Clinical Value of Serum Procalcitonin and C-reactive Protein on Middle-aged and Elderly Chronic Obstructive Pulmonary with Acute Aggravating Concurrent Infection
WANG Lijun
Yuquan Hospital Affiliated of Tsinghua university, Beijing 100049, China
Abstract:Objective: To explore the clinical value of serum procalcitonin and C-reactive protein on middle-aged and elderly chronic obstructive pulmonary with acute aggravating concurrent infection. Methods: 127 cases patients of chronic obstructive pulmonary disease met the inclusion criteria were chose in our hospital from December 2014 to April 2016, according to patient's condition, divided the COPD disease remission group(remission group) and COPD acute aggravating group (aggravating group). Then subdivided into COPD with acute aggravating infection group (infection group) and COPD with acute aggravating infection-free group (infection-free group) at the COPD acute aggravating group, infection group was graded according to the patient's lung function. The different level of serum PCT and CRP on different grouping and classification were compared. Results: The levels of CRP and serum PCT at COPD acute aggravating group was significantly higher than those in stable phase (P <0.05). The level of PCT and CRP at COPD with acute aggravating infection group was significantly increased than infection-free group (P <0.05). The level of PCT and CRP at level Ⅰ, Ⅱ, Ⅲ lung grade function of COPD with acute aggravating infection group, showed a gradual upward trend, and the statistical difference was significant between different classification (P <0.05). Conclusion: The level of serum PCT and CRP on COPD with acute aggravating infection group are significantly increased, and increase more significantly with the deterioration of lung function.
王利军. 中老年慢性阻塞性肺疾病急性加重期并发感染患者血清PCT及CRP的临床价值研究[J]. 河北医学, 2017, 23(2): 278-280.
WANG Lijun. Clinical Value of Serum Procalcitonin and C-reactive Protein on Middle-aged and Elderly Chronic Obstructive Pulmonary with Acute Aggravating Concurrent Infection. HeBei Med, 2017, 23(2): 278-280.
[1] 崔红生,张文娟,杨建宇,等.慢性阻塞性肺疾病诊疗指南[J].中国中医药现代远程教育,2011,(12):115~116. [2] Kentson M, Tdt K, Skargren E, et al. Factors associated with experience of fatigue, and functional limitations due to fatigue in patients with stable COPD[J].Ther Adv Respir Dis, 2016. [3] Engel RM, Gonski P, Beath K, Vemulpad S. Medium term effects of including manual therapy in a pulmonary rehabilitation program for chronic obstructive pulmonary disease (COPD): a randomized controlled pilot trial[J].Man Manip Ther,2016,24(2): 80~89. [4] Christiansen A, Davidsen JR, Titlestad I, Vestbo J, Baumbach J. A systematic review of breath analysis and detection of volatile organic compounds in COPD[J].Breath Res,2016,10(3): 34002. [5] Bolton CE, Quint JK, Dransfield MT. Cardiovascular disease in COPD: time to quash a silent killer[J].Lancet Respir Med,2016,4(9): 687~689. [6] Assicot M, Gendrel D, Carsin H, Raymond J, Guilbaud J, Bohuon C. High serum procalcitonin concentrations in patients with sepsis and infection[J].Lancet,1993,341(8844): 515~518. [7] 马晓薇,罗永艾.降钙素原在侵袭性真菌感染诊断中的应用价值研究[J].中华医院感染学杂志,2012,(5):904~906. [8] 汪明明,崔速南,张娟.病毒感染与细菌感染患儿血清降钙素原水平比较[J].中国当代儿科杂志,2004,(5):432~434.