门诊467例呼吸道感染患者CRP检测分析及意义  

Clinical significance and importance of detection and analysis of C-reative protein among 467 patients with respiratory infection at respiratory outpatient department

作　　者：尹琴[1] 张继先[1] 李松明[1] 刘旭[1] 伏振[1] 夏玲[1] 

机构地区：[1]湖北省新华医院呼吸内科,湖北武汉430015

出　　处：《临床肺科杂志》2015年第4期682-684,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的通过检测门诊呼吸道感染患者中C-反应蛋白（CRP）水平,探讨C-反应蛋白水平与肺炎发生率之间的关系。方法收集2012年1月-2012年12月呼吸科门诊呼吸道感染的患者467例,依据测定的CRP水平将患者分为4组,比较分析每组患者肺炎发生率与CRP之间的关系。结果 CRP〉100 mg/L的患者合并肺炎的发生率最高,明显高于其他三组,CRP在50～100 mg/L之间发生肺炎的可能性比CRP在10～50 mg/L发生肺炎的可能性大,CRP〈10 mg/L发生肺炎的可能性极低。结论 CRP是早期诊断肺炎的敏感指标,CRP〉100 mg/L,肺炎发生率最高,需积极行肺部影像学检查明确病因。CRP在呼吸科门诊应作为一项重要的常规检查,对肺炎的早期诊断有重要意义。Objective To evaluate the relationship between pneumonia and C-reative protein by detecting and analyzing the level of C-reative protein in patients with respiratory infection. Methods 467 patients with respiratory infection at respiratory outpatient department from January 2012 to December 2012 were collected and divided into four groups according to their C-reative protein levels. The relationship between pneumonia and C-reative protein in each group was evaluated. Results The incidence of pneumonia was the highest in the group of CRP value 100mg / L,followed by the group of CRP value between 50 ～ 100 mg / L,the group of CRP value between 10 ～ 50 mg /L,and the group of CRP value 〈10 mg / L. Conclusion C-reative protein is the sensitive indicator in the early diagnosis of pneumonia,and the highest incidence of pneumonia can be found when CRP value is higher than 100 mg / L.Imaging examination of lung should be performed actively to identify the aetiology.

关 键 词：C-反应蛋白(CRP) 肺炎 门诊 

分 类 号：R56[医药卫生—呼吸系统]