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血清降钙素原联合C反应蛋白测定在高海拔地区重症监护病房细菌性感染中的应用 被引量:5

Application of the combined determination of serum procalcitonin and C-reactive protein of bacterial features in intensive care unit the high elevation area
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摘要 目的评价联合检测降钙素原(PCT)与C反应蛋白(CRP)水平的改变在高海拔地区细菌感染患者中的临床意义。方法随机收集2008年10月~2011年9月入住青海大学附属医院重症监护病房(ICU)的83例细菌感染患者血清PCT与CRP的含量及动态变化进行检测,同时将83例细菌感染患者分为重症感染组47例和局部感染组36例,并与30例非感染组进行分析比较。结果治疗前感染组血清PCT、CRP水平较非感染组明显升高,经积极有效的抗菌药物治疗后,感染组血清PCT与CRP水平较治疗前明显降低,差异有显著性(P〈0.01)。结论血清PCT与CRP联合检测在细菌感染的早期诊断中有一定价值,动态监测PCT与CRP水平有助于评估治疗效果,协助临床判断病情的转归和恶化。 【Objective】To evaluate the clinical significance in evaluating prognosis of the combined determination of serum procalcitionin(PCT) and C reactive protein(CRP) in the diagnosis of bacterial features in intensive care unit of the high elevation area.【Methods】83 patients in Affiliated Hospital Of Qinghai University,from 2008 to 2011 with bacterial infection were enrolled in the studies which were classified into serious infection group and local infection group.Serum PCT and CRP levels and their dynamic change were measured,and the results were analyzed and compared with those non-infection group.【Results】The mean values of PCT and CRP in infection group were statistical significance compared to non-infection group.After the antibiotic treated,the levels of PCT and CRP decreased significantly;the levels of PCT and CRP in serious infection group were statistical significance to local infection group(P 0.001).【Conclusion】The combined determination of PCT and CRP assists the early diagnosis and prognosis of bacterial in neonate,Monitoring and dynamically PCT level will help to evaluate the curative effect.
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2013年第6期66-68,共3页 China Journal of Modern Medicine
关键词 降钙素原 C反应蛋白 细菌感染 高海拔地区 procalcitionin C-reactive protein bacterial features high elevation area
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  • 1时兢,缪昉,荣菊芬,沈波,穆会君.血清降钙素原检测对院内深部真菌感染诊断价值的探讨[J].内科急危重症杂志,2004,10(4):203-204. 被引量:23
  • 2苏卫东,徐克,瞿尔力,黄育丹,藤碎龙,包曼华.新生儿严重感染血清降钙素原监测的临床意义[J].临床医学,2006,26(4):66-67. 被引量:33
  • 3单小鸥,何时军,钱彩,王传夏,周爱华.C反应蛋白在预测细菌感染中的作用[J].中华急诊医学杂志,2007,16(3):295-298. 被引量:31
  • 4Uzzan B,Cohen R,Nicolas P, et al. Procalcitonin as a diagnostic test for sepsis in critically ill adults and after suigery or trauma : a systematic review and meta-analysis. Crit Care Med ,2006,34 (7) : 1996 -2003.
  • 5Maniaci V, Dauber A ,Weiss S ,et al. Procalcitonin in young febrile infants for the detection of serious bacterial infection. Pediatrics, 2008,122(4) :701-710.
  • 6Stolz D,Christ Crain M, Bingisser R, et al. Antibiotic treatment of exacerbations of COPD : a randomized cont rolled trial comparing procalcitonin guidance with standard therapy. Chest, 2007, 131 ( 1 ) :9-19.
  • 7Maruna P, Nedelnikova K, Gurlich R. 1. Physiology and genetics of procalcitonin. Physiol Res ,2000,49 ( Suppl 1 ) : $57-$61.
  • 8Matera Giovanni,Quirino Angela,Giancotti Aida,Pulicari Maria Concetta,Rametti Linda,Rodríguez Maria Luz,Liberto Maria Carla,Focà Alfredo.Procalcitonin neutralizes bacterial LPS and reduces LPS-induced cytokine release in human peripheral blood mononuclear cells. BMC microbiology . 2012
  • 9Maarten Limper,Lotte van de Stadt,Wouter Bos.The Acute-phase Response Is Not Predictive for the Development of Arthritis in Seropositive Arthralgia - A Prospective Cohort Study. The Journal of Rheumatology . 2012
  • 10吴熙,于学忠.降钙素原[J].中国医学科学院学报,2008,30(2):231-235. 被引量:81

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