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PSI和CURB-65评分对老年社区获得性肺炎初始疗效的评估
引用本文:赵静,秦俭. PSI和CURB-65评分对老年社区获得性肺炎初始疗效的评估[J]. 临床肺科杂志, 2011, 16(1): 22-23
作者姓名:赵静  秦俭
作者单位:首都医科大学宣武医院急诊科,北京,100053
摘    要:
目的研究肺炎严重度指数(PSI)和CURB-65评分对于评价老年社区获得性肺炎(CAP)患者初始抗生素治疗效果的作用。方法选取2008年1月12日首都医科大学宣武医院急诊科病房79例老年CAP患者,入院后第1天和第4天时分别进行PSI和CURB-65评分,根据治疗效果分为有效组和无效组,比较PSI和CURB-65评分的差别。结果 79例老年CAP患者PSI和CURB-65评分在治疗有效组显著下降,无效组显著上升。当两项指标联用时,敏感性和特异性均明显提高。结论检测入院后第1天和第4天的PSI和CURB-65评分的变化有助于判断老年CAP患者的初始治疗效果。

关 键 词:社区获得性肺炎  老年  肺炎严重度评分  CURB-65评分

Effect of PSI and CURB-65 score on evaluation of the initial treatment response in old community acquired pneumonia patients
ZHAO Jing,QIN Jian. Effect of PSI and CURB-65 score on evaluation of the initial treatment response in old community acquired pneumonia patients[J]. Journal of Clinical Pulmonary Medicine, 2011, 16(1): 22-23
Authors:ZHAO Jing  QIN Jian
Affiliation:ZHAO Jing,QIN Jian.Department of Emergency,Xuanwu Hospital of Capital University of Medical Sciences,Beijing 100053,China
Abstract:
Objective To study the effect of pneumonia severity index(PSI)and CURB-65 score on evaluation of initial treatment response in old community acquired pneumonia(CAP)patients.Methods To enroll 79 elderly CAP patients from Jan,2008 to Dec,2008.They were recorded PSI and CURB-65 on the 1st and the 4th day after admission.They were divided into response group and nonresponse group according to the outcome after the initial treatment.Results Seventy-nine elderly patients with CAP were enrolled.PSI and CURB-65 sco...
Keywords:community acquired pneumonia  elderly  pneumonia severity index  CURB-65 score  
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