结核分枝杆菌特异性IFN-γ、IL-2联合检测在肺结核与细菌性肺炎鉴别诊断中的应用

Application of combined detection of Mycobacterium tuberculosis-specific IFN-γand IL-2 in the differential diagnosis of pulmonary tuberculosis and bacterial pneumonia

目的评价结核分枝杆菌特异性细胞因子干扰素-γ(IFN-γ)、白细胞介素-2(IL-2)双因子联合检测在肺结核与细菌性肺炎鉴别诊断中的应用价值。方法选择阜阳市人民医院2022年1月-2023年10月呼吸科住院患者91例,明确诊断为肺结核患者45例(肺结核组)和细菌性肺炎患者46例(肺炎组),均进行双因子联合检测,比对分析双因子联合检测与C反应蛋白(CRP)对肺结核和细菌性肺炎鉴别诊断的效果。结果使用双因子联合检测对肺结核与细菌性肺炎进行鉴别诊断,灵敏度为86.7%、特异度为84.8%,受试者工作特征曲线下面积(AUC)值为0.928(95%CI:0.870~0.986),与CRP的鉴别诊断效果相比差异有统计学意义(P<0.05)。结论结核分枝杆菌特异性细胞因子IFN-γ、IL-2联合检测在鉴别肺结核与细菌性肺炎时具有较高的应用价值,能为临床肺结核和细菌性肺炎的鉴别诊断提供依据。

Objective To evaluate the application value of combined detection of Mycobacterium tuberculosis-specific cytokines interferon-γ(IFN-γ)and interleukin-2(IL-2)in the differential diagnosis of pulmonary tuberculosis and bacterial pneumonia.Methods A total of 91 hospitalized patients in the respiratory department of Fuyang People’s Hospital from January 2022 to October 2023 were selected.Forty-five patients were diagnosed with pulmonary tuberculosis(pulmonary tuberculosis group),and 46 patients were diagnosed with bacterial pneumonia(pneumonia group).Two-cytokine combined detection were performed on all patients.The effect of two-cytokine combined detection and C-reactive protein(CRP)in the differential diagnosis of pulmonary tuberculosis and bacterial pneumonia was compared.Results The sensitivity and specificity of two-cytokine combined detection for the differential diagnosis of pulmonary tuberculosis and bacterial pneumonia were 86.7%and 84.8%,respectively.The area under the receiver operating characteristic curve was 0.928(95%CI:0.870-0.986),which showed significant difference compared with differential diagnostic efficacy of CRP(P<0.05).Conclusion The combined detection of Mycobacterium tuberculosis-specific cytokine IFN-γand IL-2 in the differential diagnosis of pulmonary tuberculosis and bacterial pneumonia has a high application value,which can provide a basis for the differential diagnosis of pulmonary tuberculosis and bacterial pneumonia.