老年肺部疾病患者PCT及hsTnT检测结果分析

Analysis of PCT and hsTnT results in elderly patients with pulmonary diseases

目的分析降钙素原(PCT)、高敏肌钙蛋白(hsTnT)对老年肺部疾病的诊断价值。方法对49例肺癌患者、138例肺部感染患者、27例肺气肿患者、62例肺心病患者、66例肺炎患者及48例健康查体者(年龄均在60岁以上)进行血清PCT和hsTnT检测。结果 5组疾病组与对照组相比,两项生化指标均升高,差异有统计学意义(P<0.05)。但疾病组之间比较差异无统计学意义(P>0.05)。结论 PCT及hsTnT可用于老年肺部疾病的辅助诊断,对患者感染程度及心肌损伤提供及时、准确的评估,但无法用于肺癌、肺部感染、肺气肿患者、肺心病、肺炎之间的判别。

Objective To explore the diagnostic value of serum procalcitonin （PCT） and high-sensitive troponin （hsTnT） in elderly patients with pulmonary diseases. Methods Serum PCT and serum hsTnT were measured in 49 patients with lung cancer, 138 patients with pulmonary infection, 27 patients with emphysema, 62 patients with pulmonary heart disease, 66 patients with pneumonia and 48 healthy subjects （age all above 60 years）, and the values were analyzed statistically.Results Compared with the control group, the two biochemical markers of the five disease groups were increased （P〈0.05）. However, there were no significant differences between the disease groups （P〉0.O5）.Conclusions PCT and hsTnT can be used to diagnose the patients with these five diseases＇. They can provide timely and accurate assessment of infection degree and myocardial injury, but it cannot be used to distinguish between the five diseases.