Level Changes and Clinical Significance of Procalcitonin and N-terminal pro-B-type Natriuretic Peptide in Patients with Acute Exacerbation of Chronic Pulmonary Heart Disease
CAI Qiu-yan, CHEN Jing
Huai'an TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Huaian city, Jiangsu Province,223001,China
Abstract:【Objective】 To explore clinical relationship of procalcitonin (PCT) and N-terminal pro-B-type natriureticpeptide (NT-proBNP) with the severity of acute exacerbation of chronic pulmonary heart disease (AECPHD). 【Methods】 Patients with chronic pulmonary heart disease (n=35, the CPHD group) and with AECPHD (n=32), the AECPDH group) were selected for the study. All were treated routinely according to clinical guidelines. Sputum specimens were collected for bacterial quantitative culture before treatment. Levels of PCT and NT-proBNP in patients with AECPHD and CPHD were measured before and after treatment. 【Results】 After treatment, the plasma PCT and NT-proBNP levels of the two groups were lower than before treatment, while PCT and NT-proBNP levels in patients with AECPHD were significantly higher than those in patients with CPHD. The difference was statistically significant (P<0.05). The positive rate of sputum culture (PPM ≥ 107 CFU/mL) in patients with AECPHD was 28.13% (9/32), which was higher than that in patients with CPHD 8.57% (3/32, P<0.05). 【Conclusion】 PCT and NT-proBNP levels can be used as potential indicators for the severity and treatment in patients with AECPHD.
蔡秋妍, 陈璟. 慢性肺源性心脏病急性加重期患者血浆PCT、NT-ProBNP水平的变化及临床意义[J]. 医学临床研究, 2020, 37(5): 724-726.
CAI Qiu-yan, CHEN Jing. Level Changes and Clinical Significance of Procalcitonin and N-terminal pro-B-type Natriuretic Peptide in Patients with Acute Exacerbation of Chronic Pulmonary Heart Disease. JOURNAL OF CLINICAL RESEARCH, 2020, 37(5): 724-726.
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