降钙素原在老年急性心衰患者合并肺部感染中的临床应用价值  

The Clinical Value of Procalcitonin in Elderly Patients With Acute Heart Failure Complicated With Pulmonary Infection

作　　者：詹建福[1] 邱磷安[2] 林培森[3] 

机构地区：[1]福建中医药大学附属人民医院/福建省人民医院重症医学科,福州福建350004 [2]福建中医药大学附属人民医院/福建省人民医院风湿科,福州福建350004 [3]福建中医药大学附属人民医院/福建省人民医院心内科,福州福建350004

出　　处：《中国卫生标准管理》2017年第17期99-101,共3页China Health Standard Management

基　　金：国家中医药管理局中医药标准化项目SATCM-2015-BZ(346)

摘　　要：目的本研究旨在探讨降钙素原(PCT)对老年急性心衰患者合并肺部感染的诊断价值。方法收集我院自2013年6月—2016年6月收治的老年急性心衰患者128例,根据患者是否合并肺部感染,将患者分为感染组(观察组,n=50)及非感染组(对照组,n=78),采用全自动荧光免疫分析仪比较两组血浆PCT水平。结果感染组患者血清PCT水平较非感染组升高(P<0.05),以PCT≥0.5μg/L判断老年急性心衰患者合并肺部感染的敏感性及特异性,分别为90.0%、96.2%。结论血清PCT可作为早期判断老年急性心衰患者是否合并肺部感染的一项有价值的炎性指标。Objective To investigate the diagnostic value of proealeitonin （PCT） on pulmonary infection in elderly patients with acute heart failure （AHF）. Methods A total of 128 patients with AHF in our hospital from June 2013 to June 2016 were enrolled in the present study. All the patients were divided into infection group （observation group, n=50） or non infection group （control group, n=78） based on the presence of pulmonary infection or not. Serum PCT levels in the two groups were detected by automatic fluorescence immunoassay. Results Serum PCT levels in infection group was significantly higher than that in non infection group （P 〈 0.05）. The sensitivity and specificity of PCT ≥ 0.5μg/L-based diagnosis for pulmonary infection in elderly patients with AHF were 90.0%, 96.2%. Conclusion Serum PCT may be a valuable inflammatory markers for early diagnosis of pulmonary infection in elderly patients with acute heart failure.

关 键 词：降钙素原 老年 急性心衰 肺部感染 

分 类 号：R541[医药卫生—心血管疾病]