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目的观察C-反应蛋白(CRP)检测在老年支气管哮喘与呼吸道感染中的诊断价值,为今后临床预防治疗提供参考依据。方法选自2013年2月-2014年3月医院收治的老年支气管哮喘86例,分为哮喘合并细菌感染组45例,哮喘合并病毒感染组41例,另选同期进行健康体检44名健康者作为对照组,观察3组患者CRP和血细胞总数情况,数据采用SPSS 15.0软件进行统计分析。结果细菌感染组患者C-反应蛋白水平、白细胞总数明显高于病毒感染组及对照组(P<0.05);细菌感染组C-反应蛋白异常率为93.3%,白细胞异常率为84.4%,明显高于病毒感染组的26.8%、12.2%,差异有统计学意义(P<0.05)。结论血清C-反应蛋白可作为早期诊断哮喘合并感染的指标之一,其水平高低可反映病情的严重程度,有助于临床鉴别细菌与病毒感染,可为临床用药提供重要参考依据,具有较高应用价值。
Objective To observe the diagnostic value of C-reactive protein (CRP) in elderly patients with bronchial asthma and respiratory tract infection and provide reference for clinical prevention and treatment in the future. Methods From February 2013 to March 2014, 86 elderly patients with bronchial asthma were randomly divided into asthma combined with bacterial infection group (n = 45), asthma combined with virus infection group (n = 41) and healthy control group with 44 healthy people In the control group, the CRP and total blood cells in 3 groups were observed. The data were analyzed by SPSS 15.0 software. Results The levels of C-reactive protein and total leukocytes in bacterial infection group were significantly higher than those in virus infection group and control group (P <0.05). The abnormal rate of C-reactive protein in bacterial infection group was 93.3% and the abnormal leucocyte count was 84.4% The difference was statistically significant (P <0.05) in 26.8% and 12.2% of the virus-infected group. Conclusions Serum C-reactive protein can be used as one of the indicators of early diagnosis of asthma combined infection. The level of serum C-reactive protein can reflect the severity of the disease and help to identify the bacterial and viral infection clinically. It can provide important reference for clinical medication, Value.