ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-04-041 检验与方法 2026, 2(04): 161-164

降钙素原联合C-反应蛋白、白细胞计数对肺炎的诊断价值

通用医疗西安医院 2.临潼康复疗养中心

12下载次数 0被引频次 48阅读次数 16参考文献
知网阅读全文
摘要

目的 参照金标准痰培养和胸部CT联合检查结果,探究血清降钙素原(PCT)、C-反应蛋白(CRP)、白细胞计数(WBC)联合检验对于诊断成人肺炎的应用价值。方法 选取通用医疗西安医院2023年8月至2025年8月收治的疑似成人肺炎患者186例作为研究对象,入院后均进行血清PCT、CRP、WBC检验,金标准为痰培养和胸部CT联合检查结果,且金标准结果显示确诊成人肺炎98例,确诊其他病症88例,探究血清PCT、CRP、WBC联合检验对于成人肺炎的诊断价值。结果 在成人肺炎的临床诊断中,参照诊断金标准痰培养和胸部CT联合检查结果,血清PCT、CRP、WBC联合检验敏感度、准确度、特异度均高于单一检验,差异具有统计学意义(P<0.05)。结论 在成人肺炎的临床诊断中,血清PCT、CRP、WBC联合检验能够进一步提高诊断效率,具有显著的诊断价值。

Abstract

Objective Based on the results of gold standard sputum culture and chest CT combined examination, explore the application value of serum procalcitonin(PCT), C-reactive protein(CRP), and white blood cell count(WBC) combined test for the diagnosis of adult pneumonia. Methods 186 suspected adult pneumonia patients admitted to General Medical Xi'an Hospital from August 2023 to August 2025 were selected as the research subjects. After admission, serum PCT, CRP and WBC tests were performed, and the gold standard was the combined examination of sputum culture and chest CT. The gold standard results showed that 98 cases were diagnosed with adult pneumonia and 88 cases were diagnosed with other diseases. The diagnostic value of serum PCT, CRP, and WBC combined tests for adult pneumonia was explored. Results In the clinical diagnosis of adult pneumonia, according to the diagnostic gold standard sputum culture and chest CT combined examination results, the sensitivity, accuracy, and specificity of the serum PCT, CRP, and WBC combined test are higher than those of a single test, and there are differences in comparison(P<0.05).Conclusion In the clinical diagnosis of adult pneumonia, the combined testing of serum PCT, CRP, and WBC can further improve diagnostic efficiency and has significant diagnostic value.

引用本文

按标准格式复制,或导出到文献管理软件
[1]隽秀芝,张亚宁,李红妮.降钙素原联合C-反应蛋白、白细胞计数对肺炎的诊断价值[J].疾病预防与控制,2026,2(04):161-164.