摘要
目的分析研究降钙素原以及C-反应蛋白对于手术后脓毒血症患者的预后影响。方法抽取2012年3月至2015年11月我院接收的62例脓毒血症患者作为研究对象,在第1、5、10天对患者降钙素原以及C-反应蛋白水平进行序贯性检测,观察分析患者转归情况、降钙素原以及C-反应蛋白水平变化情况,并依据APACHEⅡ评分标准对患者急性生理与慢性健康状况进行评分。结果本研究62例患者治疗1个月后41例存活,为预后良好组;21例死亡,分为预后较差组;两组降钙素原及C-反应蛋白和APACHEⅡ评分在第1天差异无统计学意义(P>0.05),两组降钙素原及C-反应蛋白和APACHEⅡ评分在第5和第10天差异显著(P<0.05)。结论降钙素原以及C-反应蛋白水平与脓毒血症具有极大相关性,可通过联合检测降钙素原以及C-反应蛋白水平作为术后脓毒血症患者的诊断指标,值得推广运用。
Objective To analyze the prognosis for patients with sepsis after surgery procaleitonin and C-reactive protein. Methods 62 cases of sepsis patients were selected as the research object from March 2013 to November 2015 in our hospital, at 1, 5, 10 d patient proealcitonin and C-reactive protein levels were sequential testing.Patient outcomes, calcitonin and C-reactive protein level change situation was observed and analyzed, and based the APACHE Ⅱ score of patients with acute physiology and chronic health score. Results In this study, 62 patients were treated for 1 months, 41 patients survived and 21 patients died, and the prognosis was poor; Two procalcitonin and C-reactive protein and APACHE Ⅱ score at 1 d was no significant difference （P〉0.05）; Two groups of proealcitonin and C reactive protein and APACHE Ⅱ in fifth and 10d scores were significantly difference （P〈0.05）. Conclusion Calcitonin and C-reaction protein levels and sepsis has great relevance, by combined detection of calcitonin） and C-reactive protein level as the index to diagnose postoperative sepsis patients, it is worth to promote the use of.
出处
《中国医药指南》
2017年第15期14-15,共2页
Guide of China Medicine
