血清降钙素原和C反应蛋白检测对烧伤患者的意义

The significance of PCT and CRP in burn patients

目的 探讨血清降钙素原（PCT）和C反应蛋白（CRP）检测对烧伤患者的意义。 方法 选择我院2017年1-12月烧伤科住院患者70例，根据微生物结果将患者分为3组，其中11例血培养阳性者为A组，39例局部感染者为B组，20例未感染者为C组，比较各组间的PCT和CRP水平。 结果 A组和B组患者PCT及CRP水平与C组比较升高明显，差异均有统计学意义（ P 〈0.05），而A组与B组患者间比较，PCT水平差异有统计学意义（ P 〈0.05），CRP水平则无显著性差异。 结论 PCT与CRP联合检测，能有效提高烧伤患者早期感染的诊断与治疗，更好的指导临床合理用药。

Objective ： To investigate the significance of PCT and CRP in burn patients. Methods： 70 cases of inpatients in our hospital＇s burn surgery from January to December 2017 are divided into 3 groups according to its microbiological test results.11 cases of them who are in positive blood culture are group A,39 cases in local infection are group B and 20 left cases of uninfected patients are group C.More works are done to compare the levels of PCT and CRP among different groups. Results： Patients in group A and B have an obviously higher level of PCT and CRP compared to group C,which is a difference of statistical significance （ P 〈0.05）.While comparison between group A and B shows that the difference in PCT level is of statistical significance and no significant difference can be found in CRP level. Conclusion ： Joint detection of PCT and CRP can improve diagnosis and treatment of early infection in burn patients,and provide better guidance for reasonable clinical prescription.