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中华肺部疾病杂志(电子版) ›› 2022, Vol. 15 ›› Issue (05) : 736 -738. doi: 10.3877/cma.j.issn.1674-6902.2022.05.034

短篇论著

NLR、PCT、CURB-65评分对老年社区获得性肺炎的预测意义
向茜1, 何胜荣2, 冯霞1,()   
  1. 1. 400021 重庆,重庆市中医院呼吸与危重症医学科
    2. 400037 重庆,陆军(第三)军医大学第二附属医院
  • 收稿日期:2022-01-17 出版日期:2022-10-25
  • 通信作者: 冯霞

Predictive significance of NLR, PCT, and CURB-65 score for community-acquired pneumonia in the elderly

Qian Xiang1, Shengrong He2, Xia Feng1()   

  • Received:2022-01-17 Published:2022-10-25
  • Corresponding author: Xia Feng
引用本文:

向茜, 何胜荣, 冯霞. NLR、PCT、CURB-65评分对老年社区获得性肺炎的预测意义[J]. 中华肺部疾病杂志(电子版), 2022, 15(05): 736-738.

Qian Xiang, Shengrong He, Xia Feng. Predictive significance of NLR, PCT, and CURB-65 score for community-acquired pneumonia in the elderly[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2022, 15(05): 736-738.

社区获得性肺炎(community-acquired pneumonia, CAP)是一种常见的,潜在的致命疾病[1,2,3],是全球第三大最常见的死亡原因。由于呼吸功能衰竭和合并多器官功能障碍综合征,需要重症监护支持[4]。特别是在老年人和伴随基础疾病的患者中,CAP与高病死率相关,大约10%的住院患者需要收治重症监护病房(ICU) [5,6]。对CAP患者进行风险分层,早期诊断对于降低住院率和病死率至关重要[7]。生物标志物,尤其联合临床风险评分,正广泛的用于评估疾病的严重程度、预测预后及指导抗生素使用[8,9,10,11,12]。本文对我院就诊及住院的96例CAP患者进行分析,比较中性粒细胞与淋巴细胞计数比值(neutrophil-to-lymphocyte count ratio, NLR),降钙素原(procalcitonin, PCT),CURB-65;评分对老年社区获得性肺炎的预测意义,报道如下。

表1 预后良好和预后不良患者临床资料和炎症指标比较[n(%)]
表2 NLR、PCT、CURB-65对患者预后的预测
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