.

关 键 词：降钙素原 尿路感染 C反应蛋白 

分 类 号：R695[医药卫生—泌尿科学]