老年肺炎患者临床诊断中检验CRP、血沉以及D-D水平的研究

Study on CRP,ESR and D-D levels in clinical diagnosis of elderly patients with pneumonia

目的:研究老年肺炎患者临床诊断中检验血液中C反应蛋白(CRP)、血沉(ESR)以及D-二聚体(D-D)水平的临床价值。方法:纳入医院收治的60例老年肺炎患者作为研究组,取同期检验的60例健康人员作为对照组,分别对两组人员血液中的CRP、ESR以及D-D三项指标水平进行检验,对比两组CRP、ESR以及D-D水平差异,对比研究组不同年龄、病情程度患者的CRP、ESR以及D-D水平差异。结果:与对照组相比,研究组患者血液中CRP、ESR以及D-D三项指标水平均明显更高(P<0.05);研究组≥80岁患者的CRP、ESR以及D-D水平与<80岁以下患者相比存在均衡性(P>0.05);重度患者CRP、ESR以及D-D水平均高于轻度、中度(P<0.05)。结论:CRP、ESR以及D-D水平检验在老年肺炎疾病诊断中具有较高的临床价值,可以为患者病情评估与预后预测提供可靠依据,值得推广。

Objective:Study the clinical value of testing the levels of C-reactive protein(CRP),erythrocyte sedimentation rate(ESR),and D-dimer(D-D)in the blood of elderly pneumonia patients in clinical diagnosis.Methods:A total of 60 elderly patients with pneumonia admitted to our hospital were taken as the study group.and 60 healthy people who were tested at the same time were taken as the control group.The levels of CRP,ESR and D-D in the blood of the two groups were tested respectively,and the differences of CRP,ESR and D-D levels between the two groups were compared.Results:Compared with the control group,the levels of CRP,ESR and D-D in the blood of the study group were significantly higher(P<0.05);The CRP,ESR and D-D levels of patients≥80 years old in the study group were balanced compared with those under 80 years old(P>0.05);CRP,ESR and D-D water in severe patients were higher than those in mild and moderate patients(P<0.05).Conclusion:CRP,ESR and D-D level tests have high clinical value in the diagnosis of senile pneumonia,and can provide reliable basis for the evaluation of patients'condition and prognosis prediction,which is worth popularizing.