论文部分内容阅读
目的探讨急性胰腺炎并发感染中降钙素原(PCT)水平的诊断价值。方法 115例急性胰腺炎患者为研究对象,其中60例并发感染者作为观察组,55例非感染患者作为对照组,观察两组患者体温、血清PCT、C反应蛋白(CRP)等变化情况。结果观察组血清PCT水平明显高于对照组(P<0.05),体温、CRP、白细胞(WBC)、急性生理和慢性健康标准评分(APACHE-Ⅱ)差异无统计学意义(P>0.05)。两组不同时段血清PCT对比,差异具有统计学意义(P<0.05)。结论临床上可利用血清PCT来鉴别急性胰腺炎患者是否有并发感染,从而为正确判断预后、采取解决措施提供主要依据。
Objective To investigate the diagnostic value of procalcitonin (PCT) in patients with acute pancreatitis complicated by infection. Methods A total of 115 patients with acute pancreatitis were selected as study subjects. 60 patients with concurrent infection as observation group and 55 non-infected patients as control group. The changes of body temperature, serum PCT and C-reactive protein (CRP) in two groups were observed. Results The level of serum PCT in the observation group was significantly higher than that in the control group (P <0.05). There was no significant difference in body temperature, CRP, WBC, APACHE-Ⅱ between two groups (P> 0.05). There were significant differences in serum PCT between two groups at different time points (P <0.05). Conclusion Clinical serum PCT can be used to identify whether there is a concurrent infection in patients with acute pancreatitis, so as to correctly determine the prognosis and take measures to provide the main basis for resolution.