老年人腹部手术前后测血CRP、FN、α1-AT含量的临床价值

The clinical significance of determining serum CRP、a1 - AT、plasma FN concentration at pre-and post operative periods in aged patients with abdominal operation

６１例老年和１８例中青年患者于术前后检测了血ＣＥＰ、ＦＮ、ａ１－ＡＴ含量。病例分三组：Ａ（老年感染组）、Ｂ（老年无感染组）、Ｃ（非老年感染组）。结果：术前Ａ、Ｃ组ＣＲＰ含量明显高于Ｂ组，ＦＮ含量明显低于Ｂ组，Ａ、Ｃ组间含量无显著差异。术后１天三组ＣＲＰ值均升高，３天Ｂ组下降，７大基本降至术前水平，Ａ、Ｃ组５天有降低，７天又再上升。Ａ、Ｃ组间术后各天含量无显著差异；术后Ａ、Ｃ组ＦＮ含量均低于Ｂ组；术后１、３天Ａ、Ｃ组ａ１－ＡＴ含量高于Ｂ组。结果表明术后ＣＲＰ值持续上升，ＦＮ值持续下降对早期诊断老年人感染有一定临床价值。

Serum CRP. a1 - AT. plasma FN were measured in 51 aged patients and 18 middle-aged and young patients at pre - and post-operative periods. The cases were divided into three groupa:A (the aged with infection); B(the aged with no infecition); C (non - aged patienes with infection). As a result, pre- operation CRP conceneration in grpou A und C was significantly higher than that of group B There was no difference between group A and C.FN concentration in group A and C was significantly lower than that in group B. CRP concentration of the three groups raised quickly one day after operation , that of group B began to decrease 3 days after operation and restored to the gre - opration level at the 7yh day. CRP concentration in group A and C decreased at 5th day after operation and raised again at 7th day. There was no difference between group A and C. FN concentration in group A and C were lower than that in group B after operation. As to a1 - AT, there was no differene between the three groups. Concluaions: That post - operation CRP concentration keeps rasing and FN concentration keeps decreasing suggests an infection in the patient.