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1、动态监测重症急性胰腺炎患者血清降钙素原的临床意义杨萍1吴丹2(1湖北省I•垠市太和医院皮肤科湖北医药学院附属医院湖北I•垠442000)(2湖北省十垠市中心血站湖北十垠442000)【摘要】目的:探讨血清降钙素原(procalcitonin,PCT)在重症急性胰腺炎(severeacutePancreatitis,SAP)中的临床意义。方法:对2012年9月到2014年9月之间的52例被确诊的重症急性胰腺炎患者进行回顾性分析,其中存活38例,死亡14例,分别记录重症胰腺炎患者第1、3、7、转岀或死亡当天的PCT水平,同时进行相应的急性牛理和慢性健
2、康状况评分(acutephysiologicalandchronichealthevaluation,APACHEII)和床旁急性胰腺炎严重度评分(bed-sideindexforseverityinacutepancreatitis,BISAP),并对患者的预后情况进行分析。结果:1.死亡组患者PCT浓度、PACHEII评分和BISAP评分和存活组患者比较,两组指标的差异具有统计学意义(PV0.05);2.死亡组中第3天、第7天及治疗结束前PCT浓度明显高于生存组,差异具有统计学意义(PV0.05),并且死亡组PCT水平呈上升趋势,而存活组PC
3、T水平则成下降趋势,同时死亡组APACHEII评分和BISAP评分也明显高于存活组患者,差异具有统计学意义(PV0.05)。结论:重症急性胰腺炎患者PCT水平与疾病的严重程度有明显的相关性,动态检测PCT水平变化趋势有助于预后的判断。【关键词】降钙素原;重症急性胰腺炎;APACHEII评分;BISAP评分【中图分类号】R576【文献标识码】A【文章编号】1007-8231(2016)06-0070-02SerumprocalcitoninLevelinpatientswithsevereacutePancreatitis:Clinicalsign
4、讦icanceofItsDynamicMonitoringYangpinglWudan2IThephysicalexaminationcenter,TaiHeHospital,Shiyancity,HuBeiprovinee,442000,China2DepartmentofClinicalLaboratory,.thebloodcenter,Shiyancity,HuBeiprovince,442000,China【Abstract]ObjectiveTostudytheclinicalapplicationvalueoftheserumpro
5、calcitonin(PCT)inpatientswithsevereacutePancreatitis(SAP).MethodsTotallaydataofpatientswithAPwhowerehospitalizedfromSep2012toSep2014wereanalyzed,therewere38patientssurvivaland14patientsdead,theserumPCTwasdeterminedonthel>3>7daysandtheendoftreatmentsndthepatientsAPACHEIIscores
6、andBISAPscoreswascompared,theconditionofprognoseswasobserved.Resultsl.therewassigrdficantdifferentinthePCTlevels>APACHEIIscoresandBISAPscoresbetweensurvivalgroupandthedeathgroup(P<0.05);2.theserumPCTlevelofthepatientsinthedeadgroupwassignificantlyhigherthanthatinthesurvivedgr
7、ouponthe3thand7thdayandtheendoftreatment(P<0.05),theAPACHEIIscoresandBISAPscoresofdeadgrouponthe3thand7thdayandtheendoftreatmentwerehigherthanthesurvivedgroup,thediffereneewerestatisticallysignificantly(P<0.05);3.thePCTlevelsinthedeathgroupincreased,andthePCTlevelsinthesurviv
8、edgroupdecreased.ConclusionDynamicmonitoringoftheserumPCTlevelisvalu