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目的分析降钙素原水平在急性胰腺炎并发感染中诊断价值。方法选取44例急性胰腺炎并发感染患者作为观察组,选取同期到本院就诊的急性胰腺炎非感染患者44例作为参考组,检测降钙素原水平,分析其诊断价值。结果观察组入院后第1、4天降钙素原水平与参考组组对比,(P>0.05),在第7、14、21天PCT和CRP水平与参考组对比,差异具有统计学意义(P<0.05)。观察组PCT阳性检出率为90.9%,参考组PCT阳性检出率为11.4%;组间对比差异具有统计学意义(P<0.05)。结论在急性胰腺炎并发症感染中采用降钙素原水平进行诊断,可有效判断治疗效果,对预防和治疗感染具有积极的指导意义。
Objective To analyze the value of procalcitonin in the diagnosis of acute pancreatitis complicated by infection. Methods Forty - four patients with acute pancreatitis complicated with infection were selected as the observation group. Forty - four non - infected patients with acute pancreatitis admitted to our hospital during the same period were selected as the reference group. The level of procalcitonin was detected and the diagnostic value was analyzed. Results The levels of procalcitonin on the first and the fourth day after admission in the observation group were significantly lower than those in the reference group (P> 0.05). The levels of PCT and CRP in the observation group on the 7th, 14th and 21st days were significantly different from those of the reference group P <0.05). The positive rate of PCT in the observation group was 90.9%, while the positive rate of PCT in the reference group was 11.4%. The difference between the two groups was statistically significant (P <0.05). Conclusions The use of procalcitonin in the diagnosis of acute pancreatitis complication infection can effectively diagnose the effect of treatment and has positive guiding significance for the prevention and treatment of infection.