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目的:分析血清降钙素原、C反应蛋白在诊断社区获得性肺炎与肺结核中的价值。方法:选取在本院诊断为社区获得性肺炎、肺结核患者各85例作为研究对象,对两组患者的血清白细胞指标、C反应蛋白指标和降钙素原指标进行对比分析。结果:肺炎组患者的降钙素指标明显高于肺结核组患者(p<0.05),在白细胞指标与C反应蛋白方面两组无明显差异(p>0.05)。肺结核组中痰涂片阳性患者的白细胞指标与C反应蛋白明显高于痰涂片阴性患者(p<0.05),在降钙素原方面无明显差异(p>0.05)。结论:在诊断社区获得性肺炎与肺结核中,C反应蛋白与血清降钙素原有一定的指导价值,临床医师可根据患者C反应蛋白和血清降钙素原水平、临床症状与其他指标对疾病做出正确判断。
Objective: To analyze the value of serum procalcitonin and C-reactive protein in the diagnosis of community-acquired pneumonia and pulmonary tuberculosis. Methods: Eighty-five patients diagnosed as community-acquired pneumonia and tuberculosis in our hospital were selected as the research objects, and the serum leukocyte index, C-reactive protein index and procalcitonin index were compared between the two groups. Results: The index of calcitonin in patients with pneumonia was significantly higher than that in patients with pulmonary tuberculosis (p <0.05). There was no significant difference between the two groups in leukocyte index and C - reactive protein (p> 0.05). The leukocyte index and C-reactive protein in sputum smear-positive patients in tuberculosis group were significantly higher than those in sputum smear-negative patients (p <0.05), and there was no significant difference in procalcitonin (p> 0.05). CONCLUSIONS: C-reactive protein and serum procalcitonin have some guiding value in the diagnosis of community-acquired pneumonia and pulmonary tuberculosis. Clinicians can treat patients with C-reactive protein and serum procalcitonin, clinical symptoms and other indicators of disease Make the right judgment.