肺穿刺引流术对肺脓肿患者炎性状态影响研究.docVIP

肺穿刺引流术对肺脓肿患者炎性状态影响研究 　　[摘要] 目的 研究探讨肺穿刺引流术对肺脓肿患者炎性状态的影响。 方法 选取2010年5月～2013年5月于本院进行治疗的58例肺脓肿患者为研究对象，将其随机分为对照组与观察组，每组各29例，对照组给予体位引流治疗，观察组给予肺穿刺引流术治疗，比较两组患者治疗前与治疗后第1、2及4周时的血清降钙素原（PCT）及C反应蛋白（CRP）的含量与阳性率。 结果 观察组治疗后第1、2、4周时血清PCT及CRP血清含量与阳性率分别明显低于对照组同时间段的检测结果，且低于观察组治疗前的检测结果（P0.05）。 结论 肺穿刺引流术对肺脓肿患者炎性状态的控制效果更为明显，其临床应用价值更高。 　　[关键词] 肺穿刺引流术；肺脓肿；炎性状态 　　[中图分类号] R563.2 [文献标识码] A [文章编号] 1674-4721（2013）11（c）-0041-02 　　Study the influence of lung puncture drainage for the inflammatory state of patients with pulmonary abscess 　　JIAN Ya-mei 　　Pneumology Department，Xingang Center Hospital of Xinyu City in Jiangxi Province，Xinyu 338001，China 　　[Abstract] Objective To study and investigate the influence of lung puncture drainage for the inflammatory state of patients withpulmonary abscess. Methods 58 patients with pulmonary abscess in our hospital from May 2010 to May 2013 were selected as research object，and they were randomly divided into control group and observation group， with 29 cases in each group，the control group were treated with postural drainage，the observation group were treated with lung puncture drainage，and the serum content and positive rate of PCT and CRP of two groups before the treatment and at 1st，2nd and 4th week after the treatment were compared. Results The serum content and positive rate of PCT and CRP of observation group at 1st，2nd and 4th week after the treatment were all respectively lower than the detection results of control group at the same time，those were lower than the detection results of observation group before the treatment （P0.05）. Conclusion The control effect of lung puncture drainage for the inflammatory state of patients with pulmonary abscess is more obvious，its clinical application value is higher. 　　[Key words] Lung puncture drainage；Pulmonary abscess；Inflammatory state 　　肺脓肿是肺部感染引起的组织化脓性疾病，患者炎性状态表现极为突出，血液炎性指标表现出较高的状态，血液指标的监测有助于判断疾病的炎性状态程度，治疗过程中的操作对机体的炎性状态也存在一定程度的影响，因此，可将炎性指标的变化作为了解疾病控制效果的评估指标[1]。降钙素原（PCT）及C反应蛋白（CRP）是近年来临床中肯定程度相对较高，且敏