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血清超敏C反应蛋白在慢性阻塞性肺病急性加重期患者治疗中的价值探讨
引用本文:叶关胜. 血清超敏C反应蛋白在慢性阻塞性肺病急性加重期患者治疗中的价值探讨[J]. 中华危重症医学杂志(电子版), 2010, 3(1): 21-23
作者姓名:叶关胜
作者单位:绍兴市第六人民医院老年科,312000
摘    要:
目的探讨血清超敏C反应蛋白(hs-CRP)在慢性阻塞性肺病急性加重期(AECOPD)患者治疗中的临床价值。方法对75例AECOPD患者于入院后次日和治疗10d后静脉抽取血标本,测定血清hs-CRP水平,并结合患者的病情变化情况,进行分析和比较。结果本组75例AECOPD患者经院内10d治疗后,临床控制24例,治疗有效36例,治疗无效15例。在治疗过程中,治疗无效组患者的血清hs-CRP水平(28.59±13.80)mg/L明显高于临床控制组(11.44±6.47)mg/L和治疗有效组患者(21.66±8.09)mg/L,差异具有统计学意义(P均0.05);而治疗有效组患者的血清hs-CRP水平也明显高于临床控制组患者,差异具有统计学意义(P0.01)。结论在AECOPD患者治疗过程中,血清hs-CRP水平与患者的病情演变具有相关性,动态监测血清hs-CRP水平有助于判断患者的病情变化和疗效。

关 键 词:慢性阻塞性肺病急性加重期  超敏C反应蛋白  感染

Clinical value of high-sensitivity C-reactive protein in the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease
YE Guan-sheng. Clinical value of high-sensitivity C-reactive protein in the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease[J]. Chinese Journal of Critical Care Medicine ( Electronic Editon), 2010, 3(1): 21-23
Authors:YE Guan-sheng
Affiliation:YE Guan-sheng. Department of Geriatric Medicine,Shaoxing Sixth people's Hospital,Shaoxing 312000,China
Abstract:
Objective To investigate the clinical value of serum high-sensitivity C-reactive protein (hs-CRP) in the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods Blood samples from venous were collected in 75 patients with AECOPD on the second day after admission and 10 d after treatment. Hs-CRP level was measured and compared combining with condition changes. Results After 10 d treatment,clinical control was achieved in 24 cases,36 were effectively treated,an...
Keywords:Acute exacerbation of chronic obstructive pulmonary disease  Highsensitivity C-reactive protein  Infection  
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