首页|血清NT-proBNP、IL-6、PCT、CRP水平联合检测在慢性阻塞性肺疾病并发肺部感染诊断中的效能

血清NT-proBNP、IL-6、PCT、CRP水平联合检测在慢性阻塞性肺疾病并发肺部感染诊断中的效能

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目的:分析N末端脑钠肽前体(NT-proBNP)、白细胞介素-6(IL-6)、降钙素原(PCT)、C反应蛋白(CRP)水平联合检测在慢性阻塞性肺疾病(COPD)并发肺部感染诊断中的效能.方法:回顾性分析 2021 年 5 月至 2023 年 5 月该院收治的 84 例COPD并发肺部感染患者的临床资料,设为感染组,另将同期该院收治的 79 例COPD未并发肺部感染患者设为未感染组,比较两组血清NT-proBNP、IL-6、PCT、CRP水平,采用受试者工作特征(ROC)曲线分析 NT-proBNP、IL-6、PCT、CRP 水平单项及联合检测在COPD并发肺部感染诊断中的效能.结果:感染组NT-proBNP、IL-6、PCT、CRP水平均高于未感染组,差异有统计学意义(P<0.05);ROC曲线分析结果显示,NT-proBNP、IL-6、PCT、CRP水平单项及联合检测诊断COPD并发肺部感染的曲线下面积分别为0.808、0.796、0.825、0.816、0.913,联合检测的诊断效能最高.结论:血清NT-proBNP、IL-6、PCT、CRP水平联合检测诊断COPD并发肺部感染的效能高于四者单项检测诊断.
Efficiency of combined detection of serum NT-proBNP,IL-6,PCT and CRP levels in diagnosis of chronic obstructive pulmonary disease complicated with pulmonary infection
Objective:To analyze efficiency of combined detection of N-terminal pro-brain natriuretic peptide(NT-proBNP),interleukin-6(IL-6),procalcitonin(PCT)and C-reactive protein(CRP)levels in diagnosis of chronic obstructive pulmonary disease(COPD)complicated with pulmonary infection.Methods:The clinical data of 84 patients with COPD complicated with pulmonary infection admitted to this hospital from May 2021 to May 2023 were retrospectively analyzed and they were set as the infection group.In addition,79 patients with COPD without pulmonary infection during the same period were set as the non-infection group.The levels of serum NT-proBNP,IL-6,PCT and CRP were compared between the two groups.The receiver operating curve(ROC)was used to analyze the efficiencies of NT-proBNP,IL-6,PCT and CRP single and combined detection in the diagnosis of COPD complicated with pulmonary infection.Results:The levels of NT-proBNP,IL-6,PCT and CRP in the infection group were higher than those in the non-infection group,and the differences were statistically significant(P<0.05).The ROC curve showed that the area under the curve of single and combined detection of NT-proBNP,IL-6,PCT and CRP levels in the diagnosis of COPD complicated with pulmonary infection were 0.808,0.796,0.825,0.816 and 0.913,separately,and the combined detection had the highest diagnostic efficiency.Conclusions:The efficiency of combined detection of serum NT-proBNP,IL-6,PCT and CRP levels in the diagnosis of COPD complicated with pulmonary infection is higher than that of single detection of the four.

Chronic obstructive pulmonary diseasePulmonary infectionInterleukin-6ProcalcitoninN-terminal pro-brain natriuretic peptideC-reactive proteinDiagnosis

孟淑艳

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新乡市中心医院检验科,河南 新乡 453000

慢性阻塞性肺疾病 肺部感染 白细胞介素-6 降钙素原 N末端脑钠肽前体 C反应蛋白 诊断

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(20)