天津医药

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C-反应蛋白在老年社区获得性肺炎中的临床价值

赵国华1,陈宝元2   

  1. 1. 天津蓟县人民医院
    2.
  • 收稿日期:2010-01-13 修回日期:2010-03-17 出版日期:2010-10-15 发布日期:2010-10-15
  • 通讯作者: 赵国华

C-reactive protein in elderly community-acquired pneumonia in the clinical value

  • Received:2010-01-13 Revised:2010-03-17 Published:2010-10-15 Online:2010-10-15

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摘要： 摘要: 目的 探讨C-反应蛋白（CRP）测定在老年社区获得性肺炎患者诊断及抗生素使用中的的临床价值。方法 检测50例老年社区获得性肺炎患者治疗前和治疗后3天、7天C-反应蛋白与50例同期住院老年非感染性疾病患者C-反应蛋白。结果 社区获得性肺炎患者治疗前与非感染病人比较有显著差异（P<0.05）；治疗前与治疗后3天比较有显著差异（P<0.05）；治疗后3天与治疗后7天比较有显著差异（P<0.05）；治疗前与治疗后7天比较有显著差异（P<0.05）；治疗后7天与对照组比较无显著差异（P>0.05）。结论　C反应蛋白可作为诊断老年社区获得性肺炎和观察疗效的敏感指标，也可作为指导临床及时、正确使用或调整抗生素疗效的一个指标。

关键词: C-反应蛋白, 老年, 社区获得性肺炎

Abstract: Abstract : Objective To study C-reactive protein (CRP) measurement in elderly patients with community-acquired pneumonia diagnosis and antibiotic use in the clinical value. Methods Detected C-reactive protein in 50 elderly patients with community-acquired pneumonia in patients before treatment and 3 days 7 days after treatment , and C-reactive protein with the same period 50 cases of non-infectious diseases in hospitalized elderly patients .Results community-acquired pneumonia in patients before treatment with non-infected patients were significantly different (P <0.05); treatment 3 days before and after treatment were significantly different (P <0.05); treatment after 3 days and 7 days after treatment compared with significantly different (P <0.05); treatment 7 days before and after treatment were significantly different (P <0.05); treatment after 7 days compared with the control group no significant difference (P> 0.05). Conclusion C-reactive protein can be used as a diagnostic elderly community-acquired pneumonia and a sensitive indicator of therapeutic effect, but also could serve as a guide clinical timely, correct or adjust the use of an indicator of efficacy of antibiotics.

Key words: C-reactive protein, community-acquired pneumonia, the elderly