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目的分析血清降钙素原(PCT)和C-反应蛋白(CRP)对肝癌介入手术患者感染的监测价值,提高感染的早期诊断水平。方法选择2013年6月-2015年6月行肝癌介入手术住院患者75例,将发生感染的25例肝癌介入手术患者为感染组,未发生感染的50例介入手术患者为未感染组,观察并比较两组患者的血清PCT、CRP水平;采用SPSS 19.0软件进行统计分析。结果感染组患者PCT、CRP水平明显高于未感染组患者,两组比较差异有统计学意义(P<0.05);感染组患者血清PCT、CRP的阳性率分别为88.00%和80.00%,明显高于未感染组患者的16.00%和40.00%,两组比较差异有统计学意义(P<0.05);PCT与CRP的阳性及阴性预测值比较,差异均有统计学意义(P<0.05)。结论血清PCT和CRP测定均有助于肝癌介入手术患者感染的早期诊断,联合测定效果更佳。
Objective To analyze the monitoring value of serum procalcitonin (PCT) and C-reactive protein (CRP) in the patients with liver cancer interventional therapy and to improve the early diagnosis of infection. Methods From June 2013 to June 2015, 75 hospitalized patients with liver cancer interventional surgery were enrolled. Twenty-five patients with HCC who were infected were selected as infection group. Fifty patients without infection were selected as uninfected patients. The serum PCT and CRP levels were compared between the two groups. Statistical analysis was performed using SPSS 19.0 software. Results The levels of PCT and CRP in the infected group were significantly higher than those in the uninfected group (P <0.05). The positive rates of PCT and CRP in the infected group were 88.00% and 80.00%, respectively, which were significantly higher The difference between the two groups was statistically significant (P <0.05). The positive and negative predictive values of PCT and CRP were significantly different (P <0.05). Conclusion Serum PCT and CRP are helpful for the early diagnosis of patients with liver cancer interventional surgery, the combined determination of better.