血清降钙素原在重症肺炎治疗中的指导作用  

作　　者：向娟[1] 吴佳妮[1] 唐兵[1] 

机构地区：[1]四川省成都市第六人民医院,610051

出　　处：《首都食品与医药》2016年第8期40-41,共2页Capital Food Medicine

摘　　要：目的探讨血清降钙素原（PCT）在重症肺炎治疗中的指导作用。方法选取2013年1月~2015年1月来我院就诊的68例重症肺炎患者,将其作为观察组;选取同期入我院就诊的68例轻症肺炎患者,将其作为对照组。对两组患者的血清PCT、C反应蛋白（CRP）、白细胞（WBC）计数、中性粒细胞（N）百分比与体温进行比较分析。结果观察组的血清PCT与CRP明显高于对照组（P〈0.05）,两组WBC计数与N百分比及体温差异无统计学意义（P〉0.05）。随着PCT水平的提升,需要呼吸机辅助呼吸的患者比例也有明显提升,病死率、抗生素使用时间与住院时间均有不同程度的提升（P〈0.05）。结论血清PCT对重症肺炎的诊断、治疗、预后均有重要指导作用。0bjective Discussion on the guiding role of serum procalcitonin （PCT） in the treatment of severe pneumonia. Method Select January 2013 ~ January 2015 to to our hospital 68 cases of severe pneumonia as a studygroup; selected the same period 68 cases of patients with mild pneumonia, which was used as a control group. Serum PCT two groups of patients, C-reactive protein （CRP）, white blood cell （WBC） count, the percentage of neutrophils （N） and body temperature were compared. Result Serum PCT and CRP observation group was significantly higher （P〈0.05）, two groups of WBC count and N percentage and temperature difference was not statistically significant （P〉 0.05）. With the enhancement of PCT levels, the proportion of patients requiring mechanical ventilation is gradually increased, mortality is also on the rise, antibiotic use and hospitalization time were prolonged （P〈0.05）. Conc tusion Serum PCT in severe pneumonia diagnosis and determine the condition, prognosis have guidance.

关 键 词：血清降钙素原 重症肺炎 指导作用 

分 类 号：R563.1[医药卫生—呼吸系统]