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肺结核患者的血清PCT、IFN-γ水平及其与预后的关系

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目的 探讨肺结核患者的血清降钙素原(PCT)、干扰素-γ(IFN-γ)水平及其与预后的关系.方法 300例肺结核患者根据预后分为预后良好组和预后不良组,比较两组的临床资料,探讨预后的独立影响因素,分析血清PCT、IFN-γ诊断肺结核预后不良的价值.结果 肺部感染、肺心病、器官损害、PCT、IFN-γ为肺结核患者预后不良的独立影响因素(P<0.05).PCT、IFN-γ联合检测诊断肺结核预后不良的AUC高于PCT、IFN-γ单独检测(P<0.05).结论 血清PCT、IFN-γ是肺结核患者预后不良的独立影响因素,检测二者水平有助于早期评估患者的预后情况.
Serum PCT and IFN-γ Levels in Patients with Pulmonary Tuberculosis and Their Relationship with Prognosis
Objective To explore the serum procalcitonin(PCT)and interferon-γ(IFN-γ)levels in patients with pulmonary tuberculosis and their relationship with prognosis.Methods According to the prognosis,300 patients with pulmonary tuberculosis were divided into good prognosis group and poor prognosis group.The clinical data of the two groups were compared,the independent influencing factors of prognosis were discussed,and the value of serum PCT and IFN-γ in the diagnosis of poor prognosis of pulmonary tuberculosis was analyzed.Results Pulmonary infection,pulmonary heart disease,organ damage,PCT and IFN-γ were independent influencing factors of poor prognosis in patients with pulmonary tuberculosis(P<0.05).The AUC of combined detection of PCT and IFN-γ in the diagnosis of poor prognosis of pulmonary tuberculosis was higher than that of single detection of PCT and IFN-γ(P<0.05).Conclusions Serum PCT and IFN-γ are independent influencing factors of poor prognosis in patients with pulmonary tuberculosis.Detection of the levels of PCT and IFN-γ is helpful for early evaluation of patients'prognosis.

Pulmonary tuberculosisProcalcitoninInterferon-γPrognosis

寇军、郭雯、马怡娇

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许昌市传染病医院/许昌市结核病防治所检验科,河南许昌 461000

肺结核 降钙素原 干扰素-γ 预后

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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