C-反应蛋白在肿瘤与感染性疾病中的临床应用分析

Clinical value of C-reactive protein in diagnosis of tumor and infectious diseases

  • 摘要: 目的 研究C-反应蛋白(CRP)在肿瘤和感染性疾病患者中的临床诊断价值,为临床诊断提供参考依据。方法 选取2015年1-9月医院诊治的80例肿瘤和感染性疾病患者临床资料进行分析,将其设置为试验组,选取同期61名健康体检人员为对照组,所有试验对象均采用散射比浊发定量检测CRP水平,采用德国 BRAHMS GM bH 降钙素原测定试剂盒检测降钙素原水平,分析CRP在肿瘤和感染性疾病患者中的诊断价值。结果 试验组CRP、降钙素原水平显著高于对照组;试验组CRP阳性率为23.75%,显著高于对照组的4.92%;不同类型的肿瘤和感染性疾病CRP阳性率不同,其中肿瘤恶性化程度越高CRP阳性率越高,以上差异均有统计学意义(P<0.05);不同类型的肿瘤和感染性疾病治疗稳定后CRP阳性率均有所下降。结论 肿瘤和感染性疾病患者动态检测CRP效果理想,其确诊率显著高于降钙素原水平,必要时可以CRP联合降钙素原诊断,提高临床确诊率。

     

    Abstract: OBJECTIVE To explore the clinical value of C-reactive protein (CRP) in diagnosis of patients with tumor or infectious diseases so as to provide guidance for clinical diagnosis. METHODS A total of 80 patients with tumor and infectious diseases who were treated in hospitals from Jan 2015 to Sep 2015 were enrolled in the study and assigned as the experimental group, meanwhile, 61 healthy people who received the physical examination were set as the control group. The CRP level of all the study objects was quantitatively detected by using nephelometry, the procalcitonin level was detected by means of German BRAHMS GM bH procalcitonin assay kit, and the value of CRP in the diagnosis of the patients with tumor and infectious diseases was evaluated. RESULTS The levels of CRP and procalcitonin of the experimental group were significantly higher than those of the control group. The positive rate of CRP of the experimental group was 23.75%, significantly higher than 4.92% of the control group; the positive rate of CRP varied in the patients with different types of tumors and infectious diseases; the higher the degree of malignancy, the higher the positive rate of CRP was, and there was significant difference (P<0.05). The positive rate of CRP of the patients with tumors and infectious diseases was decreased to some extent after the treatment. CONCLUSION The dynamic detection of CRP can achieve ideal effect on diagnosis of the patients with tumors and infectious diseases, of which the diagnosis rate is significantly higher than that of the procalcitonin; the CRP combined with procalcitonin may raise the clinical diagnosis rate.

     

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