超敏C反应蛋白在老年社区获得性肺炎中的水平改变意义分析

The Significance Analysis of Altered Levels of High Sensitivity C Reactive Protein in Elderly Patients with Community Acquired Pneumonia

目的探讨超敏C反应蛋白水平改变在老年社区获得性肺炎患者中的临床意义。方法选择我院2012年12月至2013年12月期间的社区获得性肺炎老年患者共85例,根据临床肺部感染评分对所选患者进行病情评估,分为重度组和轻度组。同时选择体检健康者30例作为对照组。测定所选对象的超敏C反应蛋白水平。结果老年社区获得性肺炎轻度组和重度组患者的超敏-C反应蛋白水平均高于正常组,差异有统计学意义(P<0.05);老年社区获得性肺炎重度组患者的超敏-C反应蛋白水平均高于轻度组,差异有统计学意义(P<0.05)。结论超敏C反应蛋白水平改变有助于对老年社区获得性肺炎早期诊断、病情和预后评估,具有重要临床意义。

Objective To explore significance analysis of altered levels of high sensitivity C reactive protein inelderly patients with community acquired pneumonia. Methods 85 elderly patients with community acquired pneumonia were selected in our hospital from December, 2012 to December 2013, according to the clinical pulmonary infection score for disease assessment the patients were divided into severe group and mild group. At the same time, 30 persons were selected as control group. Determination of high sensitivity C reactive protein was done. Results The level of high sensitivity -C reactive protein in severe group and mild group of elderly patients with community acquired pneumonia was higher than that in control group,the difference was statistically significant（P〈0.05）;the level of high sensitivity -C reactive protein in severe group of elderly patients with community acquired pneumonia was higher than that in mild group, the difference was statistically significant（P〈0.05）.Conelusion The level change of high sensitive C reactive protein changes are helpful in early diagnosis, evaluation of disease severity and prognosis of community acquired pneumonia in the elderly patients, and has important clinical significance.